RT journal article T1 Enhancing exercise intervention for patients with post-acute COVID-19 syndrome using mobile health technology: The COVIDReApp randomised controlled trial protocol A1 Salvador Ruiz, Andrés José A1 Moral Muñoz, José Antonio A1 Salazar Couso, Alejandro A1 Lucena Antón, David Manuel A1 Sola Perea, Helena de A1 Failde Martínez, Inmaculada A1 Dueñas Rodríguez, María Ángeles A2 BiomedicinaBiotecnología y Salud Pública A2 Economía General A2 Enfermería y Fisioterapia A2 Estadística e Investigación Operativa K1 COVIDReApp K1 exercise K1 long COVID K1 mHealth K1 mobile health K1 post-acute COVID-19 syndrome K1 Post-COVID-19 condition K1 smartphone K1 telerehabilitation AB Objectives: To analyse the effectiveness of a physical exercise programme guided by a mobile health technology system (COVIDReApp) for patients with post-acute COVID-19 syndrome. This syndrome is a multisystem disease that occurs in people with a history of COVID-19 between 1 and 3 months after the onset of the disease. This study will assess the impact of the intervention on fatigue, post-exertional dyspnoea, quality of life, pain severity, physical fitness, anxiety, depression and cognitive function. We also aim to analyse whether there are associations between the variables studied and the evolution of these associations during follow-up. Design: A single-blind randomised controlled trial. Methods: One hundred patients diagnosed with post-acute COVID-19 will be enrolled and randomly assigned to two groups. The experimental group will perform the intervention through a physical exercise programme guided by the COVIDReApp system, whereas the control group will perform the programme in paper format. Study outcomes will be collected at baseline and at 4, 12 and 24 weeks. Student's t-tests or Mann–Whitney U-tests will be used to analyse differences between groups, mixed ANOVA for differences over time and longitudinal structural equations for associations between variables at follow-up. Discussion: This study is based on current evidence regarding exercise prescription recommendations for patients with post-acute COVID-19 syndrome. Our intervention is supported by a solid theoretical framework; however, challenges include tailoring the physical exercise programme to everyone's predominant symptoms and ensuring adherence to the programme. Trial registration number: NCT05725538. PB SAGE Publications Inc. SN 2055-2076 YR 2024 FD 2024 LK http://hdl.handle.net/10498/35951 UL http://hdl.handle.net/10498/35951 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 05-nov-2026