| Literature DB >> 35457789 |
Kyong-Ah Kwon1, Timothy G Ford1, Jessica Tsotsoros2, Ken Randall2, Adrien Malek-Lasater3, Sun Geun Kim1.
Abstract
While a global understanding of teacher well-being during the COVID-19 pandemic is beginning to emerge, much remains to be understood about what early childhood teachers have felt and experienced with respect to their work and well-being. The present mixed-method study examined early care and education (ECE) teachers' working conditions and physical, psychological, and professional well-being during the COVID-19 pandemic using a national sample of 1434 ECE teachers in the U.S. We also explored differences in working conditions and well-being among in-person, online, and closed schools, given the unique challenges and risks that ECE teachers may have faced by teaching in these different modalities. From the results of an online survey, we found that in the early months of the pandemic, many ECE teachers faced stressful, challenging work environments. Some were teaching in new, foreign modes and formats, and those still teaching in person faced new challenges. We found many common issues and challenges related to psychological and physical well-being across the three teaching groups from the qualitative analysis, but a more complicated picture emerged from the quantitative analysis. After controlling for education and center type, we found that aspects of professional commitment were lower among those teachers teaching in person. Additionally, there were racial differences across several of our measures of well-being for teachers whose centers were closed. Upon closer examination of these findings via a moderation analysis with teacher modality, we found that Black and Hispanic teachers had higher levels of psychological well-being for some of our indicators when their centers were closed, yet these benefits were not present for Black and Hispanic teachers teaching in person.Entities:
Keywords: COVID-19 impact; early care and education; early childhood teachers; job demands; racial disparity; teaching modality; well-being
Mesh:
Year: 2022 PMID: 35457789 PMCID: PMC9030377 DOI: 10.3390/ijerph19084919
Source DB: PubMed Journal: Int J Environ Res Public Health ISSN: 1660-4601 Impact factor: 4.614
Description of measures used in the study.
| Construct | Study Variables | Instruments | Instrument Characteristics | Psychometric Properties |
|---|---|---|---|---|
| Job Demands | Job demands | The physical demand, skill discretion, and decision authority subscale of the Job Content Questionnaire (JCQ) [ | JCQ consists of 11 items in three domains of stress: demands (4 items), skill discretion (related to skill variety) (3 items), and decision authority (related to job control) (4 items). Subscales measure participants’ rating on how each statement was true of their work in ECE settings based on a 5-point scale: 1 (strongly disagree) to 5 (strongly agree). | The internal consistency for the scales of the original JCQ range Cronbach’s α = 0.65 to 0.79 [ |
| Job Resources | Instrumental resources (wages and health insurance) | Questionnaire | One question asking teachers to report how they were paid (i.e., fully paid, partially paid, not paid) and one question asking teachers if they had health insurance covered by their employer during the pandemic (yes/no). | |
| Profess. Well-Being | Work commitment | Questionnaire from Early Childhood Job Satisfaction Survey (ECJSS) on work commitment [ | ECJSS questions the range of personal and organizational factors related to employee satisfaction and work commitment in center-based ECE programs. Scores could range from 0 (low) to 10 (high levels of work commitment). | Overall consistency: Cronbach’s α = 0.89 [ |
| Intent to leave | Questionnaire | Three questions that asked participants to rate their intent to leave the field on a 5-point scale (1 (very unlikely) to 5 (very likely)). | Our study: Factor loadings = 0.84 for all three items. Cronbach’s α = 0.82. | |
| Psych. | Depressive symptoms | Center for Epidemiologic Studies of Depression Short Form (CES-D-10) [ | 10-item screening test asking respondents to reflect on the previous week and rate the frequency of symptoms on a scale of 0 (not at all or less than 1 day) to 3 (5–7 days). | CES-D-10; Cronbach’s α = 0.65–0.91; [ |
