Individualized Preoperative Rehabilitation Pilot

Study Overview
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Brief Summary
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A pilot to test feasibility of improving patient/caretaker quality of life and resilience.

Detailed Description
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Our overall goal is to investigate if pre-operative interventions can address patients' and patients' care givers quality of life/resilience deficits and thus improve outcomes. This initial pilot study will test the feasibility of offering patients and their care givers prehabilitation interventions prior to complex gastrointestinal surgery such as pancreatectomy, esophagectomy, proctectomy, or hepatectomy.

Official Title
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Individualized Preoperative Rehabilitation (iPREHAB) Pilot

Conditions
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Quality of Life, Complex Gastrointestinal Surgery

Intervention / Treatment
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* Behavioral: Interventions to improve preop QOL/resilience deficits


Participation Criteria
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Eligibility Criteria
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Patients who are being seen for pancreatic, esophageal, rectal or hepatic neoplastic disease, will undergo neo-adjuvant therapy and may require complex GI surgery and their care givers. Are able and willing to participate in all aspects of the study; and Have been provided with, understand the consent.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 99 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Preoperative Rehabilitation<br>Patient & caregiver input regarding 'single biggest concern right now' (modified BEACON buttons) will be elicited. Information gathered by the study team which includes a trained nursing coach and the patient/caregiver will together develop an individualized 'toolbox' of possible interventions to improve preoperative quality of life. Candidate interventions include, but not limited to: Participation in SMART program, caregiver participation in Caregivers study protocol MC1295 (IRB 13-002943), nutritional recommendations (deficiencies, immuno-nutrition), low impact resistance training/tai chi, referral to financial or counseling services, establishment of information sources & plans for concerns not frequently covered in clinical practice such as sleeplessness, spiritual assistance. | Behavioral: Interventions to improve preop QOL/resilience deficits<br>* Identify patients' and patients' care givers quality of life/resilience deficits and supply information and resources prior to undergoing complex GI surgery.<br>* Other names: Establish information sources/plans for concerns not frequently covered in clinical practice such as sleeplessness, spiritual assistance.;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Feasibility | Primary outcome is the feasibility of the interventions as measured through the end of study feedback form. | 3 months post surgical | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Quality of life, Deficits, Complex gastrointestinal surgery