Aim: We aimed to investigate whether personalised health behaviour coaching was feasible and effective at managing symptoms and improving day-to-day activities in individuals with Long COVID-19.

Methods: In this feasibility RCT, 32 individuals with Long COVID-19 symptoms (?12 weeks) were assigned 1:1 to receive personalised health behaviour coaching (comprising motivational interviews, activity and symptom diaries, and weekly telephone consultations), once weekly for 8 weeks, or usual care (referral to your COVID-19 Recovery). Assessments included accelerometer derived daily steps and movement intensity (VMU), the CAT questionnaire, and Chalder Fatigue scale.

Results: Adherence to the weekly telephone consultations and activity/symptom diaries were high and the programme was deemed safe with no exacerbating symptoms for the 27 (age: 45±12 yrs) individuals who completed to the 8-week assessment. We found meaningful improvements in favour of the intervention for accelerometer derived daily steps and VMU, fatigue (Chalder Fatigue scale) and respiratory symptoms (CAT) (Table 1).

Conclusion: The feasibility of delivering a personalised health behaviour coaching intervention to people with Long COVID-19 was high; with good adherence rates and meaningful improvements in daily activity, fatigue, and respiratory symptoms.