Systematic development and feasibility testing of a digitally facilitated, remotely supervised, multimodal prehabilitation intervention for patients approaching major surgery

South Tees Hospitals NHS Foundation Trust0 个研究点目标入组 156 人开始时间: 2021年10月6日最近更新: 2024年3月25日

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•Patient participants:
•1. Adult patients (=18 years of age)
•2. Within 3 months of having undergone major surgery or preparing for major surgery
•3. Discharged from hospital to their own home
•Healthcare professional participants:
•1. Perioperative team members currently caring for patients approaching major surgical intervention in the preoperative period.
•2. Employed at South Tees Hospitals NHS Foundation Trust or York Hospital
•3. A medical, nursing or allied healthcare professional background or a wider stakeholder in perioperative care e.g. an individual with management or commissioning responsibility for perioperative services.
•Patient participants:
•1. Adult patients (aged >18 years) listed for a major surgical procedure.
•2. A minimum of 4 weeks available prior to planned surgery.
•3. ASA (American Society of Anaesthesiology) fitness for surgery grade >2
•4. At least one health risk behaviour amenable to remotely supervised prehabilitation via the developed intervention.
•5. Access to and willingness to utilise a smartphone and integrated wearable device.
•6. Able to access and utilise the internet at home.
•Healthcare professional participants:
•1. Perioperative team members currently caring for patients approaching major surgical intervention in the preoperative period.
•2. Employed at South Tees Hospitals NHS Foundation Trust or York Teaching hospital NHS Foundation Trust

•Patient participants:
•1. Unable to provide informed written consent
•2. Currently receiving end-of-life care
•3. Unable to understand and communicate in written and spoken English
•Patient participants:
•1. Unable to provide informed written consent
•2. Pregnancy
•3. History of severe mental illness requiring active investigation or treatment by mental health services or compromising the informed consent process
•4. Unable to understand spoken and written English
•5. Already undergoing prehabilitation or a preference for an alternative mode of support e.g. a face-to-face service
•6. Safety concerns around remotely supervised exercise training based on American College of Sports Medicine (ACSM) criteria for clinical exercise testing and prescription

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