Post Acute COVID-19 Quality of Life (PAC-19QoL) Tool Development and Patient Registry (PAC-19QoLReg)

This observational study will be conducted in two phases:

Phase 1 - the development of a post-COVID-19 patient reported quality of life measure
Phase 2 - the longitudinal completion of the quality of life tool by post-COVID-19
patients each month for 12 months All participants will complete an online informed
consent form and a demographic questionnaire at the start of their involvement with the
study Phase 1 The study will recruit a minimum of 30 participants and a maximum of 60
participants, 10-20 across three groups: those who were not hospitalised; those who were
hospitalised but not in intensive care units; and those who were hospitalised and in
intensive care units. Investigators will take the first 10-20 participants who match in
each group. If contact is received from participants but their group is already full they
will be asked if they are still be happy to participate in phase 2 and an offer to
contact them when that commences will be made.

Firstly, a novel method (Jandhyala Method) will be used to elicit post-COVID-19 patients'
preferences for a post-COVID-19 quality of life tool. Participants will do this by
completing an Awareness Round survey, this means using free-text responses to ask
participants about the areas of their lives impacted by COVID-19 and those areas they see
as most important to their quality of life. The research team will collate and code these
free text responses then create a comprehensive list of all of those deemed important to
participants who will then be sent a Consensus Round survey to ask how far they agree or
disagree with the inclusion of those items in a quality of life tool. Researchers will
then collate this information, group it into relevant domains and develop a weighting
tool to be sent to participants to ask them to rate the relevant importance of the
different areas to be included, which will be used to create weighted domain and item
scores to be used in a final quality of life tool. We expect for the Awareness round
surveys to be completed within a one month time period and then two weeks will be
allocated for the research team to analyse and finalise the Consensus round survey; the
Consensus round survey will then be open for two weeks, with prompting to participants
after one week if not completed. The research team will then have a further two weeks to
complete the weighting tool and participants will be given a further two weeks to
complete this. At this stage the research team will have a further two weeks to finalise
the Post-COVID-19 quality of life tool and then phase 2 will begin.

In summary:

1. Awareness round online survey (hosted on Survey Monkey) - asking for areas of life
which the participants feel have been impacted by COVID-19, including details and
examples of those impacts

a. The research team will collate and code these responses and generate a list of
statements based on the information provided by participants

2. Consensus round online survey (hosted on Survey Monkey) - the list of statements
will be sent to participants and they will be asked to rate how far they agree or
disagree with the inclusion of these areas in a post-COVID-19 quality of life tool

a. The research team will collate this information, group it into relevant domains
and develop a weighting tool

3. Weighting tool (online Microsoft excel template) - participants will be asked to
weight the individual items and domains for the finalised post-COVID-19 quality of
life tool using an online excel spreadsheet template a. The research team will use
this information to develop the finalised post-COVID-19 quality of life measure to
be completed by participants and to develop the system to score this tool Phase 2 At
this stage the recruitment will be re-opened for additional participants, including
those with a clinical diagnosis regardless of test status, aiming for a minimum of
100 and a maximum of 5000 at this stage, though this will be subject to review.
Recruitment will remain open for time 1 surveys for one year, with a another year
following this to gain the full 12 months of data from participants, again subject
to review. The finalised post-COVID-19 quality of life measure will be hosted on a
secure online system (Castor EDC tm) and participants will be allocated an ID
number. They will be asked to complete this measure at monthly intervals for a
period of 12 months. The research team will analyse the changes over time within and
between groups. Statistical methods for this will be finalised when the measure has
been completed at the end of Phase 1 by our biostatistician.