Tools
Tools
Kelly, B, Innes, A, Holl, M, Mould, L, Powell, S, Burns, D, Doherty, P, Whyte, G, King, J and Deniszczyc, D (2021) Scalable modEls of Community rehAbilitation for Individuals Recovering From COVID:19 reLated illnEss: A Longitudinal Service Evaluation Protocol-"SeaCole Cohort Evaluation". Frontiers in Public Health, 9.
|
Text
Scalable modEls of Community rehAbilitation for Individuals Recovering From COVID19 reLated illnEss A Longitudinal Service E.pdf - Published Version Available under License Creative Commons Attribution. Download (491kB) | Preview |
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
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Science & Technology; Life Sciences & Biomedicine; Public, Environmental & Occupational Health; COVID-19; rehabilitation; exercise; emotional well-being; digital health; NHS; independent sector; QUESTIONNAIRE; DISORDERS; OUTCOMES; ANXIETY; CARE; Humans; Quality of Life; England; Wales; COVID-19; SARS-CoV-2; COVID-19; NHS; digital health; emotional well-being; exercise; independent sector; rehabilitation; COVID-19; England; Humans; Quality of Life; SARS-CoV-2; Wales; 4203 Health Services and Systems; 42 Health Sciences; Clinical Research; Comparative Effectiveness Research; Clinical Trials and Supportive Activities; Rehabilitation; Behavioral and Social Science; Cost Effectiveness Research; Infectious Diseases; Emerging Infectious Diseases; Coronaviruses; Health Services; 7.1 Individual care needs; 6.7 Physical; Mental health; 3 Good Health and Well Being; COVID-19; England; Humans; Quality of Life; SARS-CoV-2; Wales; 1117 Public Health and Health Services; 4203 Health services and systems; 4206 Public health |
| Subjects: | R Medicine > RC Internal medicine > RC1200 Sports Medicine |
| Divisions: | Sport and Exercise Sciences |
| Publisher: | Frontiers Media |
| SWORD Depositor: | A Symplectic |
| Date Deposited: | 12 Mar 2025 10:12 |
| Last Modified: | 12 Mar 2025 10:15 |
| DOI or ID number: | 10.3389/fpubh.2021.628333 |
| URI: | https://researchonline.ljmu.ac.uk/id/eprint/25853 |
 |
View Item |