Digitally Enabled Prehabilitation in a Community-based Setting for Patients Undergoing Lung Cancer Surgery
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 25
- 试验地点
- 2
- 主要终点
- Feasibility of the intervention
研究概览
简要总结
Major surgery has been linked to running a marathon as in both represent large endeavours where the body will experience an increase in demands to supply the necessary energy. It has been alledged that, as one would train to prepare for a marathon, the same should be applied to surgery. The process of getting ready and/or fitter for surgery is frequently referred to as prehabilitation and it usually involves interventions on improving nutrition and diet, getting fit and improve emotional wellness. Prehabilitation can improve the recovery after surgery and reduce the time spent in hospital afterwards. This research seeks to determine whether a home based program of increased physical activity and breathing training can improve patients' physical and respiratory function in preparation for lung cancer surgery.
详细描述
Patients with lung cancer who are scheduled to undergo lung resection surgery will be provided with a digitally-enabled, remotely-monitored prehablitation program. The intervention will consist of the following components: i) general education; ii) inspiratory muscle training; iii) physical activity coaching; and iv) home-based exercise training. The program will be supported with a mobile app and weekly telehealth sessions with one experienced physiotherapist. Participants will be assessed at baseline and at the end of the intervention, prior to surgery. Participants will be contacted and scheduled to undergo face-to-face assessments on lung function, respiratory muscle strength, and functional capacity both at baseline and after the prehabilitation program.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosis of lung cancer and scheduled for lung resection surgery
- •Ability to understand and speak English to follow instructions and complete the intended assessments.
- •Age ≥ 18 years at the point of baseline screening
- •Provide written informed consent for the trial
- •Sufficient digital literacy to use a smartphone and mobile app
- •No contraindications for exercise
排除标准
- •Other cancer diagnoses than lung cancer
- •Surgery scheduled in less than one week
- •Unstable psychiatric, cognitive or substance abuse disorders that would interfere with cooperation with the requirements of the trial
结局指标
主要结局
Feasibility of the intervention
时间窗: From enrollment to the end of the study approximately one week after surgery
Feasibility of the intervention determined by enrolment rate (number of patients who accept participation in the trial vs. number of eligible patients)
App usability and acceptability
时间窗: Within one week before surgery
The app usability will be measured with a questionnaire (the mHealth App Usability Questionnaire). The questionnaire consists of 21 items on a likert scale ranging from 1 (disagree) to 7 (agree) assessing different domains of a mHealth app. A median of 4.5 out of 7 across all domains will be considered as high usability and acceptability.
次要结局
- Safety of the intervention(From enrollment to the end of the program before surgery)
- Inspiratory Muscle Strength(Within one week before surgery)
- Diaphragmatic excursion and thickness(Within one week before surgery)
- Lung function(Within one week before surgery)
- Self-efficacy(Within one week before surgery)
- Participant satisfaction(Within one week before surgery)
- Health Related Quality of Life(Within one week before surgery)
- Recovery from surgery(Within one week before surgery)