Evidence map›Paper›PMID 37821939›Full record

ArticleBMC health services research2023

Swept under the carpet: a qualitative study of patient perspectives on Long COVID, treatments, services, and mental health.

Lisa D Hawke, Anh T P Nguyen, Natasha Yasmin Sheikhan, Gillian Strudwick, Susan L Rossell, Sophie Soklaridis, Stefan Kloiber, Roslyn Shields, Chantal F Ski, David R Thompson and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Article
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  5. Review
  6. Article
  7. Review
  8. Article
  9. Vital yet Fragile: Informal Networks of Support Among Young People Navigating Long Covid.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Perspectives of Individuals With Long COVID on Virtual Physical Rehabilitation: A Qualitative Study.Archives of rehabilitation research and clinical translation · 2025
    Article
  14. Article
  15. Article
  16. Living With Persistent Respiratory Symptoms of Long COVID: Qualitative Study Among Brazilian Adults 12 Months After Acute Infection.Health expectations : an international journal of public participation in health care and health policy · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 3 countries.

Lisa D HawkeUniversity of Toronto, Toronto, ON, Canada. lisa.hawke@camh.ca.
Anh T P NguyenCentre for Addiction and Mental Health, University of Toronto, Toronto, ON, Canada.
Natasha Yasmin SheikhanUniversity of Toronto, Toronto, ON, Canada.
Gillian StrudwickUniversity of Toronto, Toronto, ON, Canada.
Susan L RossellCentre for Mental Health, Swinburne University of Technology, Melbourne, Australia.
Sophie SoklaridisUniversity of Toronto, Toronto, ON, Canada.
Stefan KloiberUniversity of Toronto, Toronto, ON, Canada.
Roslyn ShieldsCentre for Addiction and Mental Health, University of Toronto, Toronto, ON, Canada.
Chantal F SkiSchool of Nursing and Midwifery, Queen's University Belfast, Belfast, UK.
David R ThompsonSchool of Nursing and Midwifery, Queen's University Belfast, Belfast, UK.
David CastleUniversity of Tasmania, Hobart, Australia.
University of Toronto · CACentre for Addiction and Mental Health · CAQueen's University Belfast · GBSwinburne University of Technology · AUUniversity of Tasmania · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA constellation of often disabling long-term physical symptoms enduring after an acute SARS-COV-2 infection is commonly referred to as Long COVID. Since Long COVID is a new clinical entity, research is required to clarify treatment needs and experiences of individuals affected. This qualitative descriptive study aimed to provide insight into Long COVID treatment and service experiences and preferences of individuals experiencing Long COVID and the intersections with mental health.

methodsThe study was conducted out of a tertiary care mental health hospital, with online recruitment from the community across Canada. A total of 47 individuals (average age = 44.9) participated in one of 11 focus groups between June and December 2022. Five focus groups were conducted with participants who had pre-existing mental health concerns prior to contracting SARS-CoV-2, and six were with people with Long COVID but without pre-existing mental health concerns. A semi-structured interview guide asked about service experiences and service preferences, including mental health and well-being services. Discussions were recorded, transcribed, and analyzed using codebook thematic analysis.

resultsWhen accessing services for Long COVID, patients experienced: (1) systemic barriers to accessing care, and (2) challenges navigating the unknowns of Long COVID, leading to (3) negative impacts on patient emotional well-being and recovery. Participants called for improvements in Long COVID care, with a focus on: (1) developing Long COVID-specific knowledge and services, (2) enhancing support for financial well-being, daily living, and building a Long COVID community, and (3) improving awareness and the public representation of Long COVID.

conclusionsSubstantial treatment barriers generate considerable burden for individuals living with Long COVID. There is a pressing need to improve treatment, social supports, and the social representation of Long COVID to create integrated, accessible, responsive, and ongoing support systems.

Indexed as

COVID-19Mental HealthAdultFloors and FloorcoveringsHumansMiddle AgedPost-Acute COVID-19 SyndromeQualitative ResearchSARS-CoV-2COVID-19Lived experienceLong COVIDMental healthPatient-oriented researchQualitative researchService preferencesTreatments

Identifiers

PMID37821939
PMCPMC10568931
OpenAlexW4387527632

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.