None listed
Conditions
Brief summary
This study aims to evaluate the feasibility of Virtual Surgery School (VSS) for patients scheduled to undergo major abdominal cancer surgery. Who is it for? You may be eligible to join this study if you are aged 18 years or above and are scheduled to undergo upper gastrointestinal surgery (including oesophagectomy), lower gastrointestinal surgery (including pelvic exenteration) or major sarcoma procedures of at least 120 minutes duration at the Peter MacCallum Cancer Centre. Study details: Participants in this study will be allocated to one of two groups based on individual participant preference. One group will participate in our established, well-received hospital based 'Surgery School'. The other will participant in Virtual Surgery School (VSS) using a live Webinar platform, which they can access, anywhere there is an internet connection (e.g. home/community centre). Patients who choose not to participate will receive standard care comprising of general information incorporated into routine care pre-anaesthetic clinic appointments. Surgery School is a pre-operative education pack which includes six information modules; Introduction to Surgery School, aCOUGH, Nausea and pain management, Nutrition, Exercise and Psychological Prehabilitation. These are delivered by presenters from our multidisciplinary team (Physiotherapist, Anaesthetist, Pain Nurse, Psychologist) either in person or via live webinar. It is hoped that the virtual method of assessing Surgery School will reduced inequities to this proven prevention initiative for patients who are unable to attend the hospital.
Interventions
Pre-operative education pack entitled ' Surgery School' includes six informational modules based on current evidence. Information is delivered in one session anytime from 2 weeks and up to 6 weeks prior to anticipated surgery date via either in-person presentations at the hospital (3 hour session, approximately 20mins per module) or via a web-based webinar platform (1.5 hour session, approximately 10mins per session) which patients can access anywhere they have an internet connection e.g. home/f
Pre-operative education pack entitled ' Surgery School' includes six informational modules based on current evidence. Information is delivered in one session anytime from 2 weeks and up to 6 weeks prior to anticipated surgery date via either in-person presentations at the hospital (3 hour session, approximately 20mins per module) or via a web-based webinar platform (1.5 hour session, approximately 10mins per session) which patients can access anywhere they have an internet connection e.g. home/friend's house/community centre. Surgery School includes: - Introduction to Surgery School - aCOUGH: targeted pulmonary optimisation package using active cycle of breathing technique, oral care, early mobilisation and bed head elevation - Pain management: discussion of expectation of pain after surgery, multimodal analgesia and analgesic delivery options - Nutrition: discussion of nutritional optimisation before and after surgery - Psychology: discussion of psychological preparedness for surgery - Exercise: discussion of exercise optimisation before and after surgery - ERAS: evidence-based multimodal perioperative care pathway designed to achieve early recovery after major surgery that has been proven to lower postoperative complication rates. The intervention will be delivered by presenters from our multidisciplinary team (Physiotherapist, Anaesthetist, Pain Nurse, Psychologist and Dietitian).
Sponsors
Peter MacCallum Cancer Centre
Study design
Allocation
Non-randomised trial
Primary purpose
Educational / counselling / training
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
- Greater than 18 years of age - Upper gastrointestinal surgeries including oesophagectomy, lower gastrointestinal operative including pelvic exenteration and major sarcoma procedures - Anticipated to have >1 day length of stay - Anticipated surgery of greater or equal to 120 minutes. - Sufficient English language skills to understand and follow the aCOUGH pathway. There is no time period restriction prior to surgery in place for this study as it gives the research team an indication of feasibility if there is not enough time to provide the intervention.
Exclusion criteria
- Insufficient English to understand study requirement - Documented history of cognitive impairment
Outcome results
None listed