Prehab for Lung and Esophageal Cancer
- Conditions
- ExerciseNeoplasmsSurgeryNeoplasm of Lung
- Interventions
- Behavioral: Prehabilitation
- Registration Number
- NCT06354959
- Lead Sponsor
- Nova Scotia Health Authority
- Brief Summary
Research indicates that individuals diagnosed with lung or esophageal cancer who enter treatment with higher functional capacities, improved body composition, and better nutrition status tend to experience better outcomes and a higher quality of life. The primary objective of a prehabilitation health coaching program is to enhance the overall health and well-being of patients before they undergo major surgery.This personalized 8-week program encompasses elements such as nutrition, smoking cessation, sleep hygiene, and movement, equipping participants with the knowledge and tools needed to adopt healthier lifestyles.
- Detailed Description
The purpose of this study is to explore the implementation, feasibility and effectiveness of a community-based prehabilitation health coaching program, including nutrition, smoking cessation, sleep hygiene and movement for individuals scheduled to undergo surgery for lung or esophageal cancer.. Participants will have the option to engage in a one-on-one prehabilitation health coaching program tailored to their needs, led by a Qualified Exercise Professional (QEP). The personalized prehabilitation plan will encompass 4-6 in-person or virtual meetings before surgery, including a structured movement plan, education on smoking cessation, sleep quality, stress reduction, mindfulness, and nutrition. Post-surgery, the QEP will provide support through counselling and scheduled sessions for a month after surgery and include one session while the patient is in hospital.
This research adopts a repeated measure, mixed-methods approach. Participants will undergo three clinical assessments at different stages: baseline, pre-surgery, and 4-6 weeks post-surgery. The findings from this study will guide future grant applications aimed at funding larger studies and the implementation of prehabilitation as part of standard of care in lung and esophageal cancer patients in Nova Scotia.
Central to the research endeavor is the driving question: "How can a community-based prehabilitation program be successfully implemented in the community, and can it lead to improved functional outcomes in patients undergoing surgery for lung or esophageal cancer?" This overarching question provides the study with its core focus and serves as a guiding force throughout the research process.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 25
- Diagnosed with lung or esophageal cancer
- Scheduled to receive surgical intervention in minimum 2-weeks
- Surgeon approval
- Able to read and write in English
- >18 years of age
- Not able to provide informed consent
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Prehab Prehabilitation Complete an 8-week community based prehab program.
- Primary Outcome Measures
Name Time Method Feasibility- Participant fidelity 2 years Participant adherence to prescribed exercise intervention
Feasibility - Retention/Attrition 2 years Percentage of participants who complete the 12-week intervention
Feasibility - Participant Experience 2 years Exit interview is used to assess factors influencing participant selection of intervention type/setting, adherence to and satisfaction with the health coaching program
Feasibility - Safety 2 years Adverse and serious adverse events
Feasibility- Attendance 2 years Attendance is calculated as the percentage of exercise sessions completed by the total number of available exercise sessions over the 8-10-week intervention.
Feasibility- Recruitment 2 years Participant accrual as defined as the number of eligible participants who consent to participate
- Secondary Outcome Measures
Name Time Method 5x chair stand 8-10 week change To test functional strengths, risk of falling and overall leg strength and endurance
Stair climb test 8-10 week change To test functional strength, balance and agility
Grip strength 8-10 week change To test overall body strength
Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-F) 8-10 week change a 13-item questionnaire that evaluates an individual's self-reported fatigue during their usual daily activities over the past week
Resting Heart rate 8-10 week change Resting heart rate
Functional Assessment of Cancer Therapy - Lung OR Esophageal (FACT-L/ FACT- E) 8-10 week change 44 item that measures multidimensional quality of life
Resting blood pressure 8-10 week change resting systolic and diastolic blood pressure
Trial Locations
- Locations (1)
Victoria General Hospital
🇨🇦Halifax, Nova Scotia, Canada