Evidence map›Paper›PMID 38481230›Full record

ArticleBMC public health2024

An exploration of the experiences and self-generated strategies used when navigating everyday life with Long Covid.

Fiona J Leggat, Celayne Heaton-Shrestha, Jessica Fish, Aloysius Niroshan Siriwardena, Anne Domeney, Carol Rowe, Ian Patel, Judith Parsons, John Blair, Fiona Jones

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
8.1field-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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Exploring the influence of long COVID upon self-identity: a systematic literature review.Archives of public health = Archives belges de sante publique · 2026
    Pooled it
  2. Patient and Professional Perspectives on Long COVID: A Systematic Literature Review and Meta-Synthesis.International journal of environmental research and public health · 2025
    Pooled it
  3. 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
  4. Trial
  5. Trial
  6. Article
  7. Article
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  10. Article
  11. Article
  12. Challenges of Inclusion: A Population-Based Interview Study of Long Covid.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  13. Review
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  19. Using co-design methods to develop new personalised support for people living with Long Covid: The 'LISTEN' intervention.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  20. Review
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 5 institutions in 1 country.

Fiona J LeggatPopulation Health Research Institute, St George's, University of London, London, England, UK.
Celayne Heaton-ShresthaCentre for Applied Health and Social Care Research, Faculty of Health, Social Care and Education, Kingston University, London, England, UK.
Jessica FishDepartment of Clinical Neuropsychology & Clinical Health Psychology, St George's University Hospitals NHS Foundation Trust, London, England, UK.
Aloysius Niroshan SiriwardenaCommunity and Health Research Unit, University of Lincoln, Lincoln, UK.
Anne DomeneyLISTEN Lived Experience Advisory Group, London, UK.
Carol RoweLISTEN Lived Experience Advisory Group, London, UK.
Ian PatelLISTEN Lived Experience Advisory Group, London, UK.
Judith ParsonsLISTEN Lived Experience Advisory Group, London, UK.
John BlairLISTEN Lived Experience Advisory Group, London, UK.
Fiona JonesPopulation Health Research Institute, St George's, University of London, London, England, UK. fjones@sgul.ac.uk.
Kingston University · GBLondon Bridge Hospital · GBSt George’s University Hospitals NHS Foundation Trust · GBSt George's, University of London · GBUniversity of Lincoln · GB

Funding

National Institute for Health and Care Research COV-LT2- 0009
6 · The paper itself

Abstract

backgroundAround one in ten people who contract Covid-19 report ongoing symptoms or 'Long Covid'. Without any known interventions to cure the condition, forms of self-management are routinely prescribed by healthcare professionals and described by people with the condition. However, there is limited research exploring what strategies are used to navigate everyday life with Long Covid, and experiences that initiate development of these strategies. Our study aimed to explore the range and influence of self-generated strategies used by people with Long Covid to navigate everyday life within the context of their own condition.

methodsForming part of the Long Covid Personalised Self-managemenT support co-design and EvaluatioN (LISTEN) project, we conducted a qualitative study using narrative interviews with adults who were not hospitalised with Covid-19. Participants aged over 18 years, who self-identified with Long Covid, were recruited from England and Wales. Data were analysed with patient contributors using a reflexive thematic analysis.

resultsEighteen participants (mean age = 44 years, SD = 13 years) took part in interviews held between December 2021 and February 2022. Themes were constructed which depicted 1) the landscape behind the Long Covid experience and 2) the everyday experience of participants' Long Covid. The everyday experience comprised a combination of physical, emotional, and social factors, forming three sub-themes: centrality of physical symptoms, navigating 'experts' and the 'true colour' of personal communities, and a rollercoaster of psychological ambiguity). The third theme, personal strategies to manage everyday life was constructed from participants' unique presentations and self-generated solutions to manage everyday life. This comprised five sub-themes: seeking reassurance and knowledge, developing greater self-awareness through monitoring, trial and error of 'safe' ideas, building in pleasure and comfort, and prioritising 'me'.

conclusionsAmong this sample of adults with Long Covid, their experiences highlighted the unpredictable nature of the condition but also the use of creative and wide ranging self-generated strategies. The results offer people with Long Covid, and healthcare professionals supporting them, an overview of the collective evidence relating to individuals' self-management which can enable ways to live 'better' and regain some sense of identity whilst facing the impact of a debilitating, episodic condition.

trial registrationLISTEN ISRCTN36407216.

Indexed as

COVID-19Self-ManagementAdultHumansMiddle AgedPalliative CarePost-Acute COVID-19 SyndromeQualitative ResearchCovid-19Lived experienceLong CovidNarrativeQualitative researchSelf-management

Identifiers

PMID38481230
PMCPMC10938753
OpenAlexW4392749517

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.