Multidisciplinary Day-hospital Versus Waiting List Management of Post-COVID-19 Persistent Symptoms (ECHAP-COVID)
- Conditions
- Post COVID-19 Condition
- Interventions
- Behavioral: Personalized multidisciplinary day-hospital intervention
- Registration Number
- NCT05532904
- Lead Sponsor
- Assistance Publique - Hôpitaux de Paris
- Brief Summary
After an acute episode of COVID-19, many patients experience persistent or recurrent symptoms with substantial impairment of their quality of life. The most common symptoms are fatigue, dyspnea, cognitive impairment and pain, but symptoms of all types have been reported. The heterogeneity of symptoms and their potential pathophysiology makes individualized and multidisciplinary management essential.
The primary objective of this study is to evaluate the change in quality of life at 6 months in patients with persistent symptoms after an acute episode of COVID-19 after 6 weeks of personalized multidisciplinary outpatient management versus usual care.
- Detailed Description
After an acute episode of COVID-19, many patients experience persistent or recurrent symptoms with substantial impairment of their quality of life. The most common symptoms are fatigue, dyspnea, cognitive impairment, and pain, but symptoms of all types have been reported. The heterogeneity of symptoms and their potential pathophysiology makes individualized and multidisciplinary management essential.
The primary objective is to evaluate the change in quality of life at 6 months in patients with persistent symptoms after an acute episode of COVID-19 after 6 weeks of personalized multidisciplinary outpatient management versus usual care. The secondary objectives are to evaluate the evolution of the quality of life at 3 months, the evolution of the main persistent symptoms (fatigue, dyspnea, cognitive complaints, pain), the patients' satisfaction, the predictive and explanatory factors of the evolution.
This is a prospective randomized open-label study in two parallel arms: personalized multidisciplinary outpatient intervention versus usual care (waiting list). This 6-week program of care will include:
* group education sessions including a psycho-education component (1 session / week)
* a personalized exercise training protocol (from 1 session of supervision to 3 sessions of guided exercise per week) adapted to the results of the VO2max exercise test
* if dysfunctional health beliefs are identified (SSD-12 score ≥ 26): group cognitive and behavior therapy (2 sessions per week, including at least 1 in person).
* if cognitive complaints and/or neuropsychological impairment: a cognitive remediation protocol (1 group session plus 2 home sessions per week)
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 80
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Having had an initial episode of symptomatic COVID-19 according to one of the following criteria:
- SARS-Cov-2 PCR +
- SARS-Cov-2 + antigenic test
- SARS-Cov-2 + serology
- Prolonged anosmia/ageusia of sudden onset
- Typical chest CT scan
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Still having at least one of the initial symptoms and possibly new symptoms including fatigue, dyspnea, cognitive impairment or pain beyond 4 weeks after the onset of the acute phase of the disease.
-
These initial and persistent symptoms are not better explained by another diagnosis not known to be related to Covid-19.
-
These symptoms are the cause of an alteration in quality of life and global functioning deemed significant by the patient.
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Having an indication to either supervised exercise and / or cognitive behavior therapy and / or cognitive remediation Exclusion Criteria
-
Medical emergency requiring management not compatible with research
-
Neuropsychiatric disorder likely to alter cognitive functions, prior to the Covid-19 episode
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Medical contraindication to exercise training such as pericarditis or progressive myocarditis
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Patient under state medical assistance
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Patient who does not speak French
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Pregnancy in progress
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Intervention Personalized multidisciplinary day-hospital intervention This 6-week program of care will include: * group education sessions including a psycho-education component (1 session / week) * a personalized exercise training protocol (from 1 session of supervision to 3 sessions of guided exercise per week) adapted to the results of the VO2max exercise test. * if dysfunctional health beliefs are identified (SSD-12 score ≥ 26): a group protocol of cognitive and behavior therapy (2 sessions per week, including at least 1 in person). * if cognitive complaints and/or neuropsychological impairment: a cognitive remediation protocol (1 group session plus 2 home sessions per week)
- Primary Outcome Measures
Name Time Method Quality of life at 6 Months SF-12 global score - 12-item Short Form Survey (SF-12) is a general health questionnaire. Two summary scores are reported from the SF-12 - a mental component score (MCS-12) and a physical component score (PCS-12)
- Secondary Outcome Measures
Name Time Method Quality of life at 3 Months SF-12 global score - 12-item Short Form Survey (SF-12) is a general health questionnaireTwo summary scores are reported from the SF-12 - a mental component score (MCS-12) and a physical component score (PCS-12)
Dyspnea at 3 months, 6 months Borg scale (0 min-10 max)
Pain at 3 months, 6 months Numerical rating scale - from 0 (no pain) to 10 (the maximum imaginable pain)
Patient's satisfaction at 3 months, 6 months Ad hoc questionnaire
Fatigue at 3 months, 6 months Pichot's scale global score - may vary between 0 and 32. A score above 22 reveals excessive fatigue
Cognitive complaint at 3 months, 6 months Mac Nair \& Kahn (1983) cognitive difficulties questionnaire, French GRECO consensus version
Post-effort heart rate at inclusion, 3 months, 6 months Difference between estimated and measured heart rate (HR) at the end of the walking test
BMI at inclusion, 3 months, 6 months BMI
Nutritional risk at inclusion, 3 months, 6 months Nutritional risk index
Health beliefs associated with persistent symptoms at inclusion, 3 months, 6 months SSD-12 global score- may vary between 0 and 48 points - Each of the three psychological sub-criteria of DSM-5 somatic symptom disorder (cognitive, affective, behavioral) is measured by four items with all item scores ranging between 0 and 4 (0 = never, 1 = rarely, 2 = sometimes, 3 = often, 4 = very often) Ratings are summed up to make a simple sum score
Physical fitness at inclusion, 3 months, 6 months Global physical activity questionnaire (GPAQ) score
Weight loss at inclusion, 3 months, 6 months % weight loss
Blood albumin at inclusion, 3 months, 6 months Blood albumin
Trial Locations
- Locations (1)
Hôtel Dieu Hospital
🇫🇷Paris, France