Scalable modEls of Community rehAbilitation for Individuals Recovering From COVID:19 reLated illnEss: A Longitudinal Service Evaluation Protocol—“SeaCole Cohort Evaluation”
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...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2021-05-01
|
| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2021.628333/full |
| _version_ | 1818663464577531904 |
|---|---|
| author | Benjamin Kelly Benjamin Kelly Aidan Innes Aidan Innes Marc Holl Laura Mould Laura Mould Susan Powell Susan Powell Danielle Burns Patrick Doherty Greg Whyte James King Davina Deniszczyc |
| author_facet | Benjamin Kelly Benjamin Kelly Aidan Innes Aidan Innes Marc Holl Laura Mould Laura Mould Susan Powell Susan Powell Danielle Burns Patrick Doherty Greg Whyte James King Davina Deniszczyc |
| author_sort | Benjamin Kelly |
| collection | DOAJ |
| description | 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 ISRCTN14707226Web: http://www.isrctn.com/ISRCTN14707226 |
| first_indexed | 2024-12-17T05:17:16Z |
| format | Article |
| id | doaj.art-81471c67af5643f7bce057492b21d527 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-12-17T05:17:16Z |
| publishDate | 2021-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-81471c67af5643f7bce057492b21d5272022-12-21T22:02:04ZengFrontiers Media S.A.Frontiers in Public Health2296-25652021-05-01910.3389/fpubh.2021.628333628333Scalable modEls of Community rehAbilitation for Individuals Recovering From COVID:19 reLated illnEss: A Longitudinal Service Evaluation Protocol—“SeaCole Cohort Evaluation”Benjamin Kelly0Benjamin Kelly1Aidan Innes2Aidan Innes3Marc Holl4Laura Mould5Laura Mould6Susan Powell7Susan Powell8Danielle Burns9Patrick Doherty10Greg Whyte11James King12Davina Deniszczyc13Quality and Assurance Directorate, Nuffield Health, Epsom, United KingdomDepartment for Health, Psychology & Community, Manchester Metropolitan University, Manchester, United KingdomQuality and Assurance Directorate, Nuffield Health, Epsom, United KingdomDepartment for Health, Psychology & Community, Manchester Metropolitan University, Manchester, United KingdomQuality and Assurance Directorate, Nuffield Health, Epsom, United KingdomQuality and Assurance Directorate, Nuffield Health, Epsom, United KingdomSchool of Clinical & Applied Sciences, Leeds Beckett University, Leeds, United KingdomQuality and Assurance Directorate, Nuffield Health, Epsom, United KingdomDepartment for Health, Psychology & Community, Manchester Metropolitan University, Manchester, United KingdomDepartment for Health, Psychology & Community, Manchester Metropolitan University, Manchester, United KingdomDepartment of Health Sciences, York University, York, United KingdomSchool of Sport & Exercise Sciences, Liverpool John Moores University, Liverpool, United KingdomNational Centre for Sports and Exercise Medicine, Loughborough University, Loughborough, United KingdomQuality and Assurance Directorate, Nuffield Health, Epsom, United KingdomIntroduction: 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 ISRCTN14707226Web: http://www.isrctn.com/ISRCTN14707226https://www.frontiersin.org/articles/10.3389/fpubh.2021.628333/fullCOVID-19rehabilitationexerciseemotional well-beingdigital healthNHS |
| spellingShingle | Benjamin Kelly Benjamin Kelly Aidan Innes Aidan Innes Marc Holl Laura Mould Laura Mould Susan Powell Susan Powell Danielle Burns Patrick Doherty Greg Whyte James King Davina Deniszczyc 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 COVID-19 rehabilitation exercise emotional well-being digital health NHS |
| title | Scalable modEls of Community rehAbilitation for Individuals Recovering From COVID:19 reLated illnEss: A Longitudinal Service Evaluation Protocol—“SeaCole Cohort Evaluation” |
| title_full | Scalable modEls of Community rehAbilitation for Individuals Recovering From COVID:19 reLated illnEss: A Longitudinal Service Evaluation Protocol—“SeaCole Cohort Evaluation” |
| title_fullStr | Scalable modEls of Community rehAbilitation for Individuals Recovering From COVID:19 reLated illnEss: A Longitudinal Service Evaluation Protocol—“SeaCole Cohort Evaluation” |
| title_full_unstemmed | Scalable modEls of Community rehAbilitation for Individuals Recovering From COVID:19 reLated illnEss: A Longitudinal Service Evaluation Protocol—“SeaCole Cohort Evaluation” |
| title_short | Scalable modEls of Community rehAbilitation for Individuals Recovering From COVID:19 reLated illnEss: A Longitudinal Service Evaluation Protocol—“SeaCole Cohort Evaluation” |
| title_sort | scalable models of community rehabilitation for individuals recovering from covid 19 related illness a longitudinal service evaluation protocol seacole cohort evaluation |
| topic | COVID-19 rehabilitation exercise emotional well-being digital health NHS |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2021.628333/full |
| work_keys_str_mv | AT benjaminkelly scalablemodelsofcommunityrehabilitationforindividualsrecoveringfromcovid19relatedillnessalongitudinalserviceevaluationprotocolseacolecohortevaluation AT benjaminkelly scalablemodelsofcommunityrehabilitationforindividualsrecoveringfromcovid19relatedillnessalongitudinalserviceevaluationprotocolseacolecohortevaluation AT aidaninnes scalablemodelsofcommunityrehabilitationforindividualsrecoveringfromcovid19relatedillnessalongitudinalserviceevaluationprotocolseacolecohortevaluation AT aidaninnes scalablemodelsofcommunityrehabilitationforindividualsrecoveringfromcovid19relatedillnessalongitudinalserviceevaluationprotocolseacolecohortevaluation AT marcholl scalablemodelsofcommunityrehabilitationforindividualsrecoveringfromcovid19relatedillnessalongitudinalserviceevaluationprotocolseacolecohortevaluation AT lauramould scalablemodelsofcommunityrehabilitationforindividualsrecoveringfromcovid19relatedillnessalongitudinalserviceevaluationprotocolseacolecohortevaluation AT lauramould scalablemodelsofcommunityrehabilitationforindividualsrecoveringfromcovid19relatedillnessalongitudinalserviceevaluationprotocolseacolecohortevaluation AT susanpowell scalablemodelsofcommunityrehabilitationforindividualsrecoveringfromcovid19relatedillnessalongitudinalserviceevaluationprotocolseacolecohortevaluation AT susanpowell scalablemodelsofcommunityrehabilitationforindividualsrecoveringfromcovid19relatedillnessalongitudinalserviceevaluationprotocolseacolecohortevaluation AT danielleburns scalablemodelsofcommunityrehabilitationforindividualsrecoveringfromcovid19relatedillnessalongitudinalserviceevaluationprotocolseacolecohortevaluation AT patrickdoherty scalablemodelsofcommunityrehabilitationforindividualsrecoveringfromcovid19relatedillnessalongitudinalserviceevaluationprotocolseacolecohortevaluation AT gregwhyte scalablemodelsofcommunityrehabilitationforindividualsrecoveringfromcovid19relatedillnessalongitudinalserviceevaluationprotocolseacolecohortevaluation AT jamesking scalablemodelsofcommunityrehabilitationforindividualsrecoveringfromcovid19relatedillnessalongitudinalserviceevaluationprotocolseacolecohortevaluation AT davinadeniszczyc scalablemodelsofcommunityrehabilitationforindividualsrecoveringfromcovid19relatedillnessalongitudinalserviceevaluationprotocolseacolecohortevaluation |