The main objective of this study is to analyze the clinical efficacy of telerehabilitation in the recovery of Long COVID patients through ReCOVery APP for 3 months, administered in the Primary Health Care context. The second objective is to identify significant models associated with an improvement in the study variables. An open-label randomized clinical trial was conducted using two parallel groups of a total of 100 Long COVID patients. The first group follows the treatment as usual methods established by their general practitioner (control group) and the second follows the same methods and also uses ReCOVery APP (intervention group). After the intervention, no significant differences were found in favour of the group intervention. Regarding adherence, 25% of the participants made significant use of the APP. Linear regression model establishes that the time of use of ReCOVery APP predicts an improvement in physical function (b = 0.001; p = 0.005) and community social support (b = 0.004; p = 0.021). In addition, an increase in self-efficacy and health literacy also contribute to improving cognitive function (b = 0.346; p = 0.001) and reducing the number of symptoms (b = 0.226; p = 0.002), respectively. In conclusion, the significant use of ReCOVery APP can contribute to the recovery of Long COVID patients. Trial Registration No.: ISRCTN91104012.

Background: Long COVID pathology affects patient quality of life. Different telerehabilitation (TR) strategies are being implemented to improve post-COVID symptoms. The main objective of this study is to analyze the efficacy of the ReCoVery Application (APP) over a three-month period. A second objective is to identify significant models associated with improvement. Methods: An open-label and randomized clinical trial (RCT) was conducted, using two parallel groups. A total of one hundred Long COVID patients participated in the study. Quality of life was the main variable examined. A statistical comparison of pre-three-month groups was made using T-student and chi-square, and linear regressions were performed to analyze the profile of those patients who improved. Results: Adherence to the ReCoVery APP was low, and was not significantly more effective as compared to no intervention. However, the time of use of the ReCoVery APP, an increase in the self-efficacy construct and health literacy could contribute to the recovery of Long COVID patients. Conclusion: It is necessary to improve Long COVID patient adherence to TR. Furthermore, future RCTs are still needed to assess the efficacy of TR in these patients.

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BackgroundDepression and anxious symptoms are prevalent in the general population, and their onset and persistence may be linked to biological and psychosocial factors, many of which are lifestyle-related. The way we manage our care, physical and emotional health and/or discomfort is highly influenced by our own abilities, skills and attitudes despite life’s circumstances. The main aim of this protocol to analyze the relationship between psychological constructs (self-efficacy, activation, health literacy, resilience, personality traits, sense of coherence, self-esteem), and the presence of affective-emotional problems (anxiety, depression) and addictions in primary health care.MethodsThis is a protocol of a prospective longitudinal cohort study including people of 35–74 years old of Aragon primary health care centers (Spain). Three evaluations will be conducted: baseline evaluation, and follow-up assessments five and ten years after recruitment. The primary outcomes will be severity of depression, severity of anxiety, and addictive behaviors. A detailed set of secondary outcomes will be assessed across all three assessments. This will include psychosocial or personal factors on health behavior, social support, lifestyle patterns, quality of life, the use of health and social resources, and chronic comorbid pathology.DiscussionThe analysis of the impact of psychological constructs and lifestyles on the mental health of people and communities will provide evidence that will make it possible to better address and prevent these prevalent problems and address their improvement from a more global and holistic perspective. The evaluation of psychological constructs should be incorporated into health services to improve people’s ability their self-care, the level of knowledge of managing their disease and their physical, mental and social health.Clinical trial registrationhttps://www.isrctn.com/, identifier ISRCTN12820058.