000160865 001__ 160865
000160865 005__ 20251017144552.0
000160865 0247_ $$2doi$$a10.1111/hex.70283
000160865 0248_ $$2sideral$$a144055
000160865 037__ $$aART-2025-144055
000160865 041__ $$aeng
000160865 100__ $$aCarpallo-Porcar, Beatriz
000160865 245__ $$aPerceptions and Experiences of a Multimodal Rehabilitation Program for People With Post‐Acute COVID‐19: A Qualitative Study
000160865 260__ $$c2025
000160865 5060_ $$aAccess copy available to the general public$$fUnrestricted
000160865 5203_ $$aIntroduction. Home‑based rehabilitation has emerged as a practical solution for post‑acute phase COVID‑19 recovery, but patient perspectives on the different modalities remain underexplored.ObjectiveTo explore participants' perceptions and experiences after a 12‑week multimodal rehabilitation program delivered via asynchronous telerehabilitation versus a booklet after discharge and to identify the preferred format.MethodsQualitative descriptive study with two face‑to‐face focus groups of post‐discharge COVID‐19 patients (n = 12; age range 41–75 years; 50% female; with fatigue > 4 on the Fatigue Severity Scale) that included participants from each intervention arm of a randomised pilot study. Semi‑structured interviews to determine patients' perceptions and experiences were recorded, transcribed verbatim and coded independently by two researchers using inductive thematic analysis.ResultsThree overarching themes emerged from the analysis: (1) Facilitators for engagement and adherence: Innovative digital tools and personalised guidance foster active participation by providing flexible access and systematic progress monitoring; (2) Barriers to sustained participation: Technological issues, physical limitations and fluctuating motivation serve as critical impediments, underscoring the potential benefits of hybrid intervention models; and (3) Therapeutic alliance as support: A robust, individualised therapeutic relationship enhances patient confidence and self‐management, ultimately contributing to sustained empowerment and recovery.ConclusionsA multimodal home‐based rehabilitation program with monitoring and personalisation by the physiotherapist is rated positively by post‐acute COVID‐19 patients, with asynchronous telerehabilitation emerging as the preferred method. Future research should investigate long‑term adherence, clinical efficacy and scalability.Clinical Trial RegistrationClinialtrials.gov #NCT04794036.Patient or Public ContributionPost‐acute COVID‐19 patients contributed to the study by actively participating in its development, specifically through describing their experiences as part of a multimodal rehabilitation program. There was no additional participation or contribution from the public to the research.
000160865 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttps://creativecommons.org/licenses/by/4.0/deed.es
000160865 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000160865 700__ $$0(orcid)0000-0002-1674-7788$$aCalvo Carrión, Sandra$$uUniversidad de Zaragoza
000160865 700__ $$0(orcid)0000-0002-5770-5146$$aPérez-Palomares, Sara$$uUniversidad de Zaragoza
000160865 700__ $$aBlázquez-Pérez, Laura
000160865 700__ $$aBrandín-de la Cruz, Natalia
000160865 700__ $$aJiménez-Sánchez, Carolina
000160865 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia
000160865 773__ $$g28, 3 (2025), e70283 [12 pp.]$$pHealth expect.$$tHEALTH EXPECTATIONS$$x1369-6513
000160865 8564_ $$s251895$$uhttps://zaguan.unizar.es/record/160865/files/texto_completo.pdf$$yVersión publicada
000160865 8564_ $$s2261689$$uhttps://zaguan.unizar.es/record/160865/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000160865 909CO $$ooai:zaguan.unizar.es:160865$$particulos$$pdriver
000160865 951__ $$a2025-10-17-14:12:15
000160865 980__ $$aARTICLE