RecruitingNot ApplicableNCT06511258

The STRIVE Before Surgery Trial

The STRIVE Before Surgery Pilot Trial: a Vanguard Pragmatic Multicenter Randomized Trial of Structured TRaining to Improve Fitness in a Virtual Environment (STRIVE) Before Surgery


Sponsor

Ottawa Hospital Research Institute

Enrollment

902 participants

Start Date

Sep 5, 2024

Study Type

INTERVENTIONAL

Summary

The STRIVE Before Surgery Trial evaluates patient-reported disability at 30 days after surgery following participating in a home-based multimodal prehabilitation program supported through an online platform. Half of the participants will be randomized into the prehabilitation group, while the other half will be randomized into the control group.


Eligibility

Min Age: 18 Years

Inclusion Criteria6

  • Age ≥18 years
  • Scheduled, or on the pathway, for inpatient abdominal, thoracic, pelvic, head-and-neck or vascular surgery
  • Expected surgery date between 3 and 12 weeks from enrollment
  • Valid provincial health insurance number
  • Access to internet-enabled device
  • Email address

Exclusion Criteria10

  • Inability to read and communicate in English
  • Cognitive impairment preventing ability to provide informed consent independently
  • No telephone/cell phone
  • Cardiac, neurological or orthopedic procedure
  • Surgery with no curative intent (palliative surgery)
  • Patient not interested in participating in the context of their TAPA score
  • Any of the following cardiovascular conditions:
  • Severe valvular heart disease that limits a patient's ability to ambulate on level ground, or is associated with syncope or dyspnea
  • Severe cardiac dysrhythmias that limit a patient's ability to ambulate on level ground, or is associated with syncope or dyspnea
  • Recent myocardial infarction (within 6 weeks prior to enrollment - based on the Heart and Stroke Foundation's HeartWalk program)

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Interventions

BEHAVIORALPrehabilitation

The intervention includes 3 aspects (exercise, nutrition and breathing). Our intervention is a home-based multimodal prehabilitation program supported through an online platform.


Locations(1)

The Ottawa Hospital Research Institute

Ottawa, Ontario, Canada

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NCT06511258