Virtual Group Prehabilitation Education (Surgery School) Feasibility Trial

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity Hospital Southampton NHS Foundation Trust

About this trial

One in four patients requiring planned major surgery have complications. Prehabilitation; which involves increasing physical activity, improving nutrition and supporting emotional well-being prior to surgery can reduce these complications and improve recovery. Group preoperative prehabilitation classes (surgery schools) are advocated by the Centre for Perioperative Care and are standard care in many hospitals, despite a lack of evidence for their effectiveness in improving patient outcomes. In phase 1 an 2 of this research investigators used patient experiences and co-participatory methods to optimise an existing intervention to make it as acceptable and as engaging as possible. The resulting education package is called 'GoPREPARE'

Investigators now intend to test the practicalities of trialing GoPREPARE on preoperative patients with cancer. 24 patients awaiting surgery will be recruited from University Hospital Plymouth and randomly allocated equally to: Group - GoPREPARE and Group 2- standard care. Participants will complete lifestyle questionnaires before during and after their hospital stay. To evaluate the experience, \~8 participants will be interviewed. 5 clinical staff involved in the trial will also take part in a focus group. The information collected will be analysed to assess if it is feasible to conduct a larger trial.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adults undergoing elective surgery for any body cavity cancer with curative intent.

Adults with more than 3 weeks before planned surgery

Adults without previous experience of prehabilitation.

Disqualifiers

Children

Adults who lack mental capacity.

Adults who do not understand spoken English.

Previous experience of prehabilitation.

Trial design

Design model

Parallel

Treatments tested in this trial

  • GoPREPARE

    Other intervention

    GoPREPARE is a live interactive virtual education and behaviour change intervention delivered by healthcare professionals to groups of patients and their family, friends and carers which aims to prepare them for major cancer surgery.

Treatment groups

24 Participants
are divided into 2 treatment groups
Group A: GoPREPARE Education InterventionExperimental treatment 1 intervention
Group B: Standard CareNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Feasibility Outcome Measure: Proportion of eligible patients recruited

E.g. number recruited compared with number eligible.

Time frame
From start of recruitment to recruitment closing. Approximately 6 months
2

Feasibility Outcome Measure: Number of patients who decline and reasons for decline

Number of patients who decline to take part in the study and reasons.

Time frame
During recruitment period approximately 6 months
3

Feasibility Outcome Measure: Number of missed eligible patients

Number of eligible patients not approached and reasons.

Time frame
From start of trial to recruitment closing. Approximately 6 months
4

Feasibility Outcome Measure: Number of patients who remain in the trial for the full duration

Retention of participants to trial and follow up. E.g. number of patients who remain in the trial until the follow up completed.

Time frame
From recruitment through to three month post surgery follow up. (Approx 4 months total)

Secondary outcomes

1

Suitability and sensitivity of outcome measures: Return rate and completeness of questionnaires

Return rate and completeness of questionnaires.

Time frame
From recruitment through to three month post surgery follow up. (Approx 4 months total)
2

Suitability and sensitivity of outcome measures: Average time participants wear their accelerometer

Participant compliance with wearing accelerometer and usefulness of data collected.

Time frame
From recruitment for two weeks, for one further week at around 3 months post surgery.
3

Suitability and sensitivity of outcome measures: Adverse events

Documentation of adverse events occurring during trial duration

Time frame
From recruitment through to three month post surgery follow up. (Approx 4 months total)
4

Suitability and sensitivity of outcome measures: Number of days spent in hospital following surgery

Date of hospital admission minus date of discharge would equal length of post-operative stay (LOS)

Time frame
In hospital stay approx 3-5 weeks following recruitment

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University Hospital Southampton NHS Foundation Trust

Lead sponsor

University Hospital Plymouth NHS Trust

Collaborator

University of Southampton

Collaborator