Exploring the experience of adhering to a prescribed pre-surgical exercise program for patients with advanced rectal cancer: A phenomenological study

Burke, Shaunna; West, Malcolm; Grocott, Michael P.W.; Brunet, Jennifer; Jack, Sandy

doi:10.1016/j.psychsport.2014.09.005

Cited by 17 publications

(29 citation statements)

References 38 publications

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“…weddings, funerals). Although formal qualitative feedback was not collected, general feedback was that it was well received and consistent with previous qualitative work in the field [25,26]. The predominant focus of prehabilitation in colorectal surgery has been to increase physiological reserve prior to surgery in order to improve clinical outcomes [3].…”

Section: Discussionmentioning

confidence: 77%

Feasibility of a novel exercise prehabilitation programme in patients scheduled for elective colorectal surgery: a feasibility randomised controlled trial

Northgraves

Arunachalam

Madden

et al. 2019

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Background and objectives To investigate the feasibility of delivering a functional exercise-based prehabilitation intervention and its effects on postoperative length of hospital stay, preoperative physical functioning and health-related quality of life in elective colorectal surgery. Materials and methods In this randomised controlled feasibility trial, 22 elective colorectal surgery patients were randomly assigned to exercise prehabilitation (n = 11) or standard care (n = 11). Feasibility of delivering the intervention was assessed based on recruitment and compliance to the intervention. Impact on postoperative length of hospital stay and complications, preoperative physical functioning (timed up and go test, five times sit to stand, stair climb test, handgrip dynamometry and 6-min walk test) and health-related quality of life were also assessed. Results Over 42% of patients (84/198) screened were deemed ineligible for prehabilitation due to insufficient time existing prior to scheduled surgery. Of those who were eligible, approximately 18% consented to the trial. Median length of hospital stay was 8 [range 6-27] and 10 [range 5-12] days respectively for the standard care and prehabilitation groups. Patterns towards preoperative improvements for the timed up and go test, stair climb test and 6-min walk test were observed for all participants receiving prehabilitation but not standard care. Conclusions Despite prehabilitation appearing to convey positive benefits on physical functioning, short surgical wait times and patient engagement represent major obstacles to implementing exercise prehabilitation programmes in colorectal cancer patients.

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Section: Discussionmentioning

confidence: 77%

Feasibility of a novel exercise prehabilitation programme in patients scheduled for elective colorectal surgery: a feasibility randomised controlled trial

Northgraves

Arunachalam

Madden

et al. 2019

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“…In previous studies, participants describe mainly positive aspects regarding preoperative physical exercise. However, the results are based on those who participated in the programmes [15,16,18], thus missing the attitudes of the patients who declined exercise during recruitment.…”

Section: Discussionmentioning

confidence: 99%

“…A few studies specifically highlight preoperative physical exercise [15][16][17][18]. Mooney et al described patients' experiences with exercise prior to cardiac surgery, and suggest that it can be a valuable approach to meet the patients' needs during the waiting period [15].…”

Section: Introductionmentioning

confidence: 99%

“…Mooney et al described patients' experiences with exercise prior to cardiac surgery, and suggest that it can be a valuable approach to meet the patients' needs during the waiting period [15]. Burke et al explored patients' experiences of participating in an exercise programme prior to rectal cancer surgery, where the participants reported a feeling of being safe and encouraged, and having a sense of control [18]. In a study on participants in a prehabilitation programme prior to colorectal or lung cancer surgery, feeling physically ready for surgery was identified as a motivator [17].…”

Section: Introductionmentioning

confidence: 99%

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Older patients’ attitudes towards, and perceptions of, preoperative physical activity and exercise prior to colorectal cancer surgery—a gap between awareness and action

Karlsson

Dahl

Rydwik

et al. 2019

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Purpose Time for preoperative optimisation prior to colorectal cancer surgery is limited and older people tend to decline exercise interventions. This study sought to describe attitudes towards, and perceptions of, preoperative physical activity and exercise in older people prior to colorectal cancer surgery. Methods This is a qualitative interview study, analysed with inductive content analysis. Seventeen participants scheduled for colorectal surgery were recruited as a purposeful sample from two hospitals in Stockholm, Sweden. Individual semistructured interviews were conducted, face-to-face (n = 8) or by telephone (n = 9). Results Nine participants were male, median age was 75 years (range 70-91). The theme, 'a gap between awareness and action', was identified based on two main categories: 'Attitudes towards preoperative physical exercise have a multifactorial base' and 'Preoperative physical exercise is possible with a push in the right direction'. The material described a gap between awareness of the benefits of physical activity and reports of performing physical activity. The reasons for the gap between thoughts and action in this respect seem to be multifactorial. Support from others emerged as an important possibility for overcoming the gap. Conclusions A gap between the patients' awareness and action appeared in our material. Understanding this can guide healthcare professionals (HCPs) as to the support needed preoperatively. Advice on physical exercise before surgery should be specific, and individually tailored support for action should be offered. This support should also consider the individual's current physical activity and preoperative attitude towards physical exercise.

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“…Substantial gains to improve the surgical outcome utilizing preoperative patient optimization are yet to be made. We now know that poor preoperative physical fitness, reflecting poor physiological reserves, is associated with postoperative morbidity, and that prehabilitation can improve fitness and quality of life . This is true personalized medicine, and further work within this area is urgently needed.…”

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confidence: 99%

Preoperative physical fitness assessment, prehabilitation and surgical outcome – a video vignette

West

2016

Colorectal Disease

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Exploring the experience of adhering to a prescribed pre-surgical exercise program for patients with advanced rectal cancer: A phenomenological study

Cited by 17 publications

References 38 publications

Feasibility of a novel exercise prehabilitation programme in patients scheduled for elective colorectal surgery: a feasibility randomised controlled trial

Feasibility of a novel exercise prehabilitation programme in patients scheduled for elective colorectal surgery: a feasibility randomised controlled trial

Older patients’ attitudes towards, and perceptions of, preoperative physical activity and exercise prior to colorectal cancer surgery—a gap between awareness and action

Preoperative physical fitness assessment, prehabilitation and surgical outcome – a video vignette

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