About this trial
The Advancing Cognition and Cognitive reserve before ELective surgery to Enhance cognitive Recovery And TrajEctories (ACCELERATE) Pilot Trial estimates whether our novel, coach-supported cognitive prehabilitation strategy will achieve adequate intervention adherence in the context of a feasible multicenter trial protocol.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age >/= 60 years
Planned, inpatient, surgical procedures: abdominal, orthopedic, spine, thoracic, pelvic, ENT, and vascular
Clinical Frailty Scale (CFS) score >/= 4
Expected time to surgery >/= 4 weeks
Disqualifiers
Cardiac and intracranial neurosurgery procedures
Visual impairment
Lack of English fluency
Trial design
Single group
Treatments tested in this trial
Cognitive Prehabilitation
Behavioralhome-based, online, adaptive, multidomain cognitive prehabilitation program, using a cognitive training platform (Lumosity \[Lumos Labs\]), enhanced by theory- and evidence-informed structured coaching.
Treatment groups
Trial outcomes
Primary outcomes
Intervention adherence
≥75% of intervention participants completing \>/=10 hrs of cognitive prehabilitation
Secondary outcomes
Monthly recruitment
≥4 participants per center per month (a 40% recruitment rate; full trial would require 36 months to complete)
Primary outcome ascertainment
≥ 90% of participants with ≥ 6 complete in-hospital delirium assessments
Sponsors and contacts
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Ottawa Hospital Research Institute
Lead sponsor
Canadian Anesthesiologists' Society
Collaborator
University of Ottawa Anesthesiology and Pain Medicine
Collaborator
This trial is not recruiting at the moment. You can still explore other options: