Does a Technology Enabled Multi-disciplinary Team-based Care Model for the Management of Long COVID and Other Fatiguing Illnesses Improve Clinical Care of Patients and Represent a Sustainable Approach Within a Federally Qualified Health Center?

Patient symptom checklist with associated severity for those present

Patient baseline and quarterly surveys, None, Mild, Moderate, Severe

Time frame: During 12 months of follow-up

If symptom is present, has patient experienced this in the past month

Patient baseline and quarterly surveys, Yes/No

Time frame: During 12 months of follow-up

If symptom is present, how long has patient experienced this symptom

Patient baseline and quarterly surveys, Under 3 Months, 3 Months or longer

Time frame: During 12 months of follow-up

If symptom is present, did patient have this symptom before the patient tested positive for COVID-19?

Patient baseline and quarterly surveys, Yes/No

Time frame: During 12 months of follow-up

If symptom is present, during the past month how often have the patient had this symptom?

Patient baseline and quarterly surveys with use of Likert scale

Time frame: During 12 months of follow-up

If symptom is present during the past month, how bad was this symptom?

Patient baseline and quarterly surveys with use of Likert scale

Time frame: During 12 months of follow-up

For symptoms present, do any of them get worse for at least 24 hours after engaging in activities (physical or mental) that patient was used to doing with no problems?

Patient baseline and quarterly surveys with Yes/No/Not Applicable/Don't Know

Time frame: During 12 months of follow-up

If fatigue, tiredness, or exhaustion is present, doesn't patient describe it as feeling it come on all of a sudden, or slowly over time

Patient baseline and quarterly surveys with All of sudden, Slowly over time, Not applicable, Don't know

Time frame: During 12 months of follow-up

If fatigue present, what month and year did the fatiguing illness begin?

Patient baseline and quarterly surveys, estimated month and year

Time frame: During 12 months of follow-up

When fatigued, does rest make patient's fatigue better?

Patient baseline and quarterly surveys, Yes a lot, Yes a little, No not very much, Not applicable, Don't know

Time frame: During 12 months of follow-up

When fatigued, has this fatigue substantially limited the patient's ability to occupational, educational, social, or personal activities?

Patient baseline and quarterly surveys, Yes, No, Not applicable, Don't know

Time frame: During 12 months of follow-up

Patient's medical history check-list

Patient baseline survey, Yes, No, Unsure

Time frame: Through study referral period, an average of 12 weeks

Patient's dietary restrictions

Patient baseline survey, No, Vegan, Vegetarian, Ketogenic, Gluten-free, Dairy-free, Intermittent fasting, Other

Time frame: Through study referral period, an average of 12 weeks

Patient's food allergies or other food intolerances

Patient baseline survey, Yes/No

Time frame: Through study referral period, an average of 12 weeks

Has patient's employment been impacted due to contracting COVID-19?

Patient baseline survey, Yes, No

Time frame: Through study referral period, an average of 12 weeks

Patient's frequency to complete 150-minutes per week of moderate-intensity physical activity (like a brisk walk, slow biking, gardening, or ballroom dancing) prior to contracting COVID-19

Patient baseline survey, Every week, Most weeks, Some weeks, Very few weeks, Never, I do not know

Time frame: Through study referral period, an average of 12 weeks

Patient's frequency to complete 150-minutes per week of vigorous-intensity physical activity (like running, swimming laps, competitive sports, or fast bicycling) prior to contracting COVID-19

Patient baseline survey, Every week, Most weeks, Some weeks, Very few weeks, Never, I do not know

Time frame: Through study referral period, an average of 12 weeks

Did patient receive a COVID-19 PCR (nasal swab) test

Patient baseline survey, Yes/No

Time frame: Through study referral period, an average of 12 weeks

Did patient receive a COVID-19 antibody test

Patient baseline survey, Yes/No

Time frame: Through study referral period, an average of 12 weeks

Patient symptom onset

Patient baseline survey, Date

Time frame: Through study referral period, an average of 12 weeks

Patient reported medications used for COVID-19 symptoms

Patient baseline survey, free text

Time frame: Through study referral period, an average of 12 weeks

Patient reported prescribed supplementary oxygen support

Patient baseline survey, Yes/No

Time frame: Through study referral period, an average of 12 weeks

Patient reported admittance to hospital due to COVID-19

Patient baseline and quarterly surveys, Yes/No

Time frame: During 12 months of follow-up

Do any of the following activities exacerbate patients symptoms: Physical exertion, Diet Changes, Big Meal, Dehydration, Weather changes (hot and humid), Tight clothing, Stress or anxiety, Pre Menstrual period, Menstrual period, Alcohol consumption

Patient baseline and quarterly surveys, Yes/No

Time frame: During 12 months of follow-up

Does patient feel fully recovered from COVID-19

Patient quarterly surveys, Yes/No

Time frame: During 9 months of follow-up

Currently minutes per week of moderate-intensity physical activity patient does (like a brisk walk, slow biking, gardening, or ballroom dancing)

Patient quarterly surveys, free text

Time frame: During 9 months of follow-up

Currently minutes per week of vigorous-intensity physical activity patient does (like running, swimming laps, competitive sports, or fast bicycling)

Patient quarterly surveys, free text

Time frame: During 9 months of follow-up

Patient Health Questionnaire (PHQ)-2

Patient baseline and quarterly surveys

Time frame: During 12 months of follow-up

Patient Health Questionnaire (PHQ)-9 (if applicable)

Patient baseline and quarterly surveys

Time frame: During 12 months of follow-up

PROMIS Dyspnea Functional Limitations and Severity Short Forms

Patient baseline and quarterly surveys

Time frame: During 12 months of follow-up

PROMIS Applied Cognition Abilities and General Concerns Short Forms

Patient baseline and quarterly surveys

Time frame: During 12 months of follow-up

Generalized Anxiety Disorder (GAD)-7

Patient baseline and quarterly surveys

Time frame: During 12 months of follow-up

2-minute step test

Physical Therapy assessment with patient

Time frame: During 12 months of follow-up

30 sec sit to stand test

Physical Therapy assessment with patient

Time frame: During 12 months of follow-up

Grip strength

Physical Therapy assessment with patient

Time frame: During 12 months of follow-up

Functional Gait Assessment

Physical Therapy assessment with patient

Time frame: During 12 months of follow-up

Balance tasks

Physical Therapy assessment with patient

Time frame: During 12 months of follow-up

Post-exertional malaise follow-up

Follow-up Physical Therapy appointment with patient, Not at all, A little bit, Somewhat, Quite a bit, Very much

Time frame: Per Physical Therapy encounter after PT assessment