{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T07:14:47Z","timestamp":1793862887287,"version":"4.6.1"},"reference-count":71,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T00:00:00Z","timestamp":1745884800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Home\u2011based rehabilitation has emerged as a practical solution for post\u2011acute phase COVID\u201119 recovery, but patient perspectives on the different modalities remain underexplored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore participants' perceptions and experiences after a 12\u2011week multimodal rehabilitation program delivered via asynchronous telerehabilitation versus a booklet after discharge and to identify the preferred format.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Qualitative descriptive study with two face\u2011to\u2010face focus groups of post\u2010discharge COVID\u201019 patients (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200912; age range 41\u201375\u2009years; 50% female; with fatigue &gt;\u20094 on the Fatigue Severity Scale) that included participants from each intervention arm of a randomised pilot study. Semi\u2011structured interviews to determine patients' perceptions and experiences were recorded, transcribed verbatim and coded independently by two researchers using inductive thematic analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three overarching themes emerged from the analysis: (1) Facilitators for engagement and adherence: Innovative digital tools and personalised guidance foster active participation by providing flexible access and systematic progress monitoring; (2) Barriers to sustained participation: Technological issues, physical limitations and fluctuating motivation serve as critical impediments, underscoring the potential benefits of hybrid intervention models; and (3) Therapeutic alliance as support: A robust, individualised therapeutic relationship enhances patient confidence and self\u2010management, ultimately contributing to sustained empowerment and recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A multimodal home\u2010based rehabilitation program with monitoring and personalisation by the physiotherapist is rated positively by post\u2010acute COVID\u201019 patients, with asynchronous telerehabilitation emerging as the preferred method. Future research should investigate long\u2011term adherence, clinical efficacy and scalability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Trial Registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/Clinialtrials.gov\">Clinialtrials.gov<\/jats:ext-link>\n                      #NCT04794036.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>Post\u2010acute COVID\u201019 patients contributed to the study by actively participating in its development, specifically through describing their experiences as part of a multimodal rehabilitation program. There was no additional participation or contribution from the public to the research.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70283","type":"journal-article","created":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T00:50:02Z","timestamp":1745974202000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Perceptions and Experiences of a Multimodal Rehabilitation Program for People With Post\u2010Acute COVID\u201019: A Qualitative Study"],"prefix":"10.1111","volume":"28","author":[{"given":"Beatriz","family":"Carpallo\u2010Porcar","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, Faculty of Health Sciences Universidad San Jorge Zaragoza Spain"},{"name":"IIS Aragon Zaragoza 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