Preoperative Home-based Exercise in Older People Before Colorectal Surgery - a Feasibility Study
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Colorectal Cancer
- Sponsor
- Karolinska Institutet
- Enrollment
- 23
- Locations
- 1
- Primary Endpoint
- Recruitment Rate
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The purpose of the study is to evaluate the feasibility of recruitment procedure, intervention including compliance and the collaboration between in- and out patient clinics of preoperative home-based exercise in older people before colorectal surgery.
Detailed Description
The feasibility study will be conducted in order to evaluate the study design of a future RCT. Feasibility data will eg. consist of study flow description, number of eligible participants, included participants, patients and instructors satisfaction with the intervention, training compliance, reasons for drop-outs, and adverse events. Patients waiting for colorectal surgery will be recruited and included after informed consent. Physical and respiratory function will be assessed at the hospital before the intervention, the day before surgery and the day before discharge. Data on postoperative complications, length of stay and mortality will be collected during the hospital stay. At baseline and six months after surgery, the participants will receive three questionnaires about level of independence in daily living, physical activity and health related quality of life. The intervention will be performed in the older person's home and consists of a combination of high-intensity respiratory training and individually adjusted functional exercise. Both groups will receive physical activity advice and malnutrition will be screened to optimize their nutritional status.
Investigators
Elisabeth Rydwik
Associate professor
Karolinska Institutet
Eligibility Criteria
Inclusion Criteria
- •Age above 70, understand and speaks the Swedish language. Surgery due to cancer
Exclusion Criteria
- •Health status that contradicts participation in the study such as unstable heart disease or severe orthopaedic conditions that prohibits training and severe systematic illness.
Outcomes
Primary Outcomes
Recruitment Rate
Time Frame: Baseline
The recruitment rate is calculated by the number of participants allocated to either the exercise group or control group from the total number of eligible participants (n=66).
Exercise Compliance
Time Frame: At the end of the intervention, after 2-4 weeks
Compliance with the exercise intervention was defined as the number of sessions attended out of planned sessions and was registered in the exercise logs by the physiotherapists in primary care. Only participants randomized to the exercise group were evaluated for this assessment.
Acceptability
Time Frame: At the end of the intervention, after 2-4 weeks
Patients and instructors satisfaction with the intervention measured with a survey. Instructors were not enrolled. Only participants randomized to the exercise group were evaluated for this assessment.
Adverse Events
Time Frame: During the intervention, after 1-4 weeks
Musculoskeletal-related events, cardiovascular episodes, falls and health care use that occurred during the exercise intervention before (pre)-surgery. Adverse events are only reported for the intervention group since the control group were a treatment as usual (TAU) group.
Secondary Outcomes
- Six-minute Walk(Baseline, before surgery (after 2-4 weeks), before discharge app 4-10 days after surgery)
- Inspiratory Muscle Strength(Baseline, before surgery (after 2-4 weeks), before discharge app 4-10 days after surgery)
- Chair-stand 30-sec(Baseline, before surgery (after 2-4 weeks), before discharge app 4-10 days after surgery)
- Walking Speed(Baseline, before surgery (after 2-4 weeks), before discharge app 4-10 days after surgery)
- Postoperative Complications(Within the first 30 days of surgery)
- Length of Stay(At discharge, 2-4 weeks after baseline)