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PRIORITY-CONNECT 2 Pilot Trial
Sponsor: Surgical Outcomes Research Centre (SOuRCe)
Summary
The provision of preoperative interventions (prehabilitation: including exercise, nutrition, and psychological treatment) have been reported to reduce postoperative complications by as much as 50% and reduce hospital stay by up to 4 days compared to standard of care. Postoperative multimodal interventions are likely to further benefit patients facing new challenges (e.g. stoma care), and reduce post discharge complications. Therefore the Virtual Multimodal hub of PRIORITY-CONNECT 2 Pilot Trial aims to primarily; determine the feasibility of incorporating a virtual multimodal program into the preoperative and postoperative period for patients undergoing gastrointestinal cancer surgery, the acceptability to patients, clinicians and carers of the virtual multimodal program and the acceptability to patients of being randomised to the virtual multimodal program or usual care. The secondary aim is to obtain pilot data on the likely difference in key outcomes (30 days postoperative complications, quality of life, days at home and alive at 30 days - DAH30, implementation outcomes and cost outcomes) to inform the development of a substantive randomised clinical trial.
Official title: Virtual Multimodal Hub for Patients Undergoing Major Gastrointestinal Cancer Surgery - PRIORITY-CONNECT 2 Pilot Randomised Type I Hybrid Effectiveness-Implementation Trial
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
20
Start Date
2024-02-12
Completion Date
2025-12-22
Last Updated
2024-04-25
Healthy Volunteers
No
Interventions
Preoperative Exercise
Aerobic (HIIT) Endurance Respiratory Muscle Strength Education
Postoperative Exercise
Aerobic Muscle Strength Walking Program Education
Preoperative Nutrition
Malnutrition screening Weight monitoring Symptom management Dietetic counselling Nutrition support
Postoperative Nutrition
Malnutrition screening Weight monitoring Symptom management Dietetic counselling Nutrition support
Preoperative Psychology
CBT skills Skills training Emotional validation Behavioural activation Psycho-education
Postoperative Psychology
CBT skills Skills training Emotional validation Behavioural activation Psycho-education
Preoperative Nursing
Comorbidities Managing pain Wound care Complications Surgical education ERAS
Postoperative Nursing
Managing pain Cardiovascular stability Wound care Bowel function/Stoma Complications Education
Preoperative Peer Support Group
Weekly sessions moderated by a social worker including patients and carers: Safe space Share experiences/ideas Support Education
Postoperative Peer Support Group
Weekly sessions moderated by a social worker including patients and carers: Safe space Share experiences/ideas Support Education
Usual Care
Participants allocated to the control group will receive usual care according to their health care team, which may consist of advice on smoking cessation, reduction of alcohol intake, nutritional counselling, and medical optimisation in the preoperative anaesthetic clinic visits.
Locations (2)
Chris O'Brien Lifehouse
Sydney, New South Wales, Australia
Royal Prince Alfred Hospital, Surgical Outcomes Research Centre (SOuRCe)
Sydney, New South Wales, Australia