| Personal stress | The Perceived Personal Stress Scale (PSS) [ | PSS items include questions about stress and examine how unpredictable, uncontrollable, and overloaded respondents find their lives. Other items ask participants about feelings during the last month, and the frequency of their feelings on a 5-point scale (1 = rarely/never to 5 = very often). | PSS; Cronbach’s α = 0.84; test-retest reliability Pearson | |
| Life satisfaction | Satisfaction with Life Scale [ | Five items measuring global cognitive judgments of a person’s life satisfaction on a 7-point scale based on how much they agree (1 = strongly disagree to 7 = strongly agree). | Test–retest reliability: Cronbach’s α = 0.82, coefficient Cronbach’s α = 0.87 [ | |
| Secondary trauma | A Subscale of Professional Quality of Life Scale (PROQOL) [ | Thirty items organized in 3 subscales (compassion satisfaction, burnout, and secondary traumatic stress) that measure the negative and positive effects of helping others who experience suffering and trauma. Our study used the subscale of secondary traumatic stress. | Secondary traumatic stress scale Cronbach’s α = 0.81 [ | |
| Brief Resiliency | Brief Resilience Scale [ | Six items that assess one’s ability to bounce back or recover from stress measured on a 5-point scale (1 (strongly disagree) to 5 (strongly agree)). | Internal consistency Cronbach’s α = 0.80–0.91; test–retest reliability | |
| Physical Well-Being | General health risk | General Health Indicator Composite | Eleven binary items (no = 0 and yes = 1) | |
| Ergonomic Pain | Modified Work-Related Musculoskeletal Disorders Scale (WMDS) [ | Five binary items (no = 0 and yes = 1) that ask about experienced pain in neck, back, shoulder, knee, and other. Our study used a total score by combining all items. | WMDS; Cronbach’s α (entire questionnaire) = 0.90; test–retest reliability Pearson | |
| Food Security | Modified Food Security Measure (USDA) [ | Five items that identify food-insecure households and households with very low food security with reasonably high specificity and sensitivity. | Reliability | |
| Obesity | Body Mass Index (CDC) [ | Body Mass Index (BMI) is a person’s weight in kilograms divided by the square of height in meters. | ||
| Physical Activity | Questionnaire | Questions ask how many days and hours are spent on vigorous physical activities and how much time is spent sitting on a weekday. |
Psychological and physical well-being of 1434 ECE teachers during pandemic.
| Categories | Percentage OR Mean (Range) |
|---|---|
| Sample Demographics | |
| Teachers with Associates Degree or Higher | 73% |
| Teachers by Center Type | |
| Family Childcare Home | 5.6% |
| Childcare Center/Pre-K | 34.4% |
| Head Start | 42.8% |
| Public School | 14% |
| Private School | 3.2% |
| Teachers by Modality | |
| In Person | 29.2% |
| Online | 27.5% |
| Closed | 43.3% |
| Teacher Race | |
| Black | 14.3% |
| Hispanic | 21.4% |
| White | 58.3% |
| Other | 6% |
| Psychological Well-Being | |
| Changes in Psych. Well-Being Due to Pandemic | |
| Mostly Positive | 7.7% |
| Somewhat Positive | 11.2% |
| No Change | 32.8% |
| Somewhat Negative | 43.0% |
| Mostly Negative | 4.7% |
| Diagnosed with Depression | 23% |
| Brief Resiliency | 2.91 (1–5) |
| Life Satisfaction | 24.64 (5–35) |
| Perceived Stress | 25.60 (1–47) |
| Depressive Symptoms | 8.38 (0–30) |
| Secondary Trauma | 19.29 (3–50) |
| Physical Well-Being/Health | |
| Teachers with At Least One Area of Ergonomic Pain | 79% |
| Total Reported Ergonomic Pain ª | 3.49 (0–19) |
| In-Person Teachers | 3.91 (0–15) |
| Online Teachers | 3.59 (0–19) |
| Closed Teachers | 3.08 (0–14) |
| Changes in Health Due to Pandemic | |
| Mostly Positive | 5.2% |
| Somewhat Positive | 7.7% |
| No Change | 66.5% |
| Somewhat Negative | 17.7% |
| Mostly Negative | 1.9% |
| Currently Overweight or Obese | 76% |
| Diagnosed with Anxiety | 31% |
| Diagnosed with High Blood Pressure | 26% |
| Diagnosed with Asthma | 20% |
| Experiencing Food Insecurity | 1.07(0–5) |
| Professional Well-Being | |
| Work Commitment | 8.51 (1–10) |
| Intent to Leave | 2.19 (1–5) |
| Job Demands and Resources | |
| Physical Job Demands | 2.91 (1–5) |
| Skill Discretion | 3.93 (1–5) |
| Decision Authority | 3.35 (1–5) |
| Employer-Paid Health Insurance During Pandemic | 59% |
| Wages—Full Pay During Pandemic (Partial Pay) | 83% (12%) |
Note. ª is an indicator of the product of both number of affected areas (max of 5 areas) and severity of pain (from 0 = no pain to 4 = unbearable pain), for a max range of 20.
