The Effect of the COVID-19 Pandemic on School Readiness and Mental Health Concerns: A Prospective Cohort Pilot Study.

Publication date: Jun 20, 2026

Background/Objectives: The COVID-19 pandemic had a negative effect on early intervention (EI) delivery to children with developmental delays or disabilities. This study aimed to compare school readiness of children who received, or attempted to receive, EI before, during, and after the COVID-19 pandemic stay-at-home order. Methods: A prospective cohort study was conducted with a single state-funded center that delivers federally mandated EI. School readiness assessments were performed using the Wechsler Preschool and Primary Scale of Intelligence, Fourth Edition (WPPSI-IV). Fisher’s Exact tests, and Kruskal-Wallis ANOVA were performed to compare scores in children who began EI in the three time periods related to the COVID-19 pandemic. Results: A total of 56 children were enrolled in this study, the timing of EI start was available in 43, and 22 were able to complete all assessments. Statistically significant differences were found in WPPSI-IV Verbal Comprehension Index T scores (100 +/- 15) across the COVID-19 phases, with the lowest scores arising during the pandemic (76. 2 +/- 9. 3); the highest scores, pre-pandemic (98. 0 +/- 6. 2); and intermediate scores, post-pandemic (81. 5 +/- 10. 1, p

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Concepts Keywords
Autism autism
Basel COVID-19
Home early intervention
Pilot mental health
school readiness

Semantics

Type Source Name
disease MESH COVID-19 Pandemic
disease MESH autism
disease MESH Developmental Disabilities
disease MESH ers
disease MESH anxiety
disease MESH included
disease MESH autism spectrum disorder
drug DRUGBANK Gold

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