Status:
COMPLETED
Digital Prehabilitation for Patients Undergoing Major Elective Surgery
Lead Sponsor:
Royal United Hospitals Bath NHS Foundation Trust
Collaborating Sponsors:
University of Bath
PreActiv
Conditions:
Surgery
Eligibility:
All Genders
50+ years
Phase:
NA
Brief Summary
Prehabilitation describes the process of improving someone's functional capacity before major surgery. Prehabilitation commonly focuses on exercise training, as fitness level is a predictor of surgica...
Detailed Description
This is a single-arm pilot study to assess the feasibility of PreActiv's digital prehabilitation alongside usual care at the Royal United Hospitals Bath NHS Foundation Trust. The novel provision of ta...
Eligibility Criteria
Inclusion
- Planned for major elective surgery ≥10 weeks from time of recruitment Major or complex surgery examples in NICE guideline NG45 'Routine preoperative tests for elective surgery' provides appropriate examples that are relevant to the patient cohort at the Royal United Hospitals Bath NHS Foundation Trust (RUH). We have extrapolated from these examples a list of surgical procedures that qualify as major or complex surgery and are carried out at the RUH. This list is not exhaustive but provides a range of procedures that are applicable for example: laparotomy, joint replacement, total abdominal hysterectomy, nephrectomy, neck dissection, parotidectomy, endoscopic resection of prostate, thyroidectomy.
- Aged ≥50 years
Exclusion
- Surgery scheduled in \<10 weeks
- Any relative or absolute contraindications to undertake an exercise test as described by the American College of Sports Medicine (ACSM, 2022) and the American Heart Association (Fletcher et al., 2013)
- Unsuitable to increase physical activity level as determined by Physical Activity Readiness Questionnaire (PAR-Q)
- Uncontrolled or poorly-controlled lung condition, diabetes, or seizures
- Recent (\<12 months) cardiovascular events needing hospital admission
- Ongoing infection or wound making this programme hazardous for the patient
- Unable to access technology required to use the PreActiv digital platform
- Currently meeting World Health Organisation (WHO) physical activity guidelines of 75- 300 minutes of moderate to vigorous intensity physical activity per week, plus twice-weekly muscle strengthening activities
- Unable to understand explanations and/or provide informed consent
- Unable to understand written or spoken English, and without ongoing access to an interpreter
- Any condition and/or behaviour that would pose undue personal risk or introduce bias into the study
- Currently enrolled in another research trial
Key Trial Info
Start Date :
February 19 2024
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
September 17 2024
Estimated Enrollment :
35 Patients enrolled
Trial Details
Trial ID
NCT06137781
Start Date
February 19 2024
End Date
September 17 2024
Last Update
December 17 2025
Active Locations (2)
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1
Royal United Hospitals Bath NHS Foundation Trust
Bath, Somerset, United Kingdom, BA1 3NG
2
University of Bath
Bath, Somerset, United Kingdom, BA2 7AY