PATIENT FACTORS INFLUENCING COMPLIANCE WITH PREHABILITATION
Research type
Research Study
Full title
PATIENT FACTORS INFLUENCING COMPLIANCE AND PARTICIPATION IN PREHABILITATION PRIOR TO ELECTIVE SURGERY AT THE GOLDEN JUBILEE NATIONAL HOSPITAL
IRAS ID
359236
Contact name
Sarah Day
Contact email
Sponsor organisation
University of Strathclyde
Duration of Study in the UK
0 years, 1 months, 28 days
Research summary
Elective surgeries such as arthroplasty, colorectal, thoracic and cardiac procedures places significant physiological, functional and psychological demands on patients. Evidence suggests that prehabilitation which include preoperative exercise, nutritional optimisation and support on positive lifestyle changes for smoking and alcohol reduction may improve postoperative outcomes, reduce complications, and shorten length of hospital stays (LOS). However, participation and effectiveness vary and there is limited data on patient engagement, participation and long-term benefits in real-world NHS settings.
This study will investigate prehabilitation participation in patients across four elective surgical pathways; arthroplasty, colorectal, thoracic and cardiac surgeries. It will examine patient’s demographic and socio-economic factors, preoperative functional and clinical status, the method and timing of prehabilitation delivery as well as comparing outcomes between patients with higher versus lower levels of participation. The primary aim is to understand which patient factors influence engagement and compliance, and how participation relates to prehabilitation delivery. The secondary aim of the study is to evaluate how prehabilitation participation influences postoperative outcomes. Findings may guide the design of programmes that better support patients and encourage participation, improving preparation for surgery and recovery outcomes.
Adults scheduled for elective surgery in any of the four specialties (arthroplasty, colorectal, thoracic and cardiac surgeries), have attended a pre-assessment appointment and can provide informed consent will be recruited on admission at the Golden Jubilee National Hospital Surgical Admission Unit or relevant admitting wards. Baseline data on demographic and socio-economic characteristics, clinical and functional status, as well as prehabilitation delivery will be collected. Additionally, outcome data on LOS and postoperative complications requiring unplanned hospital readmissions within 30 days post-discharge will be extracted from hospital records 6 weeks post-surgery. Each participant will be involved in the study for approximately 6 weeks. Data analysis will be conducted at the Department for Biomedical Engineering at the University of Strathclyde.
REC name
South Central - Oxford B Research Ethics Committee
REC reference
26/SC/0247
Date of REC Opinion
16 Jul 2026
REC opinion
Favourable Opinion