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. 2021 May 13:9:628333.
doi: 10.3389/fpubh.2021.628333. eCollection 2021.

Scalable modEls of Community rehAbilitation for Individuals Recovering From COVID:19 reLated illnEss: A Longitudinal Service Evaluation Protocol-"SeaCole Cohort Evaluation"

Benjamin Kelly  1   2 , Aidan Innes  1   2 , Marc Holl  1 , Laura Mould  1   3 , Susan Powell  1   2 , Danielle Burns  2 , Patrick Doherty  4 , Greg Whyte  5 , James King  6 , Davina Deniszczyc  1
Affiliations

Scalable modEls of Community rehAbilitation for Individuals Recovering From COVID:19 reLated illnEss: A Longitudinal Service Evaluation Protocol-"SeaCole Cohort Evaluation"

Benjamin Kelly et al. Front Public Health. .

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.

Keywords: COVID-19; NHS; digital health; emotional well-being; exercise; independent sector; rehabilitation.

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Conflict of interest statement

JK reports no conflict of interest however is a voluntary member of Nuffield Health's External Research Advisory Board. BK, AI, MH, LM, and DD report personal fees from Nuffield Health outside of the submitted work. SP was a member of Nuffield Health's External Research Advisory Board and holds a Chair of Public Health position within Manchester Metropolitan University, funded by Nuffield Health. The development of this pathway has been funded by Nuffield Health (Registered Charity Numbers: 205533 in England and Wales and SC041793 in Scotland). The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Pathway illustration of the 12-week community rehabilitation programme.
See this image and copyright information in PMC

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