Implementation of a Prehabilitation Pilot Program for Individuals With Frailty Undergoing Oncologic Surgery
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Prehabilitation
- Sponsor
- MaineHealth
- Enrollment
- 20
- Locations
- 1
- Primary Endpoint
- Patient Satisfaction
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
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.
Investigators
Laura Nicolais
Timothy Fitzgerald: Associate Medical Director. Oncology
MaineHealth
Eligibility Criteria
Inclusion Criteria
- •Subjects ≥18 years old
- •Evaluated at Maine Medical Center by surgical oncology service
- •Planned surgical intervention for gastrointestinal oncologic condition
- •Score ≥40 on Risk Analysis Index frailty screening
- •Physically able to participate in prehabilitation exercises
- •Home internet access and established email account
- •Able to understand the English language
Exclusion Criteria
- •Patients unable to participate in exercises included in prehabilitation program
- •Patients with impaired decision making capacity
- •Those in a high risk community: prisoners and pregnant women
- •Those who do not meet the above inclusion criteria
Outcomes
Primary Outcomes
Patient Satisfaction
Time Frame: Last day of prehabilitation program (within week prior to surgery)
Assess patient satisfaction and barriers to adherence through a post prehab program survey.
Frailty (Risk Analysis Index)
Time Frame: 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.
Participant adherence to prehab program
Time Frame: 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
Time Frame: 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.
Quality of Life (Short Form- 36 Survey)
Time Frame: 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.