NCT06822179

Brief Summary

The goal of this clinical trial is to evaluate whether a 12-week tele-rehabilitation programme with monitoring via a mobile app produces medium-term improvements in self-management, fatigue and quality of life in patients affected by persistent COVID. The main questions it aims to answer are:

  • Will a multimodal program (exercise with education) improve the self-management ability of patients with post-exertional malaise?
  • Does fatigue and quality of life will be improved in these patients? Researchers will compare an experimental breath program to a control standard care group to see if multimodal program works to treat post-exertion malaise. Participants will:
  • Follow-up 12 weeks online sessions: 1 weekly synchronous online session + 1 scheduled asynchronous session + educational resources
  • Daily use of the app: daily log, education and questions

Trial Health

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Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
60

participants targeted

Target at P50-P75 for phase_2

Timeline
2mo left

Started Mar 2025

Shorter than P25 for phase_2

Geographic Reach
1 country

1 active site

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress89%
Mar 2025Jul 2026

First Submitted

Initial submission to the registry

February 11, 2025

Completed
1 day until next milestone

First Posted

Study publicly available on registry

February 12, 2025

Completed
17 days until next milestone

Study Start

First participant enrolled

March 1, 2025

Completed
1.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2026

Expected
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2026

Last Updated

February 18, 2025

Status Verified

January 1, 2025

Enrollment Period

1.3 years

First QC Date

February 11, 2025

Last Update Submit

February 14, 2025

Conditions

Keywords

post-acute COVID-19 syndromeself-managementCOVID-19RehabilitationExercise

Outcome Measures

Primary Outcomes (2)

  • Patient activation measure 13

    Individual's knowledge, skills and confidence to managing one's own health. is a non-disease-specific tool and can be used across different patient populations. The PAM-13 consists of 13 items on a 4-point Likert scale (1 = strongly disagree, 2 = disagree, 3 = agree, 4 = strongly agree). Item scores are summed up to a raw sum score resulting in theoretical values between 13 and 52, which are then transformed to a standardized metric ranging from 0 to 100. Higher scores indicate a greater patient activation. PAM-13 scores can then be categorized into four stages of activation, corresponding to the difficulty of the PAM-13 items: level 1 (patients believe active role is important; items 1-2), level 2 (patients have confidence and knowledge to take action; items 3-8), level 3 (taking action; items 9-11) and level 4 (staying on course under stress; items 12-13).

    From enrollment to end of treatment and 3 months follow-up

  • self-care self-efficacy scale

    Measure for self-care self-efficacy for chronic illness. This 10-item instrument measures self-efficacy related to self-care maintenance, monitoring, and management in patients with chronic illness. Each item is rated on a '1-5' rating scale, with a higher score representing a higher level of self-efficacy. Scale scores are standardized mathematically to range from 0-100.

    From enrollment to end of treatment and 3 months follow-up

Secondary Outcomes (3)

  • Health-related quality of life EuroQol-5D

    From enrollment to end of treatment and 3 months follow-up

  • Fatigue Severity Scale (FSS)

    From enrollment to end of treatment and 3 months follow-up

  • DePaul Symptom Questionnaire-Short Form (DSQ-SF)

    From enrollment to end of treatment and 3 months follow-up

Study Arms (2)

Telerehabilitation program

EXPERIMENTAL

The interventions include: * Education for self-management * Personalised exercise program

Other: Education for self-managementOther: Personalised exercise program

Control

ACTIVE COMPARATOR

Usual care

Other: Usual Care

Interventions

Education program performed online including information, recommendations and guidance for promoting self-management

Telerehabilitation program

Individualized exercise that includes progressive load adapted to each patient. It includes making flexible adjustments to their exercise (up or down as needed) to help them gradually improve their physical abilities while staying within their energy limits

Telerehabilitation program

Usual care these patients may receive out from the clinical trial.

Control

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Post COVID-19 condition: individuals with a history of probable or confirmed SARS-CoV-2 infection, usually 3 months from the onset of COVID-19 with symptoms that last for at least 2 months and cannot be explained by an alternative diagnosis. Common symptoms include fatigue, shortness of breath, cognitive dysfunction
  • Between 18 and 75 years of age
  • Possibility of access and use of smartphone.
  • Ability to attend the clinic in person for an initial session.

You may not qualify if:

  • Patients with a history of respiratory or cardiovascular diseases prior to COVID-19, other acute or chronic diseases that may interfere with the study
  • Pregnancy/breastfeeding
  • Those with contraindications to respiratory muscle training.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

CEU San Pablo University

Madrid, Madrid, 28003, Spain

Location

MeSH Terms

Conditions

Post-Acute COVID-19 SyndromeCOVID-19Motor Activity

Interventions

Educational StatusSelf-Management

Condition Hierarchy (Ancestors)

Pneumonia, ViralPneumoniaRespiratory Tract InfectionsInfectionsVirus DiseasesCoronavirus InfectionsCoronaviridae InfectionsNidovirales InfectionsRNA Virus InfectionsLung DiseasesRespiratory Tract DiseasesPost-Infectious DisordersChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and SymptomsBehavior

Intervention Hierarchy (Ancestors)

Socioeconomic FactorsPopulation CharacteristicsRehabilitationHealth ServicesHealth Care Facilities Workforce and Services

Central Study Contacts

Aitor Martin Pintado Zugasti

CONTACT

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Single-blind, randomized controlled trial
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 11, 2025

First Posted

February 12, 2025

Study Start

March 1, 2025

Primary Completion (Estimated)

June 1, 2026

Study Completion (Estimated)

July 1, 2026

Last Updated

February 18, 2025

Record last verified: 2025-01

Data Sharing

IPD Sharing
Will not share

Locations