Participant experience of Scottish Ballet’s dance-based long COVID support programme: A mixed methods study

Abstract

ObjectivesTo explore participant experience and perceived impacts of an online dance-based long COVID support programme.DesignMixed-methods study using thematic analysis of semi-structured interviews and structured observations, and ordinal scale questionnaire responses.SettingOnline, community-based, with participants in Scotland and England.Participants26 people with self-reported long COVID who participated in the final block of 10 sessions were invited to participate in this study. 13 of these consented, 12 female, 7 White British, 10 English as first language, mean(range) age 57yrs (38-77), symptom duration 27months (17 – 35), and live sessions attended 9.2 (4-17). Two dance leaders also participated in the study.InterventionsAn online dance-based long COVID support programme of live sessions, provided in morning and afternoon slots, 30 to 45 minute duration, and online materials to promote wellbeing and self-management strategies, developed by Scottish Ballet, people with long COVID and healthcare professionals. The block of 10 sessions, from which participants were recruited, ran in September-November 2023. Potential participants were required to confirm they were well enough to participate in the programme.ResultsResponses to closed questions regarding self-reported impacts demonstrated perceived physical and mental health improvements, the programme surpassed participant expectations, and participants would recommend the programme. Qualitatively, we identified four themes 1. Improved experience of symptoms; 2. Increased confidence regarding movement and physical activity; 3. Feeling calm and refreshed; 4: Valuing time spent in a safe space. Facilitators of impact related to content, logistics, and delivery. Few barriers were described. Dance leaders’ responses aligned with those of programme participants.ConclusionsA remotely delivered dance-based intervention for supporting people with long COVID is feasible, with participants consistently reporting that they found it enjoyable and beneficial to their health and wellbeing. Further research to assess impact on clinically validated measures is required.Strengths and Limitations of the study-This is the first known study to explore participant experience in a dance-based support programme for people with long COVID.-The study provides insights into participant perspectives on their experience of movement and ways it might be incorporated into long COVID management.-Small number of participants limits generalisability of the conclusions.-Participants were self-selecting both in accessing the program and the evaluation described here.-Further research is required to assess impact on clinically validated outcome measures.