Content analysis summary: challenges in work and well-being.
| In-Person Teaching Group | Online Teaching Group | School Closed Group | ||||||
|---|---|---|---|---|---|---|---|---|
| Challenges in Work (or Job Demands) | ||||||||
| Rank | Freq | Content | Rank | Freq | Content | |||
| 1 | 19.57% | Working with children and families during a pandemic | 1 | 34.52% | Difficulty supporting children via online teaching | |||
| 2 | 18.40% | Financial hardship | 2 | 24.30% | Difficulty with parent involvement | |||
| 3 | 16.63% | COVID-19 fear and uncertainty | 3 | 13.55% | Technology issues | |||
| 4 | 14.48% | Additional job demand | 4 | 11.51% | Social isolation/feeling of disconnection | |||
| 5 | 13.89% | Too frequent changes in regulations and circumstances | 5 | 9.21% | Barriers to resources and preparation for online teaching | |||
| Needs for Work | ||||||||
| Rank | Freq | Content | Rank | Freq | Content | |||
| 1 | 19.91% | More COVID-19 resources | 1 | 20.34% | Improved access and resources | |||
| 2 | 14.13% | Financial support | 2 | 16.16% | Better parent involvement | |||
| 3 | 13.06% | More consistency | 3 | 12.26% | Improved curriculum | |||
| 4 | 10.92% | None | 4 | 9.96% | Improved communication and guidelines | |||
| 5 | 6.42% | More support for teacher | 5 | 7.94% | More training | |||
| Challenge in Psychological Well-Being | ||||||||
| Rank | Freq | Content | Rank | Freq | Content | Rank | Freq | Content |
| 1 | 52.64% | Anxiety and fear of COVID-19 | 1 | 32.98% | Anxiety and fear of COVID-19 | 1 | 50.48% | Anxiety and fear of COVID-19 |
| 2 | 9.97% | Social disconnection | 2 | 23.11% | Social disconnection | 2 | 21.40% | Social disconnection |
| 3 | 9.66% | Financial concern | 3 | 10.92% | Depression and sadness | 3 | 11.18% | Depression and sadness |
| 4 | 5.61% | Additional job demands | 4 | 6.09% | Loss of purpose | 4 | 7.99% | Financial concern |
| 5 | 4.67% | Lack of support | 5 | 5.67% | Additional job demands | 5 | 2.88% | Concern for students |
| Challenges in Physical Well-Being | ||||||||
| Rank | Freq | Content | Rank | Freq | Content | Rank | Freq | Content |
| 1 | 22.68% | Stress/anxiety | 1 | 31.82% | Weight gain | 1 | 27.52% | Stress/anxiety |
| 2 | 19.59% | Other illness syndrome | 2 | 20.78% | Stress/anxiety | 2 | 23.85% | Other illness syndrome |
| 3 | 18.56% | Weight gain | 3 | 14.29% | Other illness syndrome | 2 | 23.85% | Weight gain |
| 4 | 13.40% | Energy change | 4 | 13.64% | Lack of physical activity | 4 | 8.26% | Lack of physical activity |
| 5 | 8.25% | Lack of physical activity | 5 | 5.84% | Sleep change | 5 | 7.34% | Sleep change |
| 5 | 8.25% | Sleep change | 5 | 5.84% | Energy change | |||
Main effects regression of psychological, physical, and professional well-being by modality and teacher race.
