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Narrative Intervention for Long COVID (NICO): A Proof of Concept Pilot Study.

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Title: Narrative Intervention for Long COVID (NICO): A Proof of Concept Pilot Study.
Authors: Johnson-Koenke, Rachel, Baker, Emma, Kessinger, Steaphine, Reinken, Desiree, Crisp, Amy, Jones, Jacqueline
Source: Social Work Research. Sep2025, Vol. 49 Issue 3, p193-200. 8p.
Subjects: Psychotherapy, Health services accessibility, Self-evaluation, Social media, Conceptual models, Human services programs, Research funding, Mental health services, Post-acute COVID-19 syndrome, Pilot projects, National Institutes of Health (U.S.), Questionnaires, Interviewing, Treatment effectiveness, Descriptive statistics, Psychology, Social case work, Chronic diseases, Telemedicine, Pre-tests & post-tests, Thematic analysis, Research methodology, Communication, Videoconferencing, Conceptual structures, Concepts, Patients' attitudes, Integrated health care delivery, Mental depression, Patient participation, Video recording, Psychosocial factors
Geographic Terms: United States
Abstract: People living with long COVID have high symptom burden and experience difficulties with adjustment to illness, often including worsened mental health symptoms. Mental health providers are in high demand with an increase in burnout. Improving access and availability to mental health services, while not further contributing to provider burnout, is crucial as demand for services increases. Using a sequential mixed-methods study design, Narrative Intervention for Long COVID (NICO) aimed to establish acceptability and feasibility for an asynchronous therapeutic narrative-based intervention for people living with long COVID. Participants self-reported living with long COVID. Measures including the Personal Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder scale (GAD-7) were administered at baseline and three months. Semistructured interviews were conducted at three months. Results were analyzed using descriptive statistics and thematic inquiry. Seventeen participants consented and enrolled, and 12 completed the intervention (71% completion rate). NICO demonstrated preliminary improvement of the primary outcome of depression. Study participants enjoyed the asynchronous interactive text intervention design's flexibility, and it fit into their daily lives. Results suggest that the NICO intervention study provided evidence as a proof of concept. This study offers a potential mechanism to offer psychotherapeutic intervention in an asynchronous format. [ABSTRACT FROM AUTHOR]
Copyright of Social Work Research is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Narrative Intervention for Long COVID (NICO): A Proof of Concept Pilot Study.
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  Data: People living with long COVID have high symptom burden and experience difficulties with adjustment to illness, often including worsened mental health symptoms. Mental health providers are in high demand with an increase in burnout. Improving access and availability to mental health services, while not further contributing to provider burnout, is crucial as demand for services increases. Using a sequential mixed-methods study design, Narrative Intervention for Long COVID (NICO) aimed to establish acceptability and feasibility for an asynchronous therapeutic narrative-based intervention for people living with long COVID. Participants self-reported living with long COVID. Measures including the Personal Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder scale (GAD-7) were administered at baseline and three months. Semistructured interviews were conducted at three months. Results were analyzed using descriptive statistics and thematic inquiry. Seventeen participants consented and enrolled, and 12 completed the intervention (71% completion rate). NICO demonstrated preliminary improvement of the primary outcome of depression. Study participants enjoyed the asynchronous interactive text intervention design's flexibility, and it fit into their daily lives. Results suggest that the NICO intervention study provided evidence as a proof of concept. This study offers a potential mechanism to offer psychotherapeutic intervention in an asynchronous format. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Social Work Research is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1093/swr/svaf016
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      – Code: eng
        Text: English
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        StartPage: 193
    Subjects:
      – SubjectFull: Psychotherapy
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Self-evaluation
        Type: general
      – SubjectFull: Social media
        Type: general
      – SubjectFull: Conceptual models
        Type: general
      – SubjectFull: Human services programs
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      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Mental health services
        Type: general
      – SubjectFull: Post-acute COVID-19 syndrome
        Type: general
      – SubjectFull: Pilot projects
        Type: general
      – SubjectFull: National Institutes of Health (U.S.)
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Psychology
        Type: general
      – SubjectFull: Social case work
        Type: general
      – SubjectFull: Chronic diseases
        Type: general
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      – SubjectFull: Pre-tests & post-tests
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      – SubjectFull: United States
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      – TitleFull: Narrative Intervention for Long COVID (NICO): A Proof of Concept Pilot Study.
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              Text: Sep2025
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