Enhanced Recovery Program for Surgery Complications

(POWER Trial)

Overseen By Brendan Visser, MD

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Stanford University

Disqualifiers: Unable to use smartphone

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 31

368 Participants Needed

Trial Summary

What is the purpose of this trial?

This is a randomized controlled trial examining the effect of a motivational interview and perioperative mobile-app based nutrition and exercise intervention on surgical outcomes. The hypothesis is that such an intervention will improve surgical outcomes. Patients who are planned to undergo major elective abdominal surgery will be randomized to standard care or the nutrition/exercise intervention. This intervention consists of a mobile-app based coaching program to encourage patients to exercise and adopt a Mediterranean diet in the 3+ weeks prior to surgery.

Research Team

Brendan Visser, MD

Principal Investigator

Stanford University

Cindy Kin, MD

Principal Investigator

Stanford University

Eligibility Criteria

This trial is for English or Spanish speakers who are scheduled to have major abdominal surgery in more than three weeks and can use a smartphone. It's not suitable for those unable to interact with mobile technology.

Inclusion Criteria

I had major abdominal surgery more than 3 weeks ago.

Exclusion Criteria

Unable to use smartphone

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Prehabilitation

Participants undergo a motivational interview and a mobile-app based coaching program to encourage exercise and a Mediterranean diet in the 3+ weeks prior to surgery

3+ weeks

1 visit (in-person), ongoing app-based interaction

Surgery and Immediate Recovery

Participants undergo major elective abdominal surgery and immediate post-operative recovery

1 week

Follow-up

Participants are monitored for surgical complications and changes in physical performance post-surgery

90 days

Assessments at 30 and 90 days post-surgery

Treatment Details

Interventions

• POWER

Trial Overview The study tests if a motivational interview along with a mobile-app based program promoting exercise and Mediterranean diet before surgery can improve outcomes. Participants will either receive standard care or this special intervention.

Participant Groups

Group I: Prehab Experimental Treatment 1 Intervention

This intervention consists of a motivational interview and a mobile-app based coaching program to encourage patients to exercise and adopt a Mediterranean diet in the 3+ weeks prior to surgery.

Group II: Control Arm Active Control 1 Intervention

Recommendations to follow Mediterranean diet and exercise regularly before surgery.

Who Is Running the Clinical Trial?

Stanford University

Lead Sponsor

Trials

2,527

Recruited

17,430,000+