Assessing the association of physical distancing to avoid COVID-19 with health-related quality of life in immunocompromised adolescents: results from the cross-sectional observational EAGLE study - Report - MDSpire

Assessing the association of physical distancing to avoid COVID-19 with health-related quality of life in immunocompromised adolescents: results from the cross-sectional observational EAGLE study

  • By

  • Paul Williams

  • Timothy A. Herring

  • Renata T. C. Yokota

  • Sudhir Venkatesan

  • Klas Bergenheim

  • Johan L. Severens

  • Philip A. Powell

  • James C. Marcus

  • Stephanie Philpott

  • Sara Bestea

  • Jeffrey M. Rohay

  • Tiago Maia

  • Sylvia Taylor

  • Marieke Krol

  • James W. Varni

  • May 28, 2026

  • 0 min

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Clinical Report: Evaluating Physical Distancing and HRQoL in Immunocompromised Adolescents

Overview

This report examines the physical distancing behaviors of immunocompromised adolescents and their correlation with health-related quality of life (HRQoL). Findings indicate that higher physical distancing intensity is associated with poorer HRQoL and increased school and activity impairment.

Background

Immunocompromised adolescents are at heightened risk for severe COVID-19 outcomes, necessitating continued protective measures such as physical distancing. Understanding the impact of these behaviors on their quality of life is crucial, as prolonged distancing may adversely affect their mental and physical health. This study provides insights into the balance between necessary precautions and the potential negative consequences of such behaviors.

Data Highlights

MeasureMean ScoreInterpretation
PDS-C19 T-score49.1Moderate physical distancing intensity
PedsQL™ Total Score58.0Indicates moderate HRQoL

Key Findings

  • 60.1% of participants reported moderate physical distancing intensity.
  • 16.3% reported high/very high physical distancing intensity.
  • Physical distancing intensity correlated moderately with HRQoL (|r| = 0.4–0.5).
  • Stronger correlations were found between distancing and school impairment (|r| > 0.6).
  • Higher distancing intensity was linked to greater activity impairment.

Clinical Implications

Healthcare providers should be aware of the potential negative impacts of physical distancing on the HRQoL of immunocompromised adolescents. Strategies to support mental health and social engagement may be necessary to mitigate the adverse effects of prolonged distancing practices.

Conclusion

The findings highlight the need for a balanced approach to physical distancing in immunocompromised adolescents, considering both the necessity of protective measures and their impact on overall quality of life.

Related Resources & Content

  1. EAGLE Study Group, Frontiers in Pediatrics, 2026 -- Assessing the association of physical distancing to avoid COVID‑19 with health-related quality of life in immunocompromised adolescents
  2. Assessment of SARS-CoV-2 Antibody Response and Quality of Life Among Children and Adolescents, 2022 -- Findings from the 2022 IMMUNEBRIDGE KIDS Cross-Sectional Study
  3. Post-Acute Sequelae of SARS-CoV-2 in Pediatric Populations, 2023 -- A One-Year Analysis of Symptom Development and Recovery Using German Healthcare Data
  4. Utilizing the Actor-Partner Interdependence Framework to Explore Vaccine Decision-Making Dynamics Between Adolescents and Their Parents During the COVID-19 Pandemic, 2023
  5. People at Increased Risk for Severe Respiratory Illnesses, CDC
  6. COVID-19 Treatment Clinical Care for Outpatients, CDC
  7. Clinical Rheumatology — Assessing the Long-Term Effects of the COVID-19 Pandemic on the Physical and Mental Well-Being of Individuals with Inflammatory Rheumatic Diseases: A Cross-Sectional Study
  8. People at Increased Risk for Severe Respiratory Illnesses | Respiratory Illnesses | CDC
  9. COVID-19 Treatment Clinical Care for Outpatients | Covid | CDC
  10. Frontiers | Assessing the association of physical distancing to avoid COVID‑19 with health-related quality of life in immunocompromised adolescents: results from the cross‑sectional observational EAGLE study

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