Outcomes of a fatigue management intervention for people with post COVID-19 condition 2023 Tadhg et al

Abstract
Objective
Fatigue is identified as one of the most prevalent and persistent problems reported by people with post COVID-19 condition that negatively impacts on everyday living and resumption of pre-COVID-19 lifestyle. A pilot occupational therapy fatigue management intervention was designed for patients presenting with post COVID-19 condition fatigue.

Design
A retrospective analysis was carried out following the delivery of the fatigue management intervention. Self-reported measures of fatigue, wellbeing, and health status were taken at baseline and repeated at two weeks post intervention. Baseline and post intervention scores were compared using nonparametric analysis.

Results
Sixty participants (73% female), median age 50.5 years (range 17 to 74), 93% reporting symptoms persisting for 12 weeks or longer, completed the fatigue management intervention. All participants reported moderate to severe fatigue impacting on everyday activity at baseline. The greatest impact of fatigue was on engagement in leisure and work activity. Statistically significant improvement in fatigue (p < 0.001), wellbeing (P < 0.001) and health status (P < 0.001) were noted following the intervention.

Conclusions
Findings indicate the potential of occupational therapy fatigue management interventions to enable self management strategies and reduce the negative impact of fatigue among people with post COVID-19 condition.

Open access, https://journals.lww.com/ajpmr/abst..._fatigue_management_intervention_for.341.aspx

 

This is exactly why the saying "lies, damned lies and statistics" was invented. Those programs make no difference in outcomes, yet somehow they report so anyway. Those clinics are almost universally reported as being useless at best, harmful and disrespectful at worse. Even positive comments about the experience almost always conclude with some variation of "but it made no difference".

70% completion rate and it's the usual "teaching about fatigue" where patients simply adjust to a lower level of function. At least they're not teaching to be more active in order to build up, but this is no different than 'teaching' poor people to suck it up and reporting they're 'managing' their poverty well by eating less or sleeping in a cold room and so on.

And we must be well above 100 nearly identical studies at this point. What a complete waste.