Karen Ford is an adjunct associate professor at the School of Nursing, University of Tasmania. Andrea Middleton is a lecturer at the University of Tasmania. Steven Campbell is a professor of Clinical Redesign– Nursing, University of Tasmania. This story originally featured on The Conversation.

During the pandemic, children have been separated from family and friends, schools have been closed and there have been limitations on important activities, such as play.

We know a good deal about the physical effects COVID-19 has on children. But the impact on their mental and emotional well-being is less well understood—particularly from the perspective of children themselves.

Our recently published research highlights the importance of listening to children, about what they have to say, and the information they want about COVID-19.

Here’s what we did

We took part in an international study with children from six countries—the UK, Spain, Canada, Sweden, Brazil, and Australia.

We recruited children through our professional and social networks, for example sporting groups and community groups.

We asked children aged seven to 12 years about how they accessed information about COVID-19, about their understandings of the virus, and why they were asked to stay at home.

The survey was open when the highest level restrictions were in place across Tasmania, where the Australian arm of the study was based. In total, 49 children from Tasmania took part in the survey and 390 children internationally.

There were important differences across the countries when we conducted the survey, including the numbers of reported cases and deaths from COVID-19, as well as government responses and levels of restrictions.

For example, the reported deaths and cases were much higher in countries such as the UK and Brazil compared to Australia. Children in Sweden continued to attend school, whereas most children in other countries were learning from home.

What we found

There were many similarities across the different countries in the things important to children, what they had to say and what they wanted to know. But there were also differences across countries and between children.

More than half the children said they knew a lot or quite a bit about COVID-19. Their comments included:

  • It is a stupid virus.
  • It spreads really quickly.
  • People play it down and tell me it can’t kill people, but I know people are dying each day.
child's drawing of coronavirus
This drawing from Ben, aged 7, Tasmania, shows children express what they know about the coronavirus in many ways. Courtesy Karen Ford

But they also had questions:

  • How and where did it start?
  • What does the coronavirus actually look like?
  • How does it make you poorly?

Some said they did not want to know any more about the virus:

  • It is boring.
  • I don’t want to know about it because it’s killing people and that makes me sad.

Children expressed different emotions about COVID-19. They said they felt “worried”, “scared”, “angry,” and “confused”.

Children knew the virus was particularly dangerous for vulnerable people:

  • It can possibly kill old and unhealthy people.

And they missed their friends and family:

  • When can we go back to school?

Children obtained information about COVID-19 from different sources, mostly from parents and teachers. Children also sought information from friends, TV shows, and the internet, including social media.

Children understood what the community was being asked to do and they had learnt the meanings of new words and terms. So they knew what social distancing meant and that they needed to stay 1.5 meters (or 6 feet) apart.

Children also knew key public health messages about washing your hands, not touching your face, and needing to stay at home “to save lives.”

Why does this matter?

Children have had an important role in society’s response to COVID-19. Their significant contributions to limiting the spread of the virus have included being separated from family and friends, and limitations on important activities that are part of their “normal” lives.

However, the impacts on children’s lives and well-being are largely unacknowledged. Their contributions should be acknowledged and they should be thanked for their part.

Children have a right to be provided with information in a form that is appropriate for their safety and well-being. Children need to have the opportunity to ask questions and learn about what COVID-19 means for them with adults they trust, including parents and teachers.

Children have questions about COVID-19. Questions are different for each child and not all children want the same amount of information.

What can adults do?

Adults should make the time and space to have conversations with children. They can ask:

  • What would you like to know?
  • What would you like to ask?

This approach means children are empowered to identify their needs and concerns, and the information they are provided is relevant and meets their needs.

The Conversation