Oncology, Prehabilitation, Surgical Oncology
Conditions
Brief summary
Frailty is a state of increased vulnerability to stressors with increased rates of poor outcomes. Surgery is one of these stressors, and previous research has therefore shown increased rates of morbidity and mortality in frail patients undergoing surgery. Prehabilitation programs can help mitigate the negative outcomes associated with frailty. The investigators hope to implement a newly developed prehabilitation pilot program in the Maine Medical Center Surgical Oncology Clinic to initially evaluate adherence, self-efficacy, and health-related quality of life.
Detailed description
Frailty is a state of increased vulnerability to stressors with increased rates of poor outcomes. Surgery is one of these stressors, and previous research has therefore shown increased rates of morbidity and mortality in frail patients undergoing surgery. Prehabilitation programs can help mitigate the negative outcomes associated with frailty. The investigators hope to implement a newly developed prehabilitation pilot program in the Maine Medical Center Surgical Oncology Clinic to initially evaluate adherence, self-efficacy, and health-related quality of life. The investigators now hope to implement this prehabilitation program in the clinics at Maine Medical Center. Our long term goal is the introduce this program in all surgical specialties; but first, the investigators plan to assess adherence, patient self-efficacy, frailty and health-related quality of life through a pilot study in the surgical oncology clinic.
Interventions
OTHERThinkific Prehabilitation Exercise Program
Prehabilitation exercise program through the Thinkific platform
Sponsors
Tufts Medical Center
MaineHealth
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Subjects ≥18 years old 2. Evaluated at Maine Medical Center by surgical oncology service 3. Planned surgical intervention for gastrointestinal oncologic condition 4. Score ≥40 on Risk Analysis Index frailty screening 5. Physically able to participate in prehabilitation exercises 6. Home internet access and established email account 7. Able to understand the English language
Exclusion criteria
1. Patients unable to participate in exercises included in prehabilitation program 2. Patients with impaired decision making capacity 3. Those in a high risk community: prisoners and pregnant women 4. Those who do not meet the above inclusion criteria
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Participant adherence to prehab program | Through study completion, on average 3 months | Evaluate adherence through analysis of patient maintained exercise logs via number of days completed |
| Correlation between patient pre-program self-efficacy evaluation and measured adherence to study prehabilitation program | Through study completion, on average 3 months | Assess self-efficacy by evaluating the relationship between pre-program Self-Efficacy for Home Exercise Program Scale (0-72) score and adherence. |
| Patient Satisfaction | Last day of prehabilitation program (within week prior to surgery) | Assess patient satisfaction and barriers to adherence through a post prehab program survey. |
| Quality of Life (Short Form- 36 Survey) | Completed at Day 0, Two weeks, Four weeks and Last day of prehabilitation program (within week prior to surgery) | Evaluate change in health-related quality of life before and after participation in the prehabilitation program. |
| Frailty (Risk Analysis Index) | Evaluated on Day 0 and at last visit prior to surgery, an average of 3 months | Evaluate change in frailty using Risk Analysis Index before and after participation in the prehabilitation program. |
Countries
United States
Contacts
Primary ContactLaura Nicolais
Outcome results
None listed