# Participant engagement in a national longitudinal study of COVID-19: Insights from the INSPIRE study

## TL;DR

This study explores what motivates people to join and stay engaged in a long-term, virtual study about COVID-19.

## Contribution

The paper provides new insights into participant engagement in decentralized, longitudinal health research.

## Key findings

- Participants were motivated to learn about COVID-19 but had mixed views on the study's relevance.
- Users faced challenges with the virtual platform and desired less mentally taxing surveys.
- Participants wanted more frequent updates on study results and clearer communication.

## Abstract

To examine participants’ motivations and their experiences throughout a decentralized, longitudinal COVID-19 study in the U.S.

We recruited 355 participants from the Innovative Support for Patients with SARS-CoV-2 Infections Registry (INSPIRE) between November 2022 – March 2023 to answer five qualitative survey questions anonymously. We used an inductive content analysis approach to analyze the data.

We identified five key themes from the analysis, which reflected participants’ a) motivations to join the study, b) study benefits, c) perceptions of survey questions, d) experiences with the research process, and e) preferences for disseminating research findings. Participants were motivated to learn with researchers about COVID-19. They expressed divided opinions about the relevance of INSPIRE research questions. They reported difficulties navigating the virtual research platform and the need for making survey participation less cognitively demanding. They sought more regular feedback on study findings.

Our findings offered insights into incorporating decentralized participatory methods in longitudinal research, strengthening reciprocal research communications, making virtual research platforms user-friendly, and employing strategies to reduce participants’ cognitive burden in research.

Longitudinal studies should focus on optimizing these aspects of participant engagement to produce rigorous findings that inform policy and practice on lasting effects of COVID-19 including Long COVID.