Implementation of a Prehabilitation Pilot Program for Individuals With Frailty Undergoing Oncologic Surgery
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- MaineHealth
- 入组人数
- 20
- 试验地点
- 2
- 主要终点
- Patient Satisfaction
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Prevention
- 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
- •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
排除标准
- •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
结局指标
主要结局
Patient Satisfaction
时间窗: 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)
时间窗: 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
时间窗: 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
时间窗: 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)
时间窗: 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.
次要结局
未报告次要终点
研究者
Laura Nicolais
Timothy Fitzgerald: Associate Medical Director. Oncology
MaineHealth