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PrehabPal Digital Tool for Surgery Preparation in Colorectal Cancer
N/A
Recruiting
Led By Emily Finlayson, MD, MS, FACS
Research Sponsored by University of California, San Francisco
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Be older than 65 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 30 days following surgery
Awards & highlights
Summary
This trial is testing the PrehabPal web app to see if it better helps people aged 65 and older prepare for colon cancer surgery. The app offers personalized exercise plans and coaching to improve their readiness and recovery. Prehabilitation has experienced significant growth in the field of colon cancer treatment for elderly patients.
Who is the study for?
This trial is for individuals aged 65 or older who are preparing for colorectal cancer surgery and have at least a week before their operation. They must be able to understand English, provide consent, and have internet access. Those with dementia, Alzheimer's disease, surgeries within 7 days, or conditions that risk safety/data quality cannot participate.
What is being tested?
The study compares the PrehabPal web app against written instructions for pre-surgery preparation in older adults facing colon cancer surgery. The aim is to see if PrehabPal can better individualize prehabilitation programs and offer coaching support.
What are the potential side effects?
Since PrehabPal is a digital tool rather than a medication, traditional side effects are not expected. However, users may experience difficulty using the app or frustration if technical issues arise.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 30 days following surgery
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~30 days following surgery
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Operative Surgical Procedures
Secondary study objectives
Change in Mean score on the SF-36
Median Length of Stay (LOS)
Proportion of participants with reported Surgical Complications
+1 moreOther study objectives
Median Satisfaction Scores
Trial Design
2Treatment groups
Experimental Treatment
Active Control
Group I: PrehabPal Web appExperimental Treatment1 Intervention
Web app based initial geriatric assessment will be given followed by daily tailored prehabilitation activities in the domains of exercise, nutrition, anxiety reduction, home preparation, and advanced care planning. Each participant is paired with a central health coach who monitors engagement and provides support through the Web app portal.
Group II: Written Surgery Prehabilitation InstructionsActive Control1 Intervention
Participants will be provided paper-based prehabilitation instructions that include information about exercise, nutrition, anxiety reduction, home preparation, and advanced care planning. A paper diary is provided to record any prehabilitation activities.
Research Highlights
Information in this section is not a recommendation. We encourage patients to speak with their healthcare team when evaluating any treatment decision.Mechanism Of Action
Side Effect Profile
Prior Approvals
Other Research
Common treatments for colon cancer include surgery, chemotherapy, and radiation therapy. Surgery involves physically removing the tumor and is often the first line of treatment.
Chemotherapy uses drugs to kill cancer cells or stop them from growing, with agents like 5-fluorouracil (5-FU) and oxaliplatin being commonly used. Radiation therapy uses high-energy rays to target and kill cancer cells.
The PrehabPal web app emphasizes individualized prehabilitation programs and coaching, which aim to improve patients' physical and mental health before surgery. This can enhance recovery, reduce complications, and improve overall outcomes by optimizing the patient's condition prior to undergoing invasive treatments.
Effects of oncological care pathways in primary and secondary care on patient, professional, and health systems outcomes: protocol for a systematic review and meta-analysis.Algorithms for the treatment of patients with metastatic breast cancer and prior exposure to taxanes and anthracyclines.
Effects of oncological care pathways in primary and secondary care on patient, professional, and health systems outcomes: protocol for a systematic review and meta-analysis.Algorithms for the treatment of patients with metastatic breast cancer and prior exposure to taxanes and anthracyclines.
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Who is running the clinical trial?
Emerson CollectiveUNKNOWN
2 Previous Clinical Trials
572 Total Patients Enrolled
University of California, San FranciscoLead Sponsor
2,570 Previous Clinical Trials
15,175,578 Total Patients Enrolled
Emily Finlayson, MD, MS, FACSPrincipal InvestigatorUniversity of California, San Francisco
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Eligibility Criteria:
This trial includes the following eligibility criteria:- I am 65 years or older and being evaluated for colorectal cancer surgery.My surgery is scheduled within the next week.I have been diagnosed with dementia or Alzheimer's disease.I have been diagnosed with colorectal cancer or a polyp that can't be removed surgically, confirmed by a biopsy.I have at least a week before my surgery to prepare.
Research Study Groups:
This trial has the following groups:- Group 1: PrehabPal Web app
- Group 2: Written Surgery Prehabilitation Instructions
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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