ArticleBMJ open2026
Exploring experiences following participation in a concentrated micro-choice-based rehabilitation programme for long covid: a focus group study.
Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05234281 (Concentrated Cross-disciplinary Group Intervention for Common Health Complaints), which is not on this map. Not yet cited in PubMed.
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The trial behind it
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Concentrated Cross-disciplinary Group Intervention for Common Health Complaints (Mixed Anxiety Depression, Diabetes Mellitus Type 2, Low Back Pain, Chronic Obstructive Pulmonary Disease and Post COVID-19 Fatigue)
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Authors and funding
6 authors.
Funding
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Abstract
objectivesTo explore how individuals with long covid experienced various aspects of a micro-choice-based rehabilitation programme and if these experiences could facilitate behaviour change.
designA qualitative study with three focus groups was conducted, in mean 9.8 months after completing the rehabilitation programme. Data were analysed using systematic text condensation.
settingThe study was conducted in a university setting.
participants19 participants (aged 23-55 years, 15 women) were included between Spring 2021 and Autumn 2022.
interventionThe participants in this study had participated in a 3-day concentrated micro-choice-based rehabilitation programme. One of the main features of this intervention was to support participants in shifting their focus from targeting symptoms to choosing alternative actions aimed at improving everyday functioning, referred to as micro-choices.
resultsFive themes were identified: (1) reduction in uncertainty achieved through reassurance and motivation; (2) 'in the same boat': sharing experiences and supporting each other; (3) knowledge about the body's stress responses and micro-choices; (4) shifting between individual practice and close collaboration with the therapists; and (5) sustaining behaviour change is challenging. These themes illustrated how participants' experiences with different aspects of the rehabilitation programme facilitated both the initiation and maintenance of behaviour change. The participants highlighted the importance of acknowledging their challenges, reducing fear, sharing experiences with peers, feeling understood and supported, collaborating with a skilled team, receiving personalised guidance and gaining insights through the exploration and implementation of micro-choices. Participants also highlighted that behaviour change is an ongoing process requiring sustained effort.
conclusionThe findings showed how participants experienced various aspects of a concentrated micro-choice-based rehabilitation programme as supportive of behaviour change. The findings indicate that a concentrated rehabilitation programme may facilitate self-management and improve everyday function in individuals with long covid. TRIAL REGISTRATION NUMBER: NCT05234281.
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