Narrative Intervention for Long COVID-19 (NICO)

Study Overview
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Brief Summary
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This T1 proof of concept trial is designed to test the Narrative Intervention for Long COVID-19 intervention.

Detailed Description
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People living with COVID19 Long Haul Syndrome frequently experience high symptom burden and problems performing basic activities of daily living. COVID19 has impacted mental health not only for people directly affected by the pandemic, including people who are living with COVID19 Long Haul Syndrome, but also those affected indirectly, putting further strain on the mental health system, which was already under stress. Understanding the experience of COVID 19 Long Haul Syndrome that can inform innovative and impactful ways to improve living with COVID19. Mental health providers are in high demand with an increase in burnout. One study reported 1/3 of mental health providers have experienced severe burnout since the onset of the pandemic. There are nursing staff shortages across the US, especially in rural areas. Shortages also occur within social work staff globally. There is a need to design innovative, interdisciplinary, and less time-intensive interventions to help those living with chronic illness. More people living longer with different types of illnesses and staffing shortages make traditional talk therapy interventions more challenging to deliver to more people. This study has two specific aims: Aim 1: Establish the acceptability and feasibility of an asynchronous narrative intervention for people living with long haul COVID19. Aim 2: Explore themes of illness narratives of people living with long haul COVID19

Official Title
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Narrative Intervention for Long COVID-19 (NICO) Research Study

Conditions
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Long COVID, Long Covid19

Intervention / Treatment
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* Behavioral: Narrative Intervention for Long COVID-19 (NICO)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Diagnosed with Long COVID Have access to email weekly Between the ages of 18-89 years old Exclusion Criteria: Conflicting research study

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 89 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Intervention Model: Single Group Assignment
Interventional Model Description: This study has one arm. All participants will receive the NICO intervention.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: NICO<br>The NICO intervention includes components of narrative-informed interventions, brief solution-focused therapy, and medical social work case management to examine adjustment to illness for people living with Long COVID. | Behavioral: Narrative Intervention for Long COVID-19 (NICO)<br>* The NICO intervention was delivered by a licensed psychotherapist asynchronously over a 3 month time period.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Personal Health Questionnarrie- 8 item (PHQ8) | Measurement of depression widely used in clinical and research settings | Baseline and 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Generalized Anxiety Disorder- 7 item (GAD7) | Measurement of anxiety widely used in clinical and research settings | Baseline and 3 months |