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The effect of pediatric transmission of SARS-CoV-2 on the spread of COVID-19 remains a concern in creating policies for school reopening.1,2 Although children have a lower prevalence of developing overt COVID-19 symptoms than adults, asymptomatic transmission may contribute to the spread of COVID-19.3 Cloth face coverings are considered a key strategy in reducing the spread of SARS-CoV-2. However, policy makers and parents are concerned about students’ ability to mask effectively.4 We report the outcome of using positive behavior supports to promote masking in verbal school-aged children with autism spectrum disorders (ASD) and/or attention-deficit/hyperactivity disorder (ADHD) attending a summer day treatment program.
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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.
Accepted for Publication: March 25, 2021.
Published: May 17, 2021. doi:10.1001/jamanetworkopen.2021.10281
Open Access: This is an open access article distributed under the terms of the CC-BY License. © 2021 Aaronson B et al. JAMA Network Open.
Corresponding Author: Benjamin Aaronson, PhD, Department of Pediatrics, University of Washington, PO Box 357920, Seattle, WA 98195 (firstname.lastname@example.org).
Author Contributions: Drs Aaronson and Glick had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.
Concept and design: Aaronson, Glick, Kirk, McCloud, Sasser, Englund.
Acquisition, analysis, or interpretation of data: Aaronson, Glick, McCloud, Zerr.
Drafting of the manuscript: Aaronson, Glick, Kirk, Sasser, Englund.
Critical revision of the manuscript for important intellectual content: Aaronson, Glick, Kirk, McCloud, Zerr, Englund.
Statistical analysis: Aaronson, Glick.
Administrative, technical, or material support: Aaronson, Kirk, McCloud, Sasser, Zerr, Englund.
Supervision: Aaronson, Englund.
Conflict of Interest Disclosures: Dr Kirk reported receiving grants from Solera Pharmaceuticals outside the submitted work. Dr Englund reported serving as a consultant to Sanofi Pasteur, Meissa Vaccines, and AstraZeneca and receiving grants from AstraZeneca, Pfizer, and GlaxoSmithKline outside the submitted work. No other disclosures were reported.
Additional Contributions: We would like to thank our participating families who modeled and promoted face covering. Our extensive team of research assistants and staff modeled, taught, and encouraged face covering across activities, while simultaneously collecting data and implementing our summer treatment program. The summer treatment program was operated by the University of Washington Autism Center.
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