Multi-Component Prehabilitation for Major Elective Surgery

Beth Israel Lahey Health

Status: Completed

Conditions: Functional Recovery; Frailty; Prehabilitation

Treatments: Behavioral: Meditation; Behavioral: Cognitive Behavioral Intervention; Behavioral: Exercise; Behavioral: Nutrition

Study type: Interventional

Funder types: Other

Identifiers

NCT05752474

2022P000090

Details and patient eligibility

About

The purpose of this pilot study is to assess the feasibility of delivering a multicomponent prehabilitation and measuring patient-centered outcomes in older adults undergoing major surgery.

Full description

We will assess the feasibility of delivering a multicomponent prehabilitation, which consists of exercise (supervised by physical therapist), nutritional intervention (nutritional supplement and group education), meditation (group class), and cognitive behavioral intervention over 3-4 weeks before major elective abdominal, gynecological oncologic, urologic surgery, and cardiovascular procedures. We will also measure patient-centered outcomes (Patient-Reported Outcomes Measurement Information System) at 30 and 90 days after surgery. The target enrollment is 30 patients.

Enrollment: 30 patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patient is scheduled to have a gastrointestinal, gynecological oncologic, urologic, and cardiovascular procedure
• Age 70 years+
• Age 65 years+ AND high risk per surgeon's clinical judgment
• Patient provides an informed e-consent or remote consent

Exclusion criteria

• Surgery is scheduled less than 21 days
• Patient is considered an inappropriate candidate per the surgeon's assessment
• Non-English speaking
• Major cognitive impairment
• Patients with chronic kidney disease stage 3 or higher will be excluded from receiving protein supplement of the prehabilitation program

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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30 participants in 1 patient group

Prehabilitation

Experimental group

Description:

This group will receive a multicomponent prehabilitation intervention (exercise, nutritional intervention, meditation, and cognitive behavioral intervention) for 3-4 weeks prior to surgery.

Treatment:

Behavioral: Nutrition

Behavioral: Exercise

Behavioral: Cognitive Behavioral Intervention

Behavioral: Meditation