Understanding recovery of people recovering from COVID-19 receiving treatment from primary care allied health professionals: a mixed-methods study.

Amber Ronteltap, Cindy Veenhof, Anne I Slotegraaf, Marissa H G Gerards, Arie C Verburg, Marian A E de van der Schueren, Thomas J Hoogeboom, Anja J Th C M de Kruif, Carla S Agasi-Idenburg, Sonja M D van Oers

Journal: Disability and rehabilitation 2024;46(24):5798-5807

PMID: 38318773

Abstract

PURPOSE

To quantitatively assess changes in recovery of people recovering from COVID-19 treated by a primary care allied health professional, and to qualitatively describe how they dealt with persistent complaints.

MATERIALS AND METHODS

This mixed-methods study is part of a Dutch prospective cohort study, from which thirty participants were selected through purposive sampling. Quantitative data on recovery were collected at start of treatment and 6 months. Additionally, by use of semi-structured interviews participants were asked on how persistent complaints influenced their lives, and how they experienced received primary care allied health treatment.

RESULTS

Despite reported improvements, most participants still experienced limitations at 6 months. Hospital participants reported a higher severity of complaints, but home participants reported more diverse complaints and a longer recovery. Most participants were satisfied with the primary care allied healthcare. Tender loving care and a listening ear, learning to manage limits, and support and acceptance of building up in small steps were perceived as contributing most to participants' recovery.

CONCLUSION

Although improvements were reported on almost all outcomes, most participants suffered from persistent complaints. Despite these persistent complaints, many participants reported being better able to cope with persistent complaints because they had decreased substantially in their intensity.

TRIAL REGISTRATION

Clinicaltrials.gov registry (NCT04735744).

Address: Division of Human Nutrition and Health, Wageningen University and Research, Wageningen, the Netherlands.; Department of Nutrition, Dietetics and Lifestyle, HAN University of Applied Sciences, Nijmegen, the Netherlands.; Research Group Innovation of Movement Care, University of Applied Sciences Utrecht, Utrecht, the Netherlands.; Research Group Innovation of Movement Care, University of Applied Sciences Utrecht, Utrecht, the Netherlands.; Department of Rehabilitation, Physical Therapy Science and Sport, Brain Center, University Medical Center Utrecht, Utrecht University, the Netherlands.; Department of Epidemiology, Care and Public Health Institute (CAPHRI), Faculty of Health, Medicine and Life sciences, Maastricht University, Maastricht, the Netherlands.; Department of Physiotherapy, Maastricht university medical centre, Maastricht, the Netherlands.; IQ Healthcare, Radboud University Medical Center, Nijmegen, the Netherlands.; Division of Human Nutrition and Health, Wageningen University and Research, Wageningen, the Netherlands.; Department of Nutrition, Dietetics and Lifestyle, HAN University of Applied Sciences, Nijmegen, the Netherlands.
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