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Scalable modEls of Community rehAbilitation for Individuals Recovering From COVID:19 reLated illnEss: A Longitudinal Service Evaluation Protocol-"SeaCole Cohort Evaluation".
Kelly, Benjamin; Innes, Aidan; Holl, Marc; Mould, Laura; Powell, Susan; Burns, Danielle; Doherty, Patrick; Whyte, Greg; King, James; Deniszczyc, Davina.
  • Kelly B; Quality and Assurance Directorate, Nuffield Health, Epsom, United Kingdom.
  • Innes A; Department for Health, Psychology & Community, Manchester Metropolitan University, Manchester, United Kingdom.
  • Holl M; Quality and Assurance Directorate, Nuffield Health, Epsom, United Kingdom.
  • Mould L; Department for Health, Psychology & Community, Manchester Metropolitan University, Manchester, United Kingdom.
  • Powell S; Quality and Assurance Directorate, Nuffield Health, Epsom, United Kingdom.
  • Burns D; Quality and Assurance Directorate, Nuffield Health, Epsom, United Kingdom.
  • Doherty P; School of Clinical & Applied Sciences, Leeds Beckett University, Leeds, United Kingdom.
  • Whyte G; Quality and Assurance Directorate, Nuffield Health, Epsom, United Kingdom.
  • King J; Department for Health, Psychology & Community, Manchester Metropolitan University, Manchester, United Kingdom.
  • Deniszczyc D; Department for Health, Psychology & Community, Manchester Metropolitan University, Manchester, United Kingdom.
Front Public Health ; 9: 628333, 2021.
Article in English | MEDLINE | ID: covidwho-1247940
Semantic information from SemMedBD (by NLM)
1. COVID-19 PROCESS_OF Community
Subject
COVID-19
Predicate
PROCESS_OF
Object
Community
2. Rehabilitation therapy TREATS COVID-19
Subject
Rehabilitation therapy
Predicate
TREATS
Object
COVID-19
3. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
4. Rehabilitation therapy TREATS Patients
Subject
Rehabilitation therapy
Predicate
TREATS
Object
Patients
5. COVID-19 PROCESS_OF Survivors
Subject
COVID-19
Predicate
PROCESS_OF
Object
Survivors
6. Rehabilitation therapy TREATS Survivors
Subject
Rehabilitation therapy
Predicate
TREATS
Object
Survivors
7. COVID-19 PROCESS_OF Community
Subject
COVID-19
Predicate
PROCESS_OF
Object
Community
8. Rehabilitation therapy TREATS COVID-19
Subject
Rehabilitation therapy
Predicate
TREATS
Object
COVID-19
9. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
10. Rehabilitation therapy TREATS Patients
Subject
Rehabilitation therapy
Predicate
TREATS
Object
Patients
11. COVID-19 PROCESS_OF Survivors
Subject
COVID-19
Predicate
PROCESS_OF
Object
Survivors
12. Rehabilitation therapy TREATS Survivors
Subject
Rehabilitation therapy
Predicate
TREATS
Object
Survivors
ABSTRACT

Introduction:

High levels of physical, cognitive, and psychosocial impairments are anticipated for those recovering from the COVID-19. In the UK, ~50% of survivors will require additional rehabilitation. Despite this, there is currently no evidence-based guideline available in England and Wales that addresses the identification, timing and nature of effective interventions to manage the morbidity associated following COVID-19. It is now timely to accelerate the development and evaluation of a rehabilitation service to support patients and healthcare services. Nuffield Health have responded by configuring a scalable rehabilitation pathway addressing the immediate requirements for those recovering from COVID-19 in the community. Methods and

Analysis:

This long-term evaluation will examine the effectiveness of a 12-week community rehabilitation programme for COVID-19 patients who have been discharged following in-patient treatment. Consisting of two distinct 6-week phases; Phase 1 is an entirely remote service, delivered via digital applications. Phase 2 sees the same patients transition into a gym-based setting for supervised group-based rehabilitation. Trained rehabilitation specialists will coach patients across areas such as goal setting, exercise prescription, symptom management and emotional well-being. Outcomes will be collected at 0, 6, and 12 weeks and at 6- and 12-months. Primary outcome measures will assess changes in health-related quality of life (HR-QOL) and COVID-19 symptoms using EuroQol Five Dimension Five Level Version (EQ-5D-5L) and Dyspnea-12, respectively. Secondary outcome measures of the Duke Activity Status Questionnaire (DASI), 30 s sit to stand test, General Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), Patient Experience Questionnaire (PEQ) and Quality Adjusted Life Years (QALY) will allow for the evaluation of outcomes, mediators and moderators of outcome, and cost-effectiveness of treatment.

Discussion:

This evaluation will investigate the immediate and long-term impact, as well as the cost effectiveness of a blended rehabilitation programme for COVID-19 survivors. This evaluation will provide a founding contribution to the literature, evaluating one of the first programmes of this type in the UK. The evaluation has international relevance, with the potential to show how a new model of service provision can support health services in the wake of COVID-19. Trial Registration Current Trials ISRCTN ISRCTN14707226 Web http//www.isrctn.com/ISRCTN14707226.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Quality of Life / COVID-19 Type of study: Evaluation study / Clinical Practice Guide / Observational study / Randomized controlled trials / Risk factors Topics: Long Covid Limits: Humans Country/Region as subject: Europa Language: English Journal: Front Public Health Year: 2021 Document Type: Article Affiliation country: Fpubh.2021.628333

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Quality of Life / COVID-19 Type of study: Evaluation study / Clinical Practice Guide / Observational study / Randomized controlled trials / Risk factors Topics: Long Covid Limits: Humans Country/Region as subject: Europa Language: English Journal: Front Public Health Year: 2021 Document Type: Article Affiliation country: Fpubh.2021.628333