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Tele-rehabilitation for patients who have been hospitalised with Covid-19: a mixed-methods feasibility trial protocol

Hyde, Lucy; Simpson, Andrew J; Nettleton, Marion; Shepherdson, Joanne; Killingback, Clare; Marshall, Phil; Crooks, Michael G.; Green, Angela


Lucy Hyde

Marion Nettleton

Joanne Shepherdson

Angela Green


Background: Tele-rehabilitation has been proposed as a post-hospitalisation rehabilitation pathway for Covid-19 survivors, however patients’ willingness and ability to engage with this online intervention remains unknown. Objectives: The aim of this study is to determine the feasibility of tele-rehabilitation in this population, specifically with regards to recruitment, intervention acceptability and adherence, data quality and primary outcome measure selection. Methods: A protocol for a single centre, fast-track (wait-list), randomised mixed-methods, feasibility trial of tele-rehabilitation for patients that have been hospitalised with Covid-19 is presented. The tele-rehabilitation programme is based on pulmonary rehabilitation principles and will encompass an initial assessment followed by twice-weekly exercise classes and education sessions for 6 weeks. Six educational sessions on the topics of rehabilitation from Covid-19; coping with breathlessness; exercise; nutrition; return to work; and fatigue management will be delivered by a multi-disciplinary team of healthcare professionals. A series of feasibility, clinical and safety outcomes will be quantitively described and patient experiences and opinions explored using thematic analysis of semi-structured interviews. Discussion: We anticipate that results from the study will inform a multi-centre randomised controlled trial for post-Covid-19 tele-rehabilitation and the results from the qualitative analysis may provide guidance to improve participant experience.


Hyde, L., Simpson, A. J., Nettleton, M., Shepherdson, J., Killingback, C., Marshall, P., …Green, A. (2022). Tele-rehabilitation for patients who have been hospitalised with Covid-19: a mixed-methods feasibility trial protocol. Physical Therapy Reviews,

Journal Article Type Article
Acceptance Date Jan 9, 2022
Online Publication Date Mar 28, 2022
Publication Date 2022
Deposit Date Mar 29, 2022
Publicly Available Date Mar 29, 2023
Journal Physical Therapy Reviews
Print ISSN 1083-3196
Electronic ISSN 1743-288X
Publisher Taylor and Francis
Peer Reviewed Peer Reviewed
Keywords Covid-19; Tele-rehabilitation; Pulmonary rehabilitation; Long-Covid; Post-Covid-19 syndrome
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