Prehabilitation for Patients Undergoing Lung Cancer Surgery
Digitally Enabled Prehabilitation in a Community-based Setting for Patients Undergoing Lung Cancer Surgery
University of Melbourne
25 participants
Jan 24, 2025
INTERVENTIONAL
Conditions
Summary
Major surgery has been linked to running a marathon as in both represent large endeavours where the body will experience an increase in demands to supply the necessary energy. It has been alledged that, as one would train to prepare for a marathon, the same should be applied to surgery. The process of getting ready and/or fitter for surgery is frequently referred to as prehabilitation and it usually involves interventions on improving nutrition and diet, getting fit and improve emotional wellness. Prehabilitation can improve the recovery after surgery and reduce the time spent in hospital afterwards. This research seeks to determine whether a home based program of increased physical activity and breathing training can improve patients' physical and respiratory function in preparation for lung cancer surgery.
Eligibility
Inclusion Criteria6
- Diagnosis of lung cancer and scheduled for lung resection surgery
- Ability to understand and speak English to follow instructions and complete the intended assessments.
- Age ≥ 18 years at the point of baseline screening
- Provide written informed consent for the trial
- Sufficient digital literacy to use a smartphone and mobile app
- No contraindications for exercise
Exclusion Criteria3
- Other cancer diagnoses than lung cancer
- Surgery scheduled in less than one week
- Unstable psychiatric, cognitive or substance abuse disorders that would interfere with cooperation with the requirements of the trial
Interventions
Patients will undergo a physiotherapy-led digitally-enabled prehabilitation program before lung resection surgery. The intervention will be delivered through a mobile app and supported by tele-health and will consist of: i) watching six educational videos embedded on the app on relevant topics to prepare for surgery, such as the importance of physical fitness, breathing exercises after surgery, and pain management. ii) a physical activity coaching program to increase daily activity with feedback iii) a home-based, unsupervised exercise program consisting of 10 whole body strengthening exercises delivered in a video format iv) an inspiratory muscle training program using a hand-held device to be performed twice daily.
Locations(1)
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NCT06716437