Effect of Prehabilitation on Surgical Outcomes of Abdominally-based Plastic Surgery Procedures

Stanford University

Status: Enrolling

Conditions: Panniculus; Ventral Hernia; Flap Reconstruction; Abdominoplasty

Treatments: Behavioral: Prehabilitation Program

Study type: Interventional

Funder types: Other

Identifiers

NCT04787874

60419

Details and patient eligibility

About

The purpose of this study is to determine whether a program to optimize patient physical fitness and nutrition ("prehabilitation") prior to and after plastic surgery involving the abdomen improves surgical outcomes. The investigators hope to determine how a multimodal peri-operative prehabilitation program can be most effective in engaging and motivating patients to physically and mentally get ready for an abdominally-based plastic surgery operation. The overall goal is to determine if this program will improve post-operative recovery after abdominally-based plastic surgery. The importance of this new knowledge is better understanding of ways that plastic surgeons can improve outcomes, engagement, and experience of patients undergoing abdominally-based plastic surgery operations. This would translate to increased healthcare value and better long-term outcomes.

Enrollment: 520 estimated patients

Sex: All

Ages: 19+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Adult patients (>18 years) who are undergoing elective abdominally-based plastic surgery operations in 3+ weeks by one of the following plastic surgeons: Nazerali, Lee, Murphy, Nguyen, Lorenz.

Exclusion criteria

• Patients who do not speak English
• Patients who do not have access to a smartphone or internet/cell service.
• Patients who are undergoing another intervention study that consists of a nutrition and/or exercise behavior change.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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520 participants in 2 patient groups

Control

No Intervention group

Description:

The control arm will receive no additional prehabilitation material prior to material. Rather, they will receive standard preoperative care in which they will be given standard advice on nutrition and fitness. REDcap surveys will be administered.

Prehab Intervention Arm

Experimental group

Description:

The intervention arm will receive access to the prehab program (abdominal workout videos) and surveys via RedCAP.The program will start no less than 14 days before the date of surgery.

Treatment:

Behavioral: Prehabilitation Program