Prehabilitation for Aortic Repair Patients

Study Overview
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Brief Summary
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This is a 2-group study comparing the effect of a prehabilitation program to usual care on quality of life and clinical outcomes in patients undergoing elective repair of their thoracic aorta.

Detailed Description
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Patients undergoing elective repair of their thoracic aortic aneurysm will be randomized to a prehabilitation program prior to their surgery or to usual care. The prehabilitation program is self-directed program designed to improve health and quality of life prior to surgery. The program is currently offered to general surgery patients; this study will examine the feasibility and acceptability of such a program in a different patient population.

Official Title
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Does Prehabilitation Prior to Thoracic Aortic Repair Improve Quality of Care?

Conditions
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Aortic Aneurysm

Intervention / Treatment
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* Behavioral: Prehabilitation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age 21 years or older Diagnosis of thoracic aortic disease with scheduled repair Medical clearance from cardiothoracic surgeon Ability to provide informed consent Regular use of a smartphone or personal computer Exclusion Criteria: Conditions that limit walking to a severe degree Current participation in regular physical activity program Acute aortic dissection Recent coronary artery disease events Inability to speak and read English

Ages Eligible for Study
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Minimum Age: 21 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Prehabilitation<br>Participants will be referred to the Michigan Surgical & Health Optimization Program in the month leading up to their surgery. Individuals are encouraged to increase their physical activity, practice stress reduction, and other behaviors associated with good health. | Behavioral: Prehabilitation<br>* Participants will receive an informational DVD, a pedometer, an incentive spirometer and access to the program website to help promote healthful behaviors and improved well-being in the days leading up to surgery.<br>* Other names: MSHOP - Michigan Surgical & Health Optimization Program;|
| No Intervention: Usual Care<br>Participants will follow the pre-operative instructions provided by their surgical team. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Feasibility of recruiting and enrolling | We will measure feasibility according to whether we are able to recruit and enroll subjects. | 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Acceptability | We will ask patients to describe their experiences with the prehab program. | 1 year |