Kelly 2021 log covid protocol.pdf (480.42 kB)

Scalable models of community rehabilitation for individuals recovering from COVID-19 related illness: a longitudinal service evaluation protocol – "Seacole cohort evaluation"

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journal contribution
posted on 13.05.2021, 14:44 by Ben Kelly, Aiden Innes, Marc Holl, Laura Mound, Susan Powell, Danielle Burns, Patrick Doherty, Greg Whyte, James KingJames King, Davina Deniszczyc
Introduction: High levels of physical, cognitive, and psychosocial impairments are anticipated for those recovering from the COVID-19. In the UK, approximately 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 wellbeing. Outcomes will be collected at 0, 6 and 12 weeks and at 6- and 12-months. Primary outcome measures will assess changes in quality of life 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 second 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.

Funding

The programme was funded through a grant from the Manchester Metropolitan University Partnership Board.

History

School

  • Sport, Exercise and Health Sciences

Published in

Frontiers in Public Health

Volume

9

Publisher

Frontiers Media

Version

VoR (Version of Record)

Rights holder

© The Authors

Publisher statement

This is an Open Access Article. It is published by Frontiers Media under the Creative Commons Attribution 4.0 International Licence (CC BY 4.0). Full details of this licence are available at: https://creativecommons.org/licenses/by/4.0/

Acceptance date

09/04/2021

Publication date

2021-05-13

Copyright date

2021

ISSN

2296-2565

eISSN

2296-2565

Language

en

Depositor

Dr James King. Deposit date: 13 May 2021

Article number

628333