Post COVID
Conditions
Interventions
Group 1: 1. General practice teams (VERAH and GP:s) participate in an online basic training Long-/ Post-COVID and in an online training for the implementation of the study.
2. use of the PostCovidCar
Sponsors
Universitätsklinikum Heidelberg
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: - Study physician(s) and study VERAH(s) designated to conduct the study in the primary care physician's office. o Age of majority o Family practice with participation in the family doctor-centered care in Baden-Württemberg with employment of a VERAH o Participation in the specified modules of the online basic training on Long-COVID. For GPs currently participation in at least modules 1 - 3 with knowledge test and participation in module 4 ("remedies", "respiratory muscle training" - self-report) of the basic training Long-/ Post-COVID Registration Online Course - Long-Covid Netzwerk Rhein-Neckar (longcovidnetz.de) is strongly recommended. mandatory for participation in the study is proof of at least one passed knowledge test. For VERAH currently participation in at least module 1 with knowledge test of the basic training Long- / Post-COVID Registration Online Course - Long-Covid Network Rhine-Neckar (longcovidnetz.de) mandatory. o Participation in an online training on the study including the use of PostCovidCare (single appointment with 3 UE à 45min) (VERAH and ARZT/ÄRZTIN). o Written consent to participate in the study. o EDP requirements and willingness to use the "CareCockpit" software by MFA/VERAH available o EDP requirements and readiness for the use of the "CareCockpit" software by the DOCTOR during the consultation are fulfilled. o The inclusion criteria are checked by the Department of General Medicine and Health Services Research. - Patients o Capacity to give consent given o Age = 18 years o Diagnosis U09.9! set o Indication of disorders/symptoms classified elsewhere that led to the diagnosis of post-COVID syndrome and are relevant to treatment (at least 1 disorder/symptom in ICD-10 must be indicated). o positive SARS-CoV-2-PCR detection at least 4 weeks ago or o as of 01.06.2022 positive antigen rapid test from official test center (= with certificate according to § 6 paragraph 1 Coronavirus Test Ordinance (for example at the testing center, pharmacy, general practitioner's office)) o Patient suitability PC or mobile device with internet access Willingness to use a browser-based symptom diary o Written consent after medical consultation
Exclusion criteria
Exclusion criteria: - General practitioners o Practice location outside of Baden-Württemberg o No willingness to integrate the browser-based symptom diary - Patients o sole proof of COVID-19 disease by positive nucleocapsid antibodies
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main target criteria of the pilot study are the survey of - Usability (usability) quantitatively by means of System Usability Scale (SUS); User Experience Questionnaire (UEQ) - Implementation quantitatively by means of questionnaires oriented to the RE-AIM-Framework - Supplementary collection of qualitative data on usability and implementation by means of accompanying semi-structured interviews (oriented on the RE-AIM framework) - potential effectiveness on o from patients' perspective perceived satisfaction with GP medical care by means of PACIC-S5 questionnaire o from primary data: Type and number of diagnostic and therapeutic interventions performed. | — |
Secondary
| Measure | Time frame |
|---|---|
| potential effectiveness on o perceived quality of life from the PAT perspective * Quality of life by means of SF12 (survey time T0, T1). * active patient participation using PAM-13 questionnaire (survey time point T0, T1). PROMIS "physical functioning" and "participation in social roles and activities" (survey time point T0, T1). Roles and Activities" (survey time point T0, T1). o From primary data Duration of Intake, Assessment, and Monitoring and Their frequencies * Incapacity to work o Reported adverse events. Adverse events are all complaints that occur in a study participant during the study, which are study participant during the study, which affect his/her health and which are and which are considered to be related to the study participation is being considered. From primary data, collection of supplemental data to describe cohort - Most important permanent diagnoses before COVID-19 - BMI - Gender - Smoking status - COVID-19 vaccinations administered - Course of acute COVID disease - Result (score) of standardized examinations on GP level: Klok scale; GAD 7; PHQ-D, FSS, screening for post-exertional malaise (PEM), MoCA, 1-minute-sit-to-stand, active standing test, Canadian criteria - Difficulties in social situation (family, friends) / - socio-medical (rehabilitation, authorities, offices, health insurance) / - at work (none, mild, moderate, severe) | — |
Countries
Germany
Contacts
Public ContactSandra Stengel
Universitätsklinikum Heidelberg, Abteilung Allgemeinmedizin und Versorgungsforschung
Outcome results
None listed