About this trial
This is a three-arm, randomized pilot trial to examine the feasibility, acceptability, and preliminary efficacy of two multicomponent interventions to promote recovery from aortic aneurysm repair procedures.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adults undergoing elective aortic aneurysm repair (open or endovascular)
Disqualifiers
Emergent aortic aneurysm repair
Cognitive disturbance
Functional impairment significantly impacting the ability to stand or walk
Current pregnancy or plan to become pregnant prior to surgery
Trial design
Parallel
Treatments tested in this trial
Ready for Recovery
BehavioralThe Ready for Recovery program is a 6-week, multicomponent, tailored, prehabilitation intervention to promote the optimization of medical and psychological status prior to surgery. Its key components include education, enhancement of beneficial health behaviors, reduction of negative psychological symptoms, and the promotion of social support. Following an initial session, the team will develop a customized prehabilitation plan for each participant. Participants will work towards goals each week and will discuss progress with their study trainer via weekly phone sessions, which will continue until the scheduled surgical procedure.
Enhanced Ready for Recovery
BehavioralThe enhanced Ready for Recovery program is a 10-week, multicomponent, tailored, prehabilitation intervention to promote recovery from aortic aneurysm repair. Its key components include education, enhancement of beneficial health behaviors, reduction of negative psychological symptoms, and the promotion of social support. Following an initial session, the team will develop a customized prehabilitation plan for each participant. Participants will work towards goals each week and will discuss progress with their study trainer via weekly phone sessions, which will continue until the scheduled surgical procedure. Following surgery, participants will engage in four additional weekly sessions to discuss the recovery process and plan for longer-term behavior change.
Treatment groups
Trial outcomes
Primary outcomes
Intervention feasibility
Percentage of intervention phone sessions completed
Secondary outcomes
Intervention Utility
Participants will rate the utility of the Ready for Recovery program or enhanced Ready for Recovery program on an 11-point Likert scale (0-10), with 0 being not at all helpful and 10 being very helpful.
Change in functional capacity (1 Minute Sit to Stand Test)
Functional capacity will be measured using the 1-minute Sit to Stand Test. Participants will be instructed to stand up and sit back down on an armless chair repeatedly for one minute as quickly as possible. The number of times the participant fully stands and then sits down again will be recorded.
Other outcomes
Change in physical function (PROMIS PF-20)
Physical function will be measured using the 20-item PROMIS Physical Function Scale (PROMIS PF-20). PROMIS PF-20 scores range from 20 to 100, with higher scores indicating higher levels of physical function.
Change in physical health-related quality of life (Medical Outcomes Study Short Form-12 [SF-12] physical component score)
The SF-12 physical component score will be used to assess physical health-related quality of life (Range: 0-100). Higher scores indicate higher levels of physical health-related quality of life.
Change in mental health-related quality of life (Medical Outcomes Study Short Form-12 [SF-12] mental component score)
The SF-12 mental component score will be used to assess mental health-related quality of life (Range: 0-100). Higher scores indicate higher levels of mental health-related quality of life.
Change in depressive symptoms (9-item Patient Health Questionnaire [PHQ-9])
Depressive symptoms will be measured using the 9-item Patient Health Questionnaire (PHQ-9). The PHQ-9 ranges from 0-27, with higher scores indicating higher levels of depression.
Sponsors and contacts
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