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Challenges of Inclusion: A Population-Based Interview Study of Long Covid
Emily Cooper1,2, Adam Lound1,2, Kathryn Jones1,2
1Patient Experience Research Centre, School of Public Health, Imperial College London, London, UK.
People with long Covid face challenges managing symptoms and receiving validation due to an emerging, contested condition. Many self-manage symptoms and seek support from various sources, navigating an invisible illness experience.
Area of Science:
- Public Health
- Qualitative Research
- Infectious Disease Epidemiology
Background:
- Long Covid presents diverse symptoms and inconsistent clinical support.
- Existing research often focuses on individuals accessing specialist services or support groups.
- Understanding the experiences of those outside these groups is crucial.
Purpose of the Study:
- To explore the varied experiences of persistent symptoms after Covid-19.
- To understand the impact of these symptoms on individuals' lives.
- To capture experiences of those not accessing formal long Covid support.
Main Methods:
- Qualitative interview study nested within the REACT study in England.
- Purposive sampling of 60 participants based on demographics and symptom severity.
- Reflexive thematic analysis of interview data.
Main Results:
- Participants were ethnically diverse, aged 18-80, with symptoms lasting months to over 2 years.
- Many had not accessed clinical care or specific long Covid support, and some did not identify with the term 'long Covid'.
- Participants highlighted self-management strategies and the burden of coping with ongoing health issues.
Conclusions:
- Long Covid presents challenges in management and validation, intersecting with factors like racism and service limitations.
- Uncertainty impacts self-understanding and professional/social validation.
- Individuals employ diverse strategies for symptom management and information seeking.
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