Patient experiences of the long COVID–Optimal Health Programme: qualitative interview study in community settings

Background Long COVID (LC) symptoms persist 12 weeks or more beyond the acute infection. To date, no standardised diagnostic/treatment pathways exist. However, a holistic approach has been recommended. This study explores participants’ experiences of a Long COVID Optimal Health Programme (LC-OHP); a psychoeducational self-efficacy programme.

Aim To explore perceptions and experiences of people with LC regarding the LC-OHP and identify suggestions to further improve the programme.

Design & setting Qualitative study with patients with LC recruited through community settings.

Method This study is part of a wider randomised controlled trial. Eligible participants were 18 years old and above, who have LC, and attended a minimum of five LC-OHP sessions plus a booster session. We interviewed those randomised to the intervention group. Interviews were conducted by an independent researcher and thematically analysed to identify common, emerging themes. This study received ethical approval from the University and HRA ethics committees.

Results Eleven participants were interviewed, mostly women of White British ethnicity (n=10). Four main themes were identified reflecting programme benefits and suggestions for improvement. The programme demonstrated potential for assisting patients in managing their LC, including physical health and mental wellbeing. Participants found the programme to be flexible and provided suggestions to adapting it for future users.

Conclusion Findings support the acceptability of the LC-OHP to people living with LC. The programme has shown several benefits in supporting physical health and mental wellbeing. Suggestions made to further adapt the programme and improve its delivery will be considered for future trials.