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NCT05057260: LOCOMOTION

LOng COvid Multidisciplinary Consortium: Optimising Treatments and servIces Across the NHS (LOCOMOTION)

Status unknown Last updated 3 November 2022
What this trial tests

trial testing No drug invervention in COVID-19 in 7,000 participants. Status unknown.

Timeline
18 January 2022
Primary endpoint
31 December 2023
31 December 2024

Quick facts

Lead sponsorUniversity of Leeds
StatusStatus unknown
Study typeOBSERVATIONAL
Enrollment7,000
Start date18 January 2022
Primary completion31 December 2023
Estimated completion31 December 2024
Sites1 location across United Kingdom

Drugs / interventions tested

Conditions studied

Sponsor

University of Leeds

Who can join

18 and older, any sex, with COVID-19. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Background: Long Covid (LC) affects over one million people in the UK, it has various symptoms and impacts daily life. Although there are 83 LC clinics in England, most people have not had access to them, and waiting times to be seen are long. We realise the urgency for LC patients to access prompt and appropriate care in clinics and doctors' surgeries, as well as manage their symptoms effectively at home. Aim:Our research aims to produce a 'gold standard' for care by analysing what is happening to patients now, creating new systems of care and evaluating them to establish best practice. Outline Of Research: This research has been developed with LC patients and will continue to include patients working as equal partners. Key priorities of LC patients are: correct clinical assessment; advice and treatment; and help with returning to work and other roles. This research is also based on the experience of a wide range of NHS professionals already treating people in ten LC clinics across the UK, and led by academics (universities) with links to other LC funded studies. The research will take place in three settings: LC clinics; at home (including self-monitoring on a mobile device using a set of questions on symptoms built into an app); and in doctors' surgeries. We will track where patients are being referred or not referred, and learn from the experience of clinics by interviewing patients and recording outcomes. Throughout, specialists in 'Healthcare Inequality' will reach people who are not accessing clinics. We will put in place new processes in clinics and doctors' surgeries, monitored throughout to make sure they are the correct standard, accessible for patients and staff, and cost-effective. Outcomes: Comparing findings across our partnership of ten LC Clinics we will learn more about treatment, providing real-time education to other healthcare staff and patients, and establishing a 'gold standard' that can be shared within England and the rest of the UK.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Impact of COVID-19 on Cardiovascular Disease.
    Vosko I, Zirlik A, Bugger H. · · 2023 · cited 62× · PMID 36851722 · DOI 10.3390/v15020508
  2. LOng COvid Multidisciplinary consortium Optimising Treatments and servIces acrOss the NHS (LOCOMOTION): protocol for a mixed-methods study in the UK.
    Sivan M, Greenhalgh T, Darbyshire JL, Mir G, et al · · 2022 · cited 51× · PMID 35580970 · DOI 10.1136/bmjopen-2022-063505
  3. What is quality in long covid care? Lessons from a national quality improvement collaborative and multi-site ethnography.
    Greenhalgh T, Darbyshire JL, Lee C, Ladds E, et al · · 2024 · cited 20× · PMID 38616276 · DOI 10.1186/s12916-024-03371-6
  4. Towards evidence-based and inclusive models of peer support for long covid: A hermeneutic systematic review.
    Mullard JCR, Kawalek J, Parkin A, Rayner C, et al · · 2023 · cited 20× · PMID 36708608 · DOI 10.1016/j.socscimed.2023.115669
  5. Psychometric analysis of the modified COVID-19 Yorkshire Rehabilitation Scale (C19-YRSm) in a prospective multicentre study.
    Smith A, Greenwood D, Horton M, Osborne T, et al · · 2024 · cited 13× · PMID 38724221 · DOI 10.1136/bmjresp-2023-002271
  6. Improving quality in adult long covid services: Findings from the LOCOMOTION quality improvement collaborative.
    Darbyshire J, Greenhalgh T, Bakerly ND, Balasundaram K, et al · · 2024 · cited 7× · PMID 39181334 · DOI 10.1016/j.clinme.2024.100237
  7. Digital home monitoring for capturing daily fluctuation of symptoms; a longitudinal repeated measures study: Long Covid Multi-disciplinary Consortium to Optimise Treatments and Services across the NHS (a LOCOMOTION study).
    Mansoubi M, Dawes J, Bhatia A, Vashisht H, et al · · 2023 · cited 5× · PMID 37553189 · DOI 10.1136/bmjopen-2022-071428
  8. What Can We Learn Four Years On? A Multi-Centre Service Evaluation Exploring Symptoms, Functional Impact, Recovery and Care Pathways in Long Covid.
    Lee C, Williams P, Abrahams A, Darbyshire J, et al · · 2025 · cited 1× · PMID 41199609 · DOI 10.1111/hex.70435

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