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Prehabilitation Program for Surgical Patients

N/A
Waitlist Available
Led By Daniel Santa Mina, PhD
Research Sponsored by University of Toronto
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline, 1 week prior to surgery, 30- and 90-day postoperatively
Awards & highlights

Study Summary

This trial will examine the effect of a prehabilitation program consisting of exercise, psychological, and nutritional optimization on postoperative recovery in patients undergoing surgery.

Who is the study for?
This trial is for English-speaking patients scheduled for surgery at the University Health Network who have been referred by their surgeon because they're considered high-risk, frail, or deconditioned. The surgeon must believe prehabilitation could help them.Check my eligibility
What is being tested?
The study tests a prehabilitation program that includes exercise, nutrition guidance, and psychological support to improve recovery from surgery. Participants can choose between facility-based or home-based programs and will be evaluated before and after surgery.See study design
What are the potential side effects?
Since this trial involves non-invasive interventions like exercise, nutritional advice, and psychoeducation rather than drugs or medical procedures, significant side effects are not expected. However, some participants may experience fatigue or stress.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline, 1 week prior to surgery, 30- and 90-day postoperatively
This trial's timeline: 3 weeks for screening, Varies for treatment, and baseline, 1 week prior to surgery, 30- and 90-day postoperatively for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Barriers and facilitators
Economic feasibility (hospital perspective)
Economic feasibility (patient perspective)
+5 more
Secondary outcome measures
Changes in HRQOL
Changes in aerobic functional capacity
Changes in body composition
+5 more

Trial Design

3Treatment groups
Experimental Treatment
Active Control
Group I: Home-based prehabilitation (HBP)Experimental Treatment1 Intervention
Exercise Three unsupervised, home-based exercise training sessions of aerobic and resistance exercises. Includes continuous moderate-intensity aerobic training and whole-body resistance exercises (60 min/session) Specific exercises will also be prescribed to prepare regional and/or compensatory tissues for surgery Exercise session will be supervised by a Registered Kinesiologist/Exercise Physiologist Nutrition Participants will receive an individualized nutrition assessment and counselling within the first week of prehabilitation and again in the week prior to surgery All sessions will conducted by a Registered Dietitian (60 min/session) Participants will also receive 20g of protein supplementation daily Stress management and behavioural support Participants will be scheduled for a psychoeducation session within the first week of prehabilitation and again in the week prior to surgery All sessions will conducted by a psychologist (60 min/session)
Group II: Facility-based prehabilitation (FBP)Experimental Treatment1 Intervention
Exercise Three supervised exercise training sessions of aerobic and resistance exercises. Includes high-intensity interval aerobic training and whole-body resistance exercises (60 min/session) Specific exercises will also be prescribed to prepare regional and/or compensatory tissues for surgery Exercise session will be supervised by a Registered Kinesiologist/Exercise Physiologist Nutrition Participants will receive an individualized nutrition assessment and counselling within the first week of prehabilitation and again in the week prior to surgery All sessions will conducted by a Registered Dietitian (60 min/session) Participants will also receive 20g of protein supplementation daily Stress management and behavioural support Participants will be scheduled for a psychoeducation session within the first week of prehabilitation and again in the week prior to surgery All sessions will conducted by a psychologist (60 min/session)
Group III: Usual CareActive Control1 Intervention
- This group will receive no additional intervention from the routine care.

Find a Location

Who is running the clinical trial?

University of TorontoLead Sponsor
690 Previous Clinical Trials
1,019,493 Total Patients Enrolled
MSH-UHN AMO Innovation FundUNKNOWN
2 Previous Clinical Trials
92 Total Patients Enrolled
University Health Network, TorontoOTHER
1,476 Previous Clinical Trials
485,030 Total Patients Enrolled

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
Recent research and studies
clinicaltrials.govStudy
Prehab for Surgery
Daniel Santa Mina, PhD 2019. "Prehab for Surgery". ClinicalTrials.gov. https://clinicaltrials.gov/ct2/show/NCT04155346.
~28 spots leftby Apr 2025
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