Evidence map›Paper›PMID 37904110›Full record

ArticleBMC public health2023

"It was almost like it's set up for people to fail" A qualitative analysis of experiences and unmet supportive needs of people with Long COVID.

Katherine C McNabb, Alanna J Bergman, Rhonda Smith-Wright, Jaime Seltzer, Sarah E Slone, Tosin Tomiwa, Abeer Alharthi, Patricia M Davidson, Yvonne Commodore-Mensah, Oluwabunmi Ogungbe

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
6.8field-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, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Psychosocial Aspects of the Lived Experience of Long COVID: A Systematic Review and Thematic Synthesis of Qualitative Studies.Health expectations : an international journal of public participation in health care and health policy · 2024
    Pooled it
  3. Trial
  4. Article
  5. Article
  6. Barriers to Long COVID Care in the U.S.: An Application of Levesque et al.'s Access Framework.Health care analysis : HCA : journal of health philosophy and policy · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Long COVID and work in the UK: challenges, support and perspectives.Archives of public health = Archives belges de sante publique · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Intersectionality and Long Covid: Understanding the Lived Experiences of Ethnic Minority Groups in the United Kingdom.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  16. Article
  17. Long COVID-19: A Concept Analysis.Infectious disease reports · 2025
    Article
  18. Article
  19. Article
  20. Article
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

10 authors at 4 institutions in 2 countries.

Katherine C McNabb *Center for Infectious Disease and Nursing Innovation, Johns Hopkins University School of Nursing, 525 N. Wolfe St., Baltimore, MD, 21205, USA. Kmcnabb2@jh.edu.
Alanna J Bergman *Center for Infectious Disease and Nursing Innovation, Johns Hopkins University School of Nursing, 525 N. Wolfe St., Baltimore, MD, 21205, USA.
Rhonda Smith-WrightJohns Hopkins University, Johns Hopkins School of Nursing, Baltimore, USA.
Jaime SeltzerStanford University, Stanford School of Medicine, Palo Alto, USA.
Sarah E SloneJohns Hopkins University, Johns Hopkins School of Nursing, Baltimore, USA.
Tosin TomiwaJohns Hopkins University, Johns Hopkins Institute for Clinical and Translational Research, Baltimore, USA.
Abeer AlharthiJohns Hopkins University, Johns Hopkins School of Nursing, Baltimore, USA.
Patricia M DavidsonUniversity of Wollongong, Wollongong, Australia.
Yvonne Commodore-MensahJohns Hopkins University, Johns Hopkins School of Nursing, Baltimore, USA.
Oluwabunmi OgungbeJohns Hopkins University, Johns Hopkins School of Nursing, Baltimore, USA.
Johns Hopkins University · USJohns Hopkins Medicine · USPalo Alto University · USUniversity of Wollongong · AU

Funding

Understanding and Predicting Loss to Follow-up from Multi-Drug Resistant Tuberculosis Treatment in the Setting of High-HIV BurdenF30AI165167 · NIAID · JOHNS HOPKINS UNIVERSITY · PI MCNABB, KATHERINE C · 2021 to 2023
$149k
Exploring the Impact of Illness Identity on Intersectional Stigma Through the Care ContinuumF31NR020588 · NINR · JOHNS HOPKINS UNIVERSITY · PI BERGMAN, ALANNA J · 2022 to 2023
$88k
NIAID NIH HHS F30 AI165167NINR NIH HHS F31 NR020588
6 · The paper itself

Abstract

backgroundAlmost twenty percent of adults with COVID-19 develop Long COVID, leading to prolonged symptoms and disability. Understanding the supportive needs of people with Long COVID is vital to enacting effective models of care and policies. DESIGN/

methodsThis qualitative sub-study explored the experiences of people with Long COVID and their unmet needs. Participants enrolled in a larger study to evaluate the post-acute cardiovascular impacts of COVID-19 were invited to participate in subsequent in-depth interviews. Participants were enrolled purposively until saturation at 24 participants. Data were analyzed using thematic content analysis.

resultsParticipants focused on adaptations to life with Long COVID and their unmet needs in different life spheres. Three domains, 1) occupational and financial; 2) healthcare-related; and 3) social and emotional support, emerged as areas affecting quality of life. Although participants were motivated to return to work for financial and personal reasons, Long COVID symptoms often resulted in the inability to perform tasks required by their existing jobs, and unemployment. Those who maintained employment through employer accommodations still needed additional support. Participants encountered diagnostic challenges, challenges in accessing specialty appointments, insurance loopholes, high healthcare costs, and medical skepticism. Existing social networks provided support for completing daily tasks; however, those with Long COVID typically turned to others with similar lived experiences for emotional support. Participants found government support programs inadequate and difficult to access in all three domains. DISCUSSION: We propose a five-pronged policy approach to support persons with Long COVID. These overarching recommendations are (1) improve public awareness of Long COVID; (2) improve clinical care quality and access; (3) implement additional school and workplace accommodations; (4) strengthen socioeconomic benefits and social services; and (5) improve research on Long COVID.

Indexed as

COVID-19Post-Acute COVID-19 SyndromeAdultHumansQuality of LifeSocial WorkWorkplaceChronicLong-COVIDOccupationPASCSupport

Identifiers

PMID37904110
PMCPMC10617090
OpenAlexW4388035388

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.