Lung Cancer, Prehabilitation
Conditions
Brief summary
The goal of this clinical trial is to learn if Prehabilitation model for Internet+ devicesimprove patients' preoperative status and reduce the postoperative recovery time, postoperative complications，comparing to trditional prehabilitation model. The main questions it aims to answer are: 1. Does the Prehabilitation model for Internet+ devices works out? 2. DoesPrehabilitation model for Internet+ devices better increase the patient's six-minute walk test distance? Participants will: Take Internet+devices model or traditional model to prehabilitation for 2-4weeks. Test 6MWT before operation.
Interventions
BEHAVIORALInternet + wearble device multimodal prehabilitation
Use the Prehabilitation Learning Platform to learn what to do and follow along with the videos for follow up exercises
BEHAVIORALtraditional multimodal prehabilitation
The researchers used a prehabilitation manual to explain to subjects what they needed to do, and the patients went home and practiced on their own, recording the exercises daily
Sponsors
Peking Union Medical College Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Masking description
Block randomized number will be prepared in advance and be hidden in the envelope. At the time of collecting the participants' baseline information, neither the participants nor the investigator knew which intervention the patients would receive. After the information was collected, the envelopes were opened to determine whether participants were assigned to the intervention or control group.
Intervention model description
Prospective randomized clinical trial
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
Yes
Inclusion criteria
1. Age: 18-75 years; 2. adults with suspected lung cancer proposed for VATS lobectomy/sublobar resection.
Exclusion criteria
1. Patient refusal; 2. ASA classification IV or higher; 3. Pre-neoadjuvant chemotherapy; 4. Inability to cooperate (psychiatric abnormalities, impaired consciousness, mental retardation); 5. Comorbidities cannot tolerate home rehabilitation or functional motor examination; 6. Inability to use a smartphone or read Chinese; 7. Average weekly moderate-intensity/high-intensity exercise of \>90min/\>60min.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 6 minute walking test distance, 6MWD | About 2-4 month before surgery(When deciding on surgery), 1 day before surgery, 30 days after surgery | Using 6MWD as the primary assessment of patients' perioperative functional status and the primary endpoint of the study, patients were evaluated at enrollment, before surgery, and 30 days after surgery, respectively. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Length of hospitalization | About 2-4 month before surgery(When deciding on surgery), 1 day before surgery, 30 days after surgery | — |
| postoperative complication | 30 days after surgery | — |
| pulmonary function | About 2-4 month before surgery(When deciding on surgery), 1 day before surgery, 30 days after surgery | FVC |
| Quality of Recovery-15（QOR-15） | About 2-4 month before surgery(When deciding on surgery), 1 day before surgery, 30 days after surgery | A total of 15 questions, each question have 0-10 points, the higher the score means the better the recovery effect |
| NRS2002 Nutritional Risk Screening | About 2-4 month before surgery(When deciding on surgery), 1 day before surgery, 30 days after surgery | — |
| Hospital Anxiety and Depression Scale（HADS） | About 2-4 month before surgery(When deciding on surgery), 1 day before surgery, 30 days after surgery | There are 14 questions in total, with four options for each question ranging from 0 to 3；0 to 7 indicating no symptoms, 8 to 10 indicating suspected anxiety or depression symptoms, and 11 to 21 indicating certain symptoms |
| World Health Organization Disability Assessment Schedule 2.0（WHODAS 2.0） | About 2-4 month before surgery(When deciding on surgery), 1 day before surgery, 30 days after surgery | Questions are on a scale of 1-5, with a lower score indicating that the patient is generally better. |
| grip | About 2-4 month before surgery(When deciding on surgery), 1 day before surgery, 30 days after surgery | Using grip dynamometer to measure the grip strength of the patient's hand, measured in kg |
Contacts
Primary ContactZijia Liu
Backup ContactFan Bu
Outcome results
None listed