Vital yet Fragile: Informal Networks of Support Among Young People Navigating Long Covid.

Introduction: Young people living with Long Covid face challenges accessing health care and social support. Previous qualitative research in the UK has described the 'invalidation' of Long Covid illness experience. It has been said that there is a 'double invisibility' produced by narratives that mi...

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Published in:Health Expectations Vol. 29; no. 2; pp. 1 - 19
Main Authors: Clarke, Zaira, Cowan, Hannah, Rhodes, Tim, Fernes, Praveena, Haines, A., Leal, Lucinda
Format: research tables/charts Journal Article
Published: Wiley-Blackwell Apr2026
Online Access:View this record in EBSCOhost
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      dt: Apr2026
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      pub: Wiley-Blackwell
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        atl: Vital yet Fragile: Informal Networks of Support Among Young People Navigating Long Covid.
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          Clarke, Zaira
          Cowan, Hannah
          Rhodes, Tim
          Fernes, Praveena
          Haines, A.
          Leal, Lucinda
        affil: London School of Hygiene and Tropical Medicine, London, UK
      sug:
        subj:
          Post-Acute COVID-19 Syndrome Psychosocial Factors
          Post-Acute COVID-19 Syndrome Psychosocial Factors
          Post-Acute COVID-19 Syndrome Therapy
          Online Social Networking
          Support Groups United Kingdom
          Self-Advocacy
          Support, Social
          Human
          Funding Source
          Male
          Female
          Adolescence
          Young Adult
          Adult
          Qualitative Studies
          Thematic Analysis
          Semi-Structured Interview
          Prospective Studies
          United Kingdom
          Purposive Sample
          Grounded Theory
          Data Analysis Software
          Health Services Accessibility
          Neurodiversity
          Persons with Disabilities
          Adolescent: 13-18 years
          Adult: 19-44 years
          Male
          Female
      ab: Introduction: Young people living with Long Covid face challenges accessing health care and social support. Previous qualitative research in the UK has described the 'invalidation' of Long Covid illness experience. It has been said that there is a 'double invisibility' produced by narratives that minimise the effects of Covid‐19 among young people, which combine with a generalised lack of awareness of Long Covid itself. In this analysis, we look beyond the well‐documented networks of online self‐help and advocacy to trace how young people navigate, connect and maintain multi‐sited alternative care networks to manage their everyday experiences of Long Covid. Methods: We draw on the analysis of qualitative interviews with 54 young people aged 15–25 with long‐term health impacts from Covid‐19, of whom 30 also participated in follow‐up interviews. The sample includes young people with multiple genders, who identify with a range of ethnic identities, and who have experience of neurodiversity or additional disabilities. Interview transcripts were analysed to identify key themes, in collaboration with a group of peer researchers who are co‐authors on this study. Results: We find that the informal networks that are navigated and created by young people play a vital role, but that they are also fragile. We present our findings across four themes—how informal networks afford young people validation in different ways; the material differences informal networks bring to young people's lives; the work that young people do to build and maintain these networks; and the fragility of support networks. We show that informal networks are not simply identified and found, but that they are 'made to work' by young people who do the work that brings informal networks together and that holds them in place. Conclusion: We conclude that there is a need to strengthen the vital work of informal care that is done by young people, but that alternative care networks should not be seen simply as a means of 'filling the gaps' of inadequate care. There is a need to build infrastructures that properly integrate formal with informal care in direct response to young people's experiences of Long Covid. Patient or Public Contribution: This qualitative study was undertaken in close collaboration with community partners and co‐produced with young people affected by Long Covid, using participatory methods. Young people affected by Long Covid were involved in a series of consultations, workshops and meetings focused on the analysis of data and their development into project outputs, including as authors of this paper.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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