Personalised Health Behaviour Support Programme in Adults With Post‐COVID Syndrome: A Randomised, Controlled Pilot Feasibility Trial

Armstrong, Matthew; Owen, Rebecca; Van Niekerk, Kristen Shirley; Saynor, Zoe L

Abstract

Background: We investigated whether a novel 8‐week personalised health behaviour support programme, focusing on the stability of symptoms and strategies to improve activities of daily living, was feasible and acceptable in adults with post‐COVID syndrome. Methods: In this randomised, controlled, pilot feasibility trial, 32 adults with post‐COVID syndrome (continued symptoms for ≥ 12 weeks) were randomised 1:1 to receive personalised health behaviour support (self‐reported physical activity and symptom diaries, plus seven one‐to‐one remotely delivered personalised self‐management support sessions), once weekly for 8‐weeks, or usual care (referral to online ‘your COVID‐19 recovery’ programme). The primary outcome was the feasibility of recruiting and randomising adults with post‐COVID syndrome. The secondary outcomes were to assess the acceptability and safety of the intervention and various outcome measures. Results: Of the 48 adults who expressed interest in the study, 32 (67%) were eligible and completed the baseline assessment. All 32 adults were willing to be randomised to either the personalised health behaviour support programme (n = 17) or usual care (n = 15) and 27 (age: 45 ± 12 years) adults completed follow‐up at 9 weeks. The intervention was deemed feasible, with high adherence (92% and 94% completion rates for the physical activity and symptom diaries, respectively) and excellent acceptability rates (94% ‘liked the intervention a lot’). The intervention was deemed safe, with no symptom exacerbations reported. Conclusion: An 8‐week personalised health behaviour support programme was feasible for adults with post‐COVID syndrome, with good adherence and acceptability rates. Early pilot data from this small sample also suggests meaningful improvements in physical activity, fatigue and respiratory symptoms. Patient or Public Contribution: People living with post‐COVID syndrome were involved from the outset with the study design, review of study documentation and interpretation of the data following completion. Furthermore, several participants have supported the local dissemination of findings following the completion of the study.

Citation

Armstrong, M., Owen, R., Van Niekerk, K. S., & Saynor, Z. L. (2024). Personalised Health Behaviour Support Programme in Adults With Post‐COVID Syndrome: A Randomised, Controlled Pilot Feasibility Trial. Health Expectations, 27(5), Article e70079. https://doi.org/10.1111/hex.70079

• Journal Article Type: Article
• Acceptance Date: Oct 12, 2024
• Online Publication Date: Oct 27, 2024
• Publication Date: Oct 1, 2024
• Deposit Date: Oct 28, 2024
• Publicly Available Date: Oct 29, 2024
• Journal: Health Expectations
• Print ISSN: 1369-6513
• Electronic ISSN: 1369-7625
• Publisher: Wiley Open Access
• Peer Reviewed: Peer Reviewed
• Volume: 27
• Issue: 5
• Article Number: e70079
• DOI: https://doi.org/10.1111/hex.70079
• Keywords: post‐COVID syndrome, behaviour change, physical activity, supported self‐management
• Public URL: https://durham-repository.worktribe.com/output/2989936