Occupational Therapy-Based Energy Management Education in People with Post-COVID-19 Condition-Related Fatigue: Results from a Focus Group Discussion

Hersche-Cupelli, Ruth and Weise, Andrea (2022) Occupational Therapy-Based Energy Management Education in People with Post-COVID-19 Condition-Related Fatigue: Results from a Focus Group Discussion. Occupational Therapy International, 2022.

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Abstract

Persons with post-COVID-19 condition have prolonged symptoms and longer-term consequences prevent them from returning to previous everyday functioning. Fatigue is the most frequent symptom reported in literature. Occupational therapists (OTs) are specialized in client-centered problem analysis, counseling, and education to recover occupational engagement and performance in everyday life. Since the beginning of the COVID-19 pandemic, OTs have been challenged to respond with services adequate to the needs of this patient group. Energy management education (EME) was initially developed for persons with multiple sclerosis related fatigue and then made independent of diagnosis suitable to persons living with chronic diseases-related fatigue. EME, a structured self-management education is becoming a part of the new services. The aim of this study was to explore the initial experiences of OTs using the EME-protocol and materials with persons with post-acute COVID-19 and/or post-COVID-19 condition-related fatigue and to gather their recommendations for improvements and adaptions. One online focus group discussion took place in May 2021 with OTs experienced in using the EME-protocol. The topics addressed were the institutional context of the OTs and their experiences during the treatment. A thematic analysis was performed. According to nine OTs working in different settings in Switzerland, the EME-protocol is exploitable in both in- and outpatient settings and was judged appropriate by them, even if the EME materials can be improved. The main challenges for the OTs were the short period their patients had lived with fatigue; the discrepancy between self-concept, self-perception, and performance; and the insecurity, fear, and anxiety related to recovery. Further research is needed to include the perspective of EME-participants and to measure quantitative outcomes such as fatigue impact, self-efficacy, occupational performance and quality of life. Until the existing EME protocol is improved, it is applicable to persons with post-COVID-19 condition-related fatigue.

Item Type:	Scientific journal article, Newspaper article or Magazine article
Subjects:	Subjects Allied to Medicine > Others in subjects allied to medicine > Occupational therapy Subjects Allied to Medicine > Others in subjects allied to medicine > Counselling Education > Others in education Education > Others in education > Education not elsewhere classified
Department/unit:	Dipartimento economia aziendale, sanità e sociale > Laboratorio di ricerca in riabilitazione
Depositing User:	Ruth Hersche-Cupelli
Date Deposited:	26 Apr 2022 09:45
Last Modified:	26 Apr 2022 10:11
URI:	http://repository.supsi.ch/id/eprint/13331

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