Individualized Preoperative Rehabilitation Pilot (iPREHAB)

Mayo Clinic

Status: Completed

Conditions: Quality of Life; Complex Gastrointestinal Surgery

Treatments: Behavioral: Interventions to improve preop QOL/resilience deficits

Study type: Interventional

Funder types: Other

Identifiers

NCT02082223

13-005601

Details and patient eligibility

About

A pilot to test feasibility of improving patient/caretaker quality of life and resilience.

Full description

Our overall goal is to investigate if pre-operative interventions can address patients' and patients' care givers quality of life/resilience deficits and thus improve outcomes. This initial pilot study will test the feasibility of offering patients and their care givers prehabilitation interventions prior to complex gastrointestinal surgery such as pancreatectomy, esophagectomy, proctectomy, or hepatectomy.

Enrollment: 20 patients

Sex: All

Ages: 18 to 99 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

1. Patients who are being seen for pancreatic, esophageal, rectal or hepatic neoplastic disease, will undergo neo-adjuvant therapy and may require complex GI surgery and their care givers.
2. Are able and willing to participate in all aspects of the study; and
3. Have been provided with, understand the consent.

Trial design

Primary purpose: Supportive Care

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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20 participants in 1 patient group

Preoperative Rehabilitation

Experimental group

Description:

Patient \& caregiver input regarding 'single biggest concern right now' (modified BEACON buttons) will be elicited. Information gathered by the study team which includes a trained nursing coach and the patient/caregiver will together develop an individualized 'toolbox' of possible interventions to improve preoperative quality of life. Candidate interventions include, but not limited to: Participation in SMART program, caregiver participation in Caregivers study protocol MC1295 (IRB 13-002943), nutritional recommendations (deficiencies, immuno-nutrition), low impact resistance training/tai chi, referral to financial or counseling services, establishment of information sources \& plans for concerns not frequently covered in clinical practice such as sleeplessness, spiritual assistance.

Treatment:

Behavioral: Interventions to improve preop QOL/resilience deficits