Evidence map›Paper›PMID 40265173›Full record

ArticleCardiopulmonary physical therapy journal2025

Shared Medical Appointments to Improve Equitable Access to Rehabilitative Care for Long COVID.

Abby L Cheng, Amy R DeFranco, Michelle Furman, Sarah M Hackert, Devyani M Hunt, Jonas Marschall, Amy McQueen

Abstract read
In one paragraph

Article in Cardiopulmonary physical therapy journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

7 authors.

Abby L ChengDivision of Musculoskeletal Physical Medicine and Rehabilitation, Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO.
Amy R DeFrancoProgram in Physical Therapy, Washington University School of Medicine, St. Louis, MO.
Michelle FurmanProgram in Occupational Therapy, Washington University School of Medicine, St. Louis, MO.
Sarah M HackertProgram in Physical Therapy, Washington University School of Medicine, St. Louis, MO.
Devyani M HuntDivision of Musculoskeletal Physical Medicine and Rehabilitation, Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO.
Jonas MarschallDivision of Infectious Diseases, Department of Medicine, Washington University School of Medicine, St. Louis, MO.
Amy McQueenDivision of General Medicine and Geriatrics, Department of Medicine, Washington University School of Medicine, St. Louis, MO.

Funding

AHRQ HHS U18 HS029911
6 · The paper itself

Abstract

Long COVID is an infection-associated chronic condition that can cause a wide variety of symptoms and long-term functional impairments. While investigation into curative treatment is ongoing, current standard management of Long COVID relies heavily on rehabilitative care by physical, occupational, and speech therapists. Unfortunately, many persons with Long COVID encounter financial barriers to receiving rehabilitative care, especially because some state Medicaid programs and safety net health insurance plans do not cover one-on-one rehabilitation visits. Shared Medical Appointments (SMAs) are group visits which can deliver multidisciplinary care, and they are widely reimbursed by health insurance plans. SMAs also offer the added benefit of peer support and camaraderie, and they are an efficient method for clinicians to deliver care to many patients at once. SMAs can serve as an innovative method of delivering rehabilitative care for persons with Long COVID who cannot access individual appointments with a physical, occupational, and/or speech therapist. The purpose of this clinical perspective is to present the rationale, development, and organization and content of a six-session curriculum of SMAs that was created to deliver rehabilitation principles for Long COVID management. The curriculum covers physical activity, daily living activities, and thinking and speaking. It includes identification of functional concerns and goals, instruction in rehabilitative strategies and tools, and troubleshooting challenges that are encountered as patients implement strategies. The content in this clinical perspective is intended to be easily adapted and delivered by other clinicians in order to facilitate more equitable access to Long COVID rehabilitative care.

Indexed as

accessEquityLong COVIDoccupational therapyphysical therapyspeech therapy

Identifiers

PMID40265173
PMCPMC12011199

What OpenQuestion holds

Textmetadata
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.