| Brief | Life | Perceived | Depressive | Secondary | Work | Intent to | Ergonomic | Physic. Job | Skill | Decision | |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Resiliency | Satisfaction | Stress | Symptoms | Trauma | Commit. | Leave | Pain | Demands | Discretion | Authority | |
| Constant | 0.113 | −0.308 ** | 0.139 | 0.241 ** | −0.075 | 0.203 * | −0.128 | 0.012 | 0.042 | −0.287 ** | 0.021 |
| (0.081) | (0.080) | (0.080) | (0.080) | (0.080) | (0.081) | (0.081) | (0.082) | (0.082) | (0.081) | (0.078) | |
| ≥Associates degree | −0.050 | 0.227 ** | −0.054 | −0.112 | 0.138 * | −0.082 | 0.089 | −0.023 | −0.118 | 0.244 ** | 0.200 ** |
| (0.064) | (0.064) | (0.064) | (0.064) | (0.063) | (0.065) | (0.064) | (0.065) | (0.065) | (0.064) | (0.062) | |
| Childcare/Pre-K | (reference) | ||||||||||
| Family childcare | 0.044 | 0.103 | −0.099 | −0.081 | −0.214 | 0.083 | −0.057 | −0.019 | 0.103 | 0.105 | 0.850 ** |
| (0.126) | (0.125) | (0.125) | (0.125) | (0.123) | (0.126) | (0.126) | (0.127) | (0.127) | (0.125) | (0.121) | |
| Head Start | 0.096 | 0.096 | −0.097 | −0.168 * | 0.047 | 0.094 | −0.068 | −0.024 | −0.011 | 0.168* | −0.337 ** |
| (0.074) | (0.074) | (0.074) | (0.074) | (0.073) | (0.074) | (0.074) | (0.075) | (0.075) | (0.074) | (0.072) | |
| Public school | 0.078 | 0.277 ** | 0.043 | −0.106 | 0.366 ** | −0.029 | −0.019 | 0.110 | −0.158 | 0.408 ** | −0.149 |
| (0.096) | (0.096) | (0.096) | (0.096) | (0.095) | (0.097) | (0.096) | (0.097) | (0.098) | (0.096) | (0.093) | |
| Private school | −0.201 | 0.179 | −0.086 | −0.163 | −0.137 | −0.053 | −0.139 | −0.541 ** | −0.250 | 0.047 | 0.312 * |
| (0.162) | (0.161) | (0.161) | (0.161) | (0.160) | (0.164) | (0.163) | (0.164) | (0.165) | (0.162) | (0.157) | |
| School closed | (reference) | ||||||||||
| School in-person | 0.019 | 0.004 | 0.084 | −0.003 | 0.089 | −0.298 ** | 0.219 ** | 0.155 * | 0.139 | −0.038 | −0.017 |
| (0.075) | (0.074) | (0.074) | (0.074) | (0.074) | (0.075) | (0.075) | (0.076) | (0.076) | (0.075) | (0.072) | |
| School online | −0.081 | 0.011 | 0.081 | 0.100 | 0.097 | −0.107 | −0.034 | 0.052 | 0.046 | 0.076 | −0.041 |
| (0.067) | (0.067) | (0.067) | (0.067) | (0.067) | (0.068) | (0.067) | (0.068) | (0.068) | (0.067) | (0.065) | |
| White teacher | (reference) | ||||||||||
| Black teacher | −0.299 ** | −0.009 | −0.359 ** | −0.275 ** | −0.194 * | −0.201 * | 0.218 ** | −0.200 * | 0.042 | −0.018 | −0.009 |
| (0.081) | (0.081) | (0.081) | (0.081) | (0.080) | (0.082) | (0.081) | (0.082) | (0.082) | (0.081) | (0.079) | |
| Hispanic teacher | −0.343 ** | 0.326 ** | −0.296 ** | −0.309 ** | −0.467 ** | −0.136 | 0.020 | −0.092 | 0.024 | −0.166 * | −0.174 * |
| (0.074) | (0.074) | (0.074) | (0.074) | (0.073) | (0.075) | (0.074) | (0.075) | (0.075) | (0.074) | (0.072) | |
| Other race | 0.063 | −0.162 | 0.088 | 0.113 | −0.114 | −0.158 | 0.291 * | 0.158 | 0.007 | −0.120 | −0.040 |
| (0.115) | (0.115) | (0.116) | (0.115) | (0.115) | (0.118) | (0.116) | (0.117) | (0.118) | (0.116) | (0.112) |
Note. All outcome variables standardized. Standard errors in parentheses. ** p < 0.01, * p < 0.05.
