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. 2021 Apr 15;18(8):4182. doi: 10.3390/ijerph18084182

Table 3.

Key points and policy recommendations.

Practical impacts during Autumn return to campus
  • Last minute changes to accommodation, travel plans and academic timetabling.

  • Challenges of accessing basic supplies and help with everyday living.

  • Shift to online learning modality.

  • Pandemic impacts on academic studies (e.g., halted laboratory work and research).

  • Greater impacts for those without social supports and social networks.

Emotional impacts during Autumn return to campus
  • Fear, worry, anxiety, guilt, low mood are widespread.

  • Some reports of food insecurity.

  • However, students do not feel unsafe being at university during the pandemic.

Risk perceptions
  • Those with prior experience of COVID-19 (virus/self-isolation) feel more at risk.

  • Vulnerable groups (pre-existing conditions) feel more at risk.

  • Most students worry more about risks to others than themselves.

Engagement in protective behaviours (social distancing, self-isolation)
  • Timeliness of communications will influence behaviour.

  • Presentation of communications is important—‘one-size-does-not-fit-all’.

  • Environmental and structural factors play a role in social distancing on campus.

  • Desire for social contact is strong and can override perceived risk and regulations.

  • Primary reason for seeking social contact/breaking self-isolation is to avoid or mitigate the emotional impacts of social isolation.

Mass asymptomatic testing on campus
  • Students are receptive to mass asymptomatic testing.

  • Testing is seen as a mechanism for getting control over the virus.

  • Availability of testing on campus enhances students’ perceptions of safety.

  • Reports of convenience, accessibility and positive experience around testing.

  • Most students would adhere to social behaviour guidelines whether the test result is +ve or –ve.

  • Risk of ‘perceived immunity’ and breaking self-isolation rules but only in a minority.

  • Barriers to testing are primarily emotional factors associated with self-isolation (e.g., guilt about the impact of self-isolation on others, and fear of the mental health impact of self-isolation).

Broader and longer-term impacts of COVID-19
  • This pandemic will have long-term impacts on student experience and satisfaction.

  • Coping with social isolation is harder for students without established social networks.

  • Social contact is intrinsically tied to students’ emotional wellbeing.

  • Some students fear for the future, and many have sustained mental health concerns that will need to be addressed.

Recommendations
  • Practical and emotional impacts of a pandemic are significant and need to be accounted for when assessing student engagement in studies and academic progress.

  • Action plans are needed to ensure equitable mobilisation of basic supplies for students living on and off campus, in the face of another pandemic.

  • Clear statements are required on expectations of student behaviour.

  • Guidance on pandemic-related social behaviour and testing needs to be regular, rapid and inclusive—‘one size does not fit all’ for messaging.

  • Providers should consider incentives for compliance, and disincentives for non-compliance such as the use of disciplinary measures in serious cases.

  • Implementation of mass testing programmes requires significant support in place for students who might be required to self-isolate to minimise the risk of virus transmission.

  • Practical, social and emotional support needs of self-isolating students should therefore be identified and should take into account the needs of marginalised groups.

  • Supportive services should seek to enhance social connectedness, inclusion and positive mental wellbeing.

  • Universities need to prepare for the longer-term impact of pandemic-related mental ill-health on support and welfare services.