Cognitive Rehabilitation and Functional Outcomes in Long COVID–Related Cognitive Impairment: A Randomized - Summary - MDSpire

Cognitive Rehabilitation and Functional Outcomes in Long COVID–Related Cognitive Impairment: A Randomized

  • By

  • Martina Vanova

  • Aysha Mohamed Rafik Patel

  • Iona Scott

  • Gina Gilpin

  • Emily N. Manning

  • Charlotte Ash

  • Philippa Wittenberg

  • Jason Lim

  • Zoe Hoare

  • Rachel Evans

  • Nathan Bray

  • Christopher M. Kipps

  • Ciara Devine

  • Saliha Ahmed

  • Ross Dunne

  • Anna Koniotes

  • Catherine Warren

  • Dennis Chan

  • Aida Suarez-Gonzalez

  • July 1, 2026

  • 0 min

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Objective:

To evaluate the efficacy of individualized, goal-oriented cognitive rehabilitation (CR) for people with cognitive impairment associated with long COVID.

Approach:
  • Study Design: Multicenter, single-blind randomized controlled trial (RCT) with a 1:1 allocation ratio to CR or treatment as usual (TAU) conducted in 3 NHS trusts in the UK.
  • Participants: Adults aged 30-60 with prior COVID-19 infection, self-reported cognitive symptoms for over 3 months, and cognitive deficits in at least 2 domains.
  • Intervention: Participants received 10 weekly 1-hour telehealth sessions focusing on 3 personalized goals using the Bangor Goal Setting Interview.
  • Control Group: Participants in the control group received TAU, which varied among individuals and included pharmacological and nonpharmacological treatments.
Key Findings:
  • Cognitive impairment affects over 27% of COVID-19 survivors, impacting quality of life and work.
  • No prior study has evaluated a structured, stand-alone CR program for cognitive impairment in long COVID.
  • CR is based on proven strategies from other neurological conditions and is tailored to individual goals.
Interpretation:

The study aims to fill a gap in research regarding effective interventions for cognitive impairment in long COVID through a structured CR program.

Limitations:
  • The study's findings are based on self-reported measures of goal attainment.
  • TAU varied widely, which may affect the comparability of results.
Conclusion:

This study seeks to provide insights into the effectiveness of CR in improving cognitive outcomes in long COVID patients.

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