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ArticleBMC infectious diseases2025

SPACO+: a mixed methods protocol to assessing the effectiveness of an educative intervention in patients with Long Covid.

Odette Linda Kamdem, Caroline Dupre, Valdez Heugno, Amandine Baudot, Estelle Essangui, Marie Blanquet, Nina Guercon, Marie Fanget, Sasha Bayet, Marie Pierre Vericel and 29 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05787366 (Effect of a Health Pathway for People With Persistent Symptoms Covid-19), which is not on this 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.

NCT05787366 naactive not recruitingnot on this map

Effect of a Health Pathway for People With Persistent Symptoms Covid-19

TypeinterventionalSponsorCentre Hospitalier Universitaire de Saint EtienneRan2023 to 2026Enrolled400ConditionsCOVID-19Armsusual care and follow-up by a nurse, Personalized Multifactorial Intervention (IMP)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

39 authors.

Odette Linda KamdemINSERM, SAINBIOSE, Jean Monnet University, DVH Team, U1059, Saint-Etienne, France.
Caroline DupreINSERM, University Hospital Centre, CIC 1408, Saint-Etienne, France.
Valdez HeugnoPhysical Activities and Sport Physiology and Medicine Unit, University of Douala, Douala, Cameroon.
Amandine BaudotINSERM, University Hospital Centre, CIC 1408, Saint-Etienne, France.
Estelle EssanguiFaculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon.
Marie BlanquetCHU Clermont-Ferrand, Clermont-Ferrand, France.
Nina GuerconINSERM, University Hospital Centre, CIC 1408, Saint-Etienne, France.
Marie FangetDepartment of Clinical and Exercise Physiology, University Hospital of Saint-Etienne, Saint-Etienne, France.
Sasha BayetDepartment of Clinical and Exercise Physiology, University Hospital of Saint-Etienne, Saint-Etienne, France.
Marie Pierre VericelDepartment of Clinical and Exercise Physiology, University Hospital of Saint-Etienne, Saint-Etienne, France.
Pauline OustricApresj20, Association Covid Long France, Paris, France.
Yves Mbama BiloaINSERM, SAINBIOSE, Jean Monnet University, DVH Team, U1059, Saint-Etienne, France.
Elie Shikitele LolaCaisse Primaire d'Assurance Maladie (CPAM 42), Saint-Etienne, France.
Mabrouk NekaaEducation Culture Politique (EA 4571) , University Lyon 2, Lyon, France.
Mario DebellisDispositif d'Appui à la Coordination Loire (DAC Loire), Saint-Etienne, France.
François StierlamDispositif d'Appui à la Coordination Loire (DAC Loire), Saint-Etienne, France.
Ronelle Fabiola MbiaPRESAGE Institute, Jean Monnet University, Saint-Etienne, France.
Olivier TatsilongINSERM, SAINBIOSE, Jean Monnet University, DVH Team, U1059, Saint-Etienne, France.
Peguy Assomo NdembaFaculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaoundé, Cameroon.
Williams Bell NganINSERM, SAINBIOSE, Jean Monnet University, DVH Team, U1059, Saint-Etienne, France.
Valérie NdoboFaculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaoundé, Cameroon.
Clarisse Ayina AyinaPhysical Activities and Sport Physiology and Medicine Unit, University of Douala, Douala, Cameroon.
Jerson MekoulouPhysical Activities and Sport Physiology and Medicine Unit, University of Douala, Douala, Cameroon.
Marie Solange Ndom EbongueFaculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon.
Thomas CelarierDépartement de Gérontologie Clinique, CHU de Saint-Étienne, Saint-Etienne, France.
Louise RuizURPS Infirmiers Auvergne Rhône Alpes, Lyon, France.
Veronique RegnierPRESAGE Institute, Jean Monnet University, Saint-Etienne, France.
Claude BikaPhysical Activities and Sport Physiology and Medicine Unit, University of Douala, Douala, Cameroon.
Françoise Ngo SackPhysical Activities and Sport Physiology and Medicine Unit, University of Douala, Douala, Cameroon.
Judith Laure NgondiFaculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaoundé, Cameroon.
Nathalie BarthGérontopole AURA, Saint-Etienne, France.
Samuel Honore MandenguePhysical Activities and Sport Physiology and Medicine Unit, University of Douala, Douala, Cameroon.
Frederic RocheINSERM, SAINBIOSE, Jean Monnet University, DVH Team, U1059, Saint-Etienne, France.
Elisabeth Botelho-NeversPRESAGE Institute, Jean Monnet University, Saint-Etienne, France.
Carole Else Eboumbou MoukokoFaculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon.
Céline Nguefeu NkenfouSystems Biology Laboratory, Chantal Biya International Reference Centre, Yaoundé, Cameroon.
David HupinINSERM, SAINBIOSE, Jean Monnet University, DVH Team, U1059, Saint-Etienne, France.
Bienvenu BongueINSERM, SAINBIOSE, Jean Monnet University, DVH Team, U1059, Saint-Etienne, France. bienvenu.bongue@univ-st-etienne.fr.
Jessica GuyotINSERM, SAINBIOSE, Jean Monnet University, DVH Team, U1059, Saint-Etienne, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe management of many chronic diseases requires a multidisciplinary and holistic approach. Long Covid is a recent, poorly understood disease with several symptoms. Most recommendations suggest a multidisciplinary approach. While there are a few programs aimed to the management of Long Covid, to our knowledge very few were assessed. The SPACO + study therefore aims to evaluate an innovative program which combines the methods used in therapeutic education and in personalized multifactorial intervention for management of Long Covid. Here, we present the protocol of our study, which aims to evaluate the effectiveness of an educational intervention in terms of changes in quality of life at 6 months in comparison with standard clinical practice in patients suffering from Long Covid.

methodsTo achieve our objectives, we have planned to carry out a prospective, multicentre, two-arm randomized controlled trial with a convergent parallel mixed methods design. Two countries are involved in this study: France and Cameroon. The study concerns patients aged 18 and over, who have been infected with Covid-19. They must also be diagnosed as having Long Covid in accordance with the WHO definition. The number of subjects required for the study is 400 individuals. Participants will be randomly assigned to either the intervention or control group using a dynamic randomization process to ensure balanced group characteristics. The SPACO + program is an educative intervention with individual follow-up by a nurse dedicated to the program. The SPACO + program offers five workshops, two of which are compulsories. Patients take part in the other workshops according to their needs. The program includes an 8 - 10 weeks intervention period. Each session lasts two hours and includes breaks (pacing). The main outcome measure will be quality of life, evaluated through the SF-36. Primary and secondary outcomes, with few exceptions, are assessed before the intervention ("T0"), at 8 weeks ("T1" corresponding to the end of SPACO + program's session period) and then 3 months later ("T2"). DISCUSSION: If the SPACO + program is effective and accepted by professionals and patients, it could be disseminated in other regions to assess its transferability. The medico-economic evaluation will also make it possible to assess the benefits provided.

trial registrationThis trial is registered under the number NCT05787366 (March 24, 2023). Protocol Version N°3.0 (May 31, 2024).

Indexed as

COVID-19Patient Education as TopicAdultCameroonChronic DiseaseFemaleFranceHumansMaleMiddle AgedMulticenter Studies as TopicPost-Acute COVID-19 SyndromeProspective StudiesQuality of LifeRandomized Controlled Trials as TopicSARS-CoV-2Educative interventionHealth pathwayLong CovidMixed methodsQuality of lifeRandomized controlled trial

Identifiers

PMID40301772
PMCPMC12039092

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Registered trials

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.