Systematic development and feasibility testing of a multibehavioural digital prehabilitation intervention for patients approaching major surgery (iPREPWELL): A study protocol.

Autor: Durrand J; Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle-Upon-Tyne, United Kingdom.; Department of Anaesthesia and Perioperative Medicine, South Tees Hospitals NHS Foundation Trust, Middlesbrough, United Kingdom., Livingston R; Centre for Rehabilitation, School of Health and Life Sciences, Teesside University, Middlesbrough, United Kingdom., Tew G; Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle-Upon-Tyne, United Kingdom., Gillis C; School of Human Nutrition, McGill University, Montreal, Canada., Yates D; Department of Anaesthesia and Critical Care, York & Scarborough Teaching Hospitals NHS Foundation Trust, York, United Kingdom.; North Yorkshire Academic Alliance of Perioperative Medicine, England., Gray J; School of Nursing Midwifery and Health, Northumbria University, Upon-Tyne, United Kingdom., Greaves C; School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, United Kingdom., Moore J; Department of Anaesthesia and Critical Care, Manchester University Hospitals NHS Foundation Trust, Manchester, United Kingdom., O'Doherty AF; Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle-Upon-Tyne, United Kingdom., Doherty P; Department of Health Sciences, University of York, York, United Kingdom., Danjoux G; Department of Anaesthesia and Perioperative Medicine, South Tees Hospitals NHS Foundation Trust, Middlesbrough, United Kingdom.; Centre for Rehabilitation, School of Health and Life Sciences, Teesside University, Middlesbrough, United Kingdom.; North Yorkshire Academic Alliance of Perioperative Medicine, England., Avery L; Centre for Rehabilitation, School of Health and Life Sciences, Teesside University, Middlesbrough, United Kingdom.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2022 Dec 27; Vol. 17 (12), pp. e0277143. Date of Electronic Publication: 2022 Dec 27 (Print Publication: 2022).
DOI: 10.1371/journal.pone.0277143
Abstrakt: Improving outcomes for people undergoing major surgery, specifically reducing perioperative morbidity and mortality remains a global health challenge. Prehabilitation involves the active preparation of patients prior to surgery, including support to tackle risk behaviours that mediate and undermine physical and mental health and wellbeing. The majority of prehabilitation interventions are delivered in person, however many patients express a preference for remotely-delivered interventions that provide them with tailored support and the flexibility. Digital prehabilitation interventions offer scalability and have the potential to benefit perioperative healthcare systems, however there is a lack of robustly developed and evaluated digital programmes for use in routine clinical care. We aim to systematically develop and test the feasibility of an evidence and theory-informed multibehavioural digital prehabilitation intervention 'iPREPWELL' designed to prepare patients for major surgery. The intervention will be developed with reference to the Behaviour Change Wheel, COM-B model, and the Theoretical Domains Framework. Codesign methodology will be used to develop a patient intervention and accompanying training intervention for healthcare professionals. Training will be designed to enable healthcare professionals to promote, support and facilitate delivery of the intervention as part of routine clinical care. Patients preparing for major surgery and healthcare professionals involved with their clinical care from two UK National Health Service centres will be recruited to stage 1 (systematic development) and stage 2 (feasibility testing of the intervention). Participants recruited at stage 1 will be asked to complete a COM-B questionnaire and to take part in a qualitative interview study and co-design workshops. Participants recruited at stage 2 (up to twenty healthcare professionals and forty participants) will be asked to take part in a single group intervention study where the primary outcomes will include feasibility, acceptability, and fidelity of intervention delivery, receipt, and enactment. Healthcare professionals will be trained to promote and support use of the intervention by patients, and the training intervention will be evaluated qualitatively and quantitatively. The multifaceted and systematically developed intervention will be the first of its kind and will provide a foundation for further refinement prior to formal efficacy testing.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2022 Durrand et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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