Moderation of teacher race and psychological, physical, and professional well-being outcomes by modality.
| Brief | Life | Perceived | Depressive | Secondary | Work | Intent | Ergonomic | Physical | Skill | Decision | |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Intercept | 0.0905 | −0.353 * | 0.170 * | 0.284 ** | −0.085 | 0.170 * | −0.115 | 0.059 | 0.027 | −0.297 ** | 0.019 |
| (0.085) | (0.085) | (0.085) | (0.085) | (0.084) | (0.086) | (0.085) | (0.086) | (0.092) | (0.085) | (0.083) | |
| ≥Associates deg. | −0.043 | 0.239 ** | −0.049 | −0.111 † | 0.144 * | −0.088 | 0.094 | −0.029 | −0.116 † | 0.249 ** | 0.201 ** |
| (0.064) | (0.063) | (0.064) | (0.063) | (0.063) | (0.064) | (0.064) | (0.065) | (0.063) | (0.064) | (0.062) | |
| Childcare Center/Pre-K | (reference) | ||||||||||
| Family CC home | 0.064 | 0.076 | −0.116 | −0.088 | −0.241 † | 0.073 | −0.055 | −0.001 | 0.105 | 0.126 | 0.826 ** |
| (0.126) | (0.126) | (0.126) | (0.126) | (0.124) | (0.127) | (0.127) | (0.128) | (0.099) | (0.126) | (0.122) | |
| Head Start | 0.089 | 0.097 | −0.092 | −0.166 * | 0.045 | 0.083 | −0.060 | −0.019 | −0.013 | 0.166 * | −0.339 ** |
| (0.073) | (0.073) | (0.073) | (0.073) | (0.073) | (0.074) | (0.074) | (0.075) | (0.081) | (0.074) | (0.071) | |
| Public school | 0.054 | 0.279 ** | 0.029 | −0.117 | 0.366 ** | −0.020 | −0.035 | 0.104 | −0.157 | 0.390 ** | −0.130 |
| (0.097) | (0.096) | (0.096) | (0.096) | (0.096) | (0.098) | (0.097) | (0.098) | (0.098) | (0.097) | (0.094) | |
| Private school | −0.221 | 0.194 | −0.103 | −0.183 | −0.140 | −0.041 | −0.148 | −0.551 ** | −0.246 | 0.035 | 0.321 * |
| (0.162) | (0.161) | (0.162) | (0.162) | (0.161) | (0.164) | (0.164) | (0.164) | (0.174) | (0.163) | (0.157) | |
| School closed | (reference) | ||||||||||
| School in-person | 0.017 | 0.059 | 0.001 | −0.087 | 0.104 | −0.197 * | 0.153 † | 0.074 | 0.163† | −0.058 | 0.015 |
| (0.090) | (0.089) | (0.090) | (0.089) | (0.089) | (0.090) | (0.090) | (0.091) | (0.093) | (0.090) | (0.087) | |
| School online | 0.011 | 0.076 | 0.065 | 0.056 | 0.108 | −0.086 | −0.009 | −0.005 | 0.066 | 0.136 | −0.087 |
| (0.088) | (0.088) | (0.088) | (0.088) | (0.088) | (0.089) | (0.089) | (0.090) | (0.089) | (0.089) | (0.086) | |
