Evidence map›Paper›PMID 41413539›Full record

ArticleBMC health services research2025

How a long COVID rehabilitation intervention works: refining its programme theory through a realist-informed qualitative study.

Trine Brøns Nielsen, Lisa Gregersen Oestergaard, Jemma Hawkins, Claus Vinther Nielsen, Steffen Leth, Cecilia Hee Laursen, Dorthe Sørensen

Abstract read
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Trine Brøns NielsenDEFACTUM, Central Denmark Region, Aarhus, Denmark. trbnil@rm.dk.
Lisa Gregersen OestergaardDEFACTUM, Central Denmark Region, Aarhus, Denmark.
Jemma HawkinsCentre for Development, Evaluation, Complexity and Implementation in Public Health Improvement (DECIPHer), School of Social Sciences, Cardiff University, Cardiff, UK.
Claus Vinther NielsenDEFACTUM, Central Denmark Region, Aarhus, Denmark.
Steffen LethDepartment of Infectious Diseases and Internal Medicine, Gødstrup Hospital, Herning, Denmark.
Cecilia Hee LaursenDEFACTUM, Central Denmark Region, Aarhus, Denmark.
Dorthe SørensenResearch Centre for Care and Rehabilitation, VIA University College, Aarhus, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough the majority of individuals infected with SARS-CoV-2 recover without treatment, some individuals experience persistent symptoms (long COVID), which may negatively affect their activities and roles of everyday life, leaving them with a profound rehabilitation need. In response to the emergence of long COVID patients, a Danish municipality developed and implemented a structured, out-patient long COVID rehabilitation intervention (The Long COVID Rehabilitation Intervention). To understand how, why and for whom the intervention works, and its functioning, an exploration of the underlying programme theory is required. We thus aimed to explore the interactions between the intervention mechanisms of change, the implementation context and the expected outcomes of The Long COVID Rehabilitation Intervention to confirm or refine the initial programme theory.

methodsWe conducted a qualitative study from a realist perspective. Data comprised 12 individual interviews with patients participating in the intervention, a focus group interview with the health professionals delivering the intervention, and an individual interview with the manager of the rehabilitation centre. Transcripts were coded and analysed using a realist analytical approach, enabling for refinement of the initial programme theory expressed with context-mechanism-outcome configurations.

resultsWe demonstrated a close interconnectedness among the context-mechanism-outcome configurations, with identity transformation as central to the intervention functioning supported by a person-centred rehabilitation approach, patient education, and peer support. Moreover, we identified acceptance as an overarching mechanism across all context-mechanism-outcome configurations, facilitating a reconceptualisation of beliefs, values, and roles. This empowered the patients to navigate and participate in daily life despite ongoing long COVID symptoms.

conclusionOverall, the initial programme theory was confirmed but required refinement to contexts and mechanisms. The theorisation of The Long COVID Intervention clarified how, why, and for whom it worked, informing the development of future long COVID and post-viral rehabilitation interventions.

Indexed as

COVID-19AdultAgedDenmarkFemaleFocus GroupsHumansInterviews as TopicMaleMiddle AgedQualitative ResearchSARS-CoV-2Health serviceLong COVIDProgramme theoryRealist evaluationRehabilitation

Identifiers

PMID41413539
PMCPMC12829008

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.