Participant perspectives of pulmonary telerehabilitation in people with respiratory post-acute sequelae of COVID-19 (PASC): a nested qualitative study in a randomised controlled trial

Publisher:
Taylor & Francis
Publication Type:
Journal Article
Citation:
European Journal of Physiotherapy, 2026, ahead-of-print, (ahead-of-print), pp. 1-12
Issue Date:
2026-01-01
Full metadata record
Background: Many people experience persistent and heterogenous symptoms following infection with COVID-19. While there is emerging evidence for rehabilitation strategies, few studies have reported patient experiences of rehabilitation, particularly experiences of pulmonary telerehabilitation (PTR). The aim of this study was to explore the perspectives of people with respiratory post-acute sequelae of COVID-19 (PASC) who participated in a 4-week PTR arm of a randomised controlled trial (RCT). Methods: This qualitative study used semi-structured interviews and reflexive thematic analysis. Participants had completed at least one session of PTR. Recruitment was via convenience sampling and continued until thematic saturation. Interviews were recorded, de-identified and coded to guide theme development. Results: Fifteen participants were interviewed [mean (SD) age 54 (14) years; 5 females], 12 completed the PTR program and three commenced but did not complete. Seven themes emerged: (1) remote access to telerehabilitation; (2) access to a health professional; (3) validation of PASC; (4) having a shared experience; (5) work commitments; (6) PASC symptoms; and (7) desire for more telerehabilitation opportunities. Conclusions: The experiences of people with respiratory PASC, identified through these themes, may help to shape future PTR programs and inform clinical trials.
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