| White teacher | (reference) | ||||||||||
| Black | −0.335 ** | 0.003 | −0.545 ** | −0.458 ** | −0.299 * | 0.009 | 0.152 | −0.238 † | 0.056 | −0.033 | −0.084 |
| (0.122) | (0.121) | (0.122) | (0.121) | (0.121) | (0.123) | (0.122) | (0.124) | (0.138) | (0.122) | (0.118) | |
| Hispanic | −0.251 * | 0.404 ** | −0.306 ** | −0.355 ** | −0.395 ** | −0.107 | 0.004 | −0.229 * | 0.044 | −0.149 | −0.144 |
| (0.100) | (0.100) | (0.099) | (0.100) | (0.099) | (0.101) | (0.101) | (0.102) | (0.102) | (0.101) | (0.097) | |
| Other | 0.153 | 0.042 | −0.004 | 0.055 | −0.066 | −0.081 | 0.213 | 0.153 | 0.121 | −0.002 | −0.012 |
| (0.176) | (0.178) | (0.178) | (0.178) | (0.177) | (0.180) | (0.178) | (0.181) | (0.184) | (0.179) | (0.173) | |
| Black * In-person | 0.073 | 0.117 | 0.425 * | 0.362 † | 0.264 | −0.357 † | 0.187 | 0.042 | −0.019 | 0.04 | 0.115 |
| (0.187) | (0.187) | (0.188) | (0.187) | (0.185) | (0.189) | (0.187) | (0.189) | (0.197) | (0.188) | (0.182) | |
| Hispanic * In-person | 0.143 | −0.381 * | 0.116 | 0.242 | −0.228 | −0.286 | 0.134 | 0.443 * | −0.046 | 0.211 | −0.245 |
| (0.187) | (0.187) | (0.187) | (0.187) | (0.186) | (0.189) | (0.189) | (0.191) | (0.201) | (0.188) | (0.182) | |
| Other * In-person | −0.256 | −0.186 | 0.131 | −0.036 | −0.194 | −0.229 | 0.332 | 0.001 | −0.193 | −0.174 | −0.180 |
| (0.263) | (0.263) | (0.263) | (0.263) | (0.262) | (0.267) | (0.265) | (0.268) | (0.259) | (0.265) | (0.257) | |
| Black * Online | 0.059 | −0.189 | 0.204 | 0.268 | 0.099 | −0.384 † | 0.012 | 0.077 | −0.021 | 0.003 | 0.173 |
| (0.204) | (0.203) | (0.205) | (0.202) | (0.200) | (0.204) | (0.203) | (0.205) | (0.227) | (0.203) | (0.196) | |
| Hispanic * Online | −0.405 * | −0.039 | −0.099 | −0.034 | −0.123 | 0.138 | −0.079 | 0.187 | −0.027 | −0.197 | 0.061 |
| (0.159) | (0.159) | (0.159) | (0.159) | (0.158) | (0.161) | (0.160) | (0.162) | (0.154) | (0.161) | (0.156) | |
| Other * Online | 0.002 | −0.596 * | 0.202 | 0.299 | 0.103 | 0.023 | −0.158 | 0.001 | −0.198 | −0.250 | 0.159 |
| (0.298) | (0.298) | (0.298) | (0.298) | (0.302) | (0.308) | (0.296) | (0.303) | (0.263) | (0.300) | (0.291) |
Note. All outcome variables standardized. Standard errors in parentheses. ** p < 0.01, * p < 0.05, † p < 0.10.