In Reply In our article published in May 2020, we highlighted the need for innovative ways of delivering education, health, and social services owing to the disruptions caused by the coronavirus disease 2019 COVID-19 pandemic.1 As the the pandemic progresses, many school districts have implemented virtual learning during the fall semester.2 We appreciate Wong’s identification of a novel way to deliver preschool and early intervention services to children and directly engage parents through employment. Training parents to deliver services could help overcome the challenges that young children face with the virtual learning environment, including attention span, curricular content, and the need for parent supervision even if content is available online. One factor to consider with respect to this approach would be that students would miss the in-person interaction and socialization with their peers that occurs in a classroom setting that can also be beneficial for development.3
Corresponding Author: Danielle G. Dooley, MD, MPhil, Child Health Advocacy Institute, Children’s National Hospital, 111 Michigan Ave NW, Washington, DC 20010 (dgdooley@childrensnational.org).
Published Online: January 4, 2021. doi:10.1001/jamapediatrics.2020.5287
Conflict of Interest Disclosures: None reported.