Virtual Physical Rehabilitation for Patients Living with Long COVID
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- COVID-19
- Sponsor
- McGill University Health Centre/Research Institute of the McGill University Health Centre
- Enrollment
- 132
- Locations
- 2
- Primary Endpoint
- Change in the basic mobility domain of the Activity Measure for Post-Acute Care (AM-PAC)
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The purpose of this study is to investigate whether a timely, virtual home-based physical rehabilitation program for patients living with long COVID can improve functional mobility compared to usual care.
Investigators
Tania Janaudis-Ferreira
Scientist, Translational Research in Respiratory Diseases Program
McGill University Health Centre/Research Institute of the McGill University Health Centre
Eligibility Criteria
Inclusion Criteria
- •(i) adult patients (18+ years old) who have had a confirmed or probable COVID-19 infection and who have self-reported persisting symptoms of either reduced mobility, muscle weakness, dyspnea, or fatigue;
- •(ii) participants must be technologically capable of connecting (either independently or through household members) with an online videoconferencing platform through an e-mail invitation; and
- •(iii) be able to collaborate with the research assistant to complete the virtual assessment sessions or have a family member available to help.
Exclusion Criteria
- •(i) pre-existing or newly identified severe cognitive impairment;
- •(ii) inability to speak or comprehend English or French;
- •(iii) known or self-reported acute and/or uncontrolled cardiac, musculoskeletal, or neurological condition that might render rehabilitation participation unsafe.
Outcomes
Primary Outcomes
Change in the basic mobility domain of the Activity Measure for Post-Acute Care (AM-PAC)
Time Frame: Baseline, Week 8 (up to 1 week), and at 6 months.
The AM-PAC is a validated, self-reported instrument assessing activity limitations based on the International Classification of Functioning, Disability, and Health (ICF). Each item is scored from 1 (unable to perform) to 4 (none or no difficulty) with lower scores indicating lower levels of function.
Secondary Outcomes
- Change in lower-body strength(Baseline, Week 8 (up to 1 week), and at 6 months.)
- Change in anxiety and depression(Baseline, Week 8 (up to 1 week), and at 6 months.)
- Change in health state utilities(Baseline, Week 8 (up to 1 week), and at 6 months.)
- Self-reported health service use(30 days after the 8-week period.)
- Change in cognitive function(Baseline, Week 8 (up to 1 week), and at 6 months.)
- Change in the degree of distress in response to trauma(Baseline, Week 8 (up to 1 week), and at 6 months.)
- Change in fatigue(Baseline, Week 8 (up to 1 week), and at 6 months.)
- Change in health-related quality of life(Baseline, Week 8 (up to 1 week), and at 6 months.)
- Change in functional mobility(Baseline, Week 8 (up to 1 week), and at 6 months.)
- Change in dyspnea(Baseline, Week 8 (up to 1 week), and at 6 months.)