Mind over fatigue: could a 3-Day program tame long COVID?
NCT ID NCT07697261
First seen Jul 13, 2026 · Last updated Jul 14, 2026 · Updated 1 time
Summary
This trial compares two approaches for managing long COVID fatigue: the Lightning Process, a mind-body program that teaches ways to change thought patterns and body responses, versus activity pacing, which helps balance rest and daily tasks. One hundred adults aged 18 to 65 with long COVID will be randomly assigned to one of the two groups. The study is conducted entirely online, and the main goal is to see which method better reduces fatigue after 12 months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Lightning Process (mind-body intervention)
- What this could lead to
- If effective, this could offer a non-drug approach to manage long COVID fatigue and improve daily life.
- What could go wrong
- This is a small trial (100 people) testing a behavioral intervention, so results may not apply widely. The Lightning Process is not a medical treatment and may not work for everyone.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Nov 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * The inclusion criteria for participants are: 1. Adults aged 18 to 65 years 2. Meeting the WHO clinical case definition for long COVID and 3. Self-reported experiencing long COVID symptoms such as fatigue, muscle pain, and brain fog. 4. Reporting a minimum score of ≥35 on the Checklist Individual Strength CIS-fatigue domain. 5. Able to speak and read English 6. Scoring higher in contemplation, action or maintenance scores than the precontemplation phase on the readiness to change questionnaire 7. Provides consent for study participation. 8. Consistent access to an internet-connected device (e.g., smartphone, tablet, laptop) that can facilitate access to the study interventions. Exclusion Criteria: * The exclusion criteria are: 1. Long COVID participants whose presentation is primarily restricted to anosmia. 2. Participants with Post-Intensive Care Syndrome (PICS) or serious organic sequelae of COVID-19, such as structural lung injury attributable to mechanical ventilation or other organ damage requiring ongoing specialist management. 3. Participants who will not be able to attend intervention sessions or follow up visits due to anticipated significant life changes or relocation. 4. Unable to provide informed consent (e.g. cognitive disability, language barrier) 5. Co-morbidities that likely to impair function for as long or longer than long COVID 6. Current participation in psychotherapy, structured physical rehabilitation (e.g., physiotherapy or occupational therapy), or another trial that does not permit co-enrollment.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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Other studies related to the condition(s) this trial covers.
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