903 - Improving Function in Long COVID through Interprofessional Shared Medical Appointments

Objectives: Long COVID is a condition that occurs after SARS-CoV-2 infection and lasts for 3 or more months. The symptoms often result in reduce activity tolerance, social isolation and financial stressors. Physical and cognitive therapies can help people with Long COVID better manage their day-to-day life. Shared medical appointments (SMAs) offer an accessible solution to address the physical and cognitive impairments of this disease, while fostering social connection and individualized care strategies. The objective of this study is to optimize the delivery of lifestyle principles and rehabilitative therapies through SMAs for individuals with Long COVID who have barriers to attending traditional individual therapy.

Design: An interprofessional medical team developed a six-session series of shared medical appointments (SMAs) that equips patients with applicable tools for movement, thinking, speaking, and activities of daily living. These sessions include information and tools for physical and cognitive activity pacing, memory, word recall, and energy conservation and time management. This series is offered to patients in weekly, hour-long, hybrid in-person/virtual sessions over six consecutive weeks. At the conclusion of each session, patients are asked to complete a feedback survey regarding the sessions content and delivery.

Results: Eleven patients have completed two or more appointments in Long Covid SMA series. Survey responses show that the patients found the material useful, were satisfied with their visit, and were likely to recommend it. The SMA format enabled interactions and engagement among individuals who would otherwise lack access to more traditional therapy options due to cost, location and symptom burden. Patients also reflected appreciation for the social connection and peer support of the series.

Conclusions:

Many individuals living with Long COVID experience persistent symptoms such as fatigue and exercise intolerance. The Long Covid SMA series provides patients with practical tools for pacing and energy management, in addition to social connection.