Evaluation of Allied Healthcare in Patients Recovering from Covid-19: Study Protocol and Baseline Data of s National Prospective Cohort Study

Authors

  • Rob A. de Bie CAPHRI School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht
  • Arie C. Verburg Radboud Institute for Health Sciences, IQ Healthcare, Radboud University Medical Center, Nijmegen
  • Carla Agasi-Idenburg Research Group Innovation of Movement Care, University of Applied Sciences Utrecht, Utrecht
  • Edith H.C. Cup Donders Institute for Brain, Cognition and Behaviour, Department of Rehabilitation, Radboud University Medical Center, Nijmegen
  • Carolien Dekker CAPHRI School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht
  • Johanna M van Dongen Department of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences Research Institute
  • Edwin Geleijn Department of Rehabilitation Medicine, Amsterdam Movement Sciences Research Institute, Amsterdam University Medical Center, Vrije Universiteit Amsterdam, Amsterdam
  • Marissa H.G. Gerards CAPHRI School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht; Department of Physical Therapy, Maastricht University Medical Center, Maastricht
  • Maud Graff Radboud Institute for Health Sciences, IQ Healthcare, Radboud University Medical Center, Nijmegen; Donders Institute for Brain, Cognition and Behaviour, Department of Rehabilitation, Radboud University Medical Center, Nijmegen
  • Ron van Heerde Radboud Institute for Health Sciences, IQ Healthcare, Radboud University Medical Center, Nijmegen
  • Hanneke Kalf Donders Institute for Brain, Cognition and Behaviour, Department of Rehabilitation, Radboud University Medical Center, Nijmegen
  • Marly Kammerer Donders Institute for Brain, Cognition and Behaviour, Department of Rehabilitation, Radboud University Medical Center, Nijmegen
  • Renée A. Kool The Lung Foundation Netherlands, Amersfoort
  • Anja de Kruif Department of Nutrition, Dietetics and Lifestyle, School of Allied Health, HAN University of Applied, Sciences, Nijmegen
  • Hinke M. Kruizenga Department of Nutrition & Dietetics, Amsterdam UMC, and Faculty of Sports and Nutrition, Amsterdam University of Applied Sciences, Amsterdam
  • Marike van der Leeden Department of Rehabilitation Medicine, Amsterdam Movement Sciences research institute, Amsterdam University Medical Center, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands
  • Ton A.F. Lenssen Department of Physical Therapy, Maastricht University Medical Center, Maastricht, the Netherlands
  • Willemijn M. Meijer Netherlands Institute for Health Services Research, Nivel, Utrecht, the Netherlands
  • Raymond Ostelo Department of Epidemiology Mobility Care, University of Applied Epidemiology and Data Science, Amsterdam UMC, Location VUmc, Amsterdam
  • Amber Ronteltap Research group Innovation of Movement Care, University of Applied Sciences Utrecht, Utrecht, the Netherlands
  • Marike van der Schaaf Department of Rehabilitation Medicine, Amsterdam Movement Sciences research institute, Amsterdam University Medical Center, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands
  • Sonja van Oers Department of Nutrition, Dietetics and Lifestyle, School of Allied Health, HAN University of Applied, Sciences, Nijmegen, the Netherlands
  • Marian A.E. de van der Schueren Division of Human Nutrition and Health, Division of Human Nutrition and Health, Wageningen University & Research, Wageningen, the Netherlands
  • Anne I. Slotegraaf Division of Human Nutrition and Health, Division of Human Nutrition and Health, Wageningen University & Research, Wageningen, the Netherlands
  • Cindy Veenhof Department of Rehabilitation, Physical Therapy Science and Sport, Brain Center, University Medical Center Utrecht, Utrecht University, the Netherlands
  • Thomas J. Hoogeboom Radboud Institute for Health Sciences, IQ healthcare, Radboud university medical center, Nijmegen, the Netherlands
  • Philip van der Wees Radboud Institute for Health Sciences, IQ healthcare, Radboud university medical center, Nijmegen, the Netherlands

DOI:

https://doi.org/10.2340/jrm.v54.2506

Keywords:

COVID-19, Allied healthcare, Rehabilitation, Primary Care

Abstract

Objective: To report the study protocol and baseline characteristics of a prospective cohort study to evaluate longitudinal recovery trajectories of patients recovering from COVID-19 who have visited a primary care allied health professional.
Design: Report of the protocol and baseline characteristics for a prospective cohort study with a mixed-methods approach.
Patients: Patients recovering from COVID-19 treated by primary care dietitians, exercise therapists, occupational therapists, physical therapists and/or speech and language therapists in the Netherlands.
Methods: The prospective study will measure primary outcome domains: participation, health-related quality of life, fatigue, physical functioning, and costs, at baseline, 3, 6, 9 and 12 months. Interviews, on the patients’ experiences with allied healthcare, will be held with a subsample of patients and allied health professionals.
Results: The cohort comprises 1,451 patients (57% female, mean age 49 (standard deviation 13) years). Preliminary results for the study cohort show that 974 (67%) of the participants reported mild/moderate severity symptoms during the infection period and patients reported severe restrictions in activities of daily living compared with previous research in other patient populations. Both quantitative and qualitative, will provide insight into the recovery of patients who are treated by allied health professionals.
Conclusion: In conclusion, this will be the first comprehensive study to longitudinally evaluate the recovery trajectories and related costs of patients recovering from COVID-19 who are treated by allied health professionals in the Netherlands. This study will provide evidence for the optimal strategy to treat patients recovering from COVID-19 infection, including which patients benefit, and to what extent, from treatment, and which factors might impact their recovery course over time. The preliminary results of this study demonstrated the severity of restrictions and complaints at the start of therapy are substantial.

LAY ABSTRACT
This paper presents the protocol for a prospective study of patients recovering from COVID-19 who are treated by allied health professionals in Dutch primary care. In the forthcoming study, a total of 1,451 patients will be asked to complete questionnaires regarding their social participation in daily life, health-related quality of life, fatigue, physical functioning, and healthcare and societal costs at baseline, 3, 6, 9 (costs only) and 12 months. Furthermore, the allied health professionals will answer questions at the start and end of treatments. This report presents baseline characteristics for the study cohort. Initial findings indicate that patients in the current cohort report severe restrictions in activities of daily living compared with previous studies of other patient populations. This report also describes the protocol of the prospective study, which aims to longitudinally evaluate the recovery trajectories and related costs of patients recovering from COVID-19.

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Published

2022-08-26

How to Cite

de Bie, R. A., Verburg, A. C., Agasi-Idenburg, C., Cup, E. H., Dekker, C., van Dongen, J. M., Geleijn, E., Gerards, M. H., Graff, M., van Heerde, R., Kalf, H., Kammerer, M., Kool, R. A., de Kruif, A., Kruizenga, H. M., van der Leeden, M., Lenssen, T. A. ., Meijer, W. M. ., Ostelo, R., Ronteltap, A., van der Schaaf, M., van Oers, S., de van der Schueren, M. A., Slotegraaf, A. I., Veenhof, C., Hoogeboom, T. J. ., & van der Wees, P. (2022). Evaluation of Allied Healthcare in Patients Recovering from Covid-19: Study Protocol and Baseline Data of s National Prospective Cohort Study. Journal of Rehabilitation Medicine, 54, jrm00309. https://doi.org/10.2340/jrm.v54.2506

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