Prehabilitation program before surgery to reduce complications

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

The STRIVE Before Surgery Trial evaluates the effectiveness of a home-based multimodal prehabilitation program delivered through an online platform. Participants will be randomly assigned to either the prehabilitation group or a control group, with the aim of assessing patient-reported disability 30 days post-surgery. This approach addresses the increasing risk of postoperative complications among surgical patients, particularly those with comorbidities. The trial seeks to gather data on recruitment, adherence, and follow-up to support future large-scale evaluations of prehabilitation.

Why it matters

Who can join: the full rules

Inclusion Criteria:

1. Age ≥18 years
2. Scheduled, or on the pathway, for inpatient abdominal, thoracic, pelvic, head-and-neck or vascular surgery
3. Expected surgery date between 3 and 12 weeks from enrollment
4. Valid provincial health insurance number
5. Access to internet-enabled device
6. Email address

Exclusion Criteria:

1. Inability to read and communicate in English
2. Cognitive impairment preventing ability to provide informed consent independently
3. No telephone/cell phone
4. Cardiac, neurological or orthopedic procedure
5. Surgery with no curative intent (palliative surgery)
6. Patient not interested in participating in the context of their TAPA score
7. Any of the following cardiovascular conditions:

   1. Severe valvular heart disease that limits a patient's ability to ambulate on level ground, or is associated with syncope or dyspnea
   2. Severe cardiac dysrhythmias that limit a patient's ability to ambulate on level ground, or is associated with syncope or dyspnea
   3. Recent myocardial infarction (within 6 weeks prior to enrollment - based on the Heart and Stroke Foundation's HeartWalk program)

Where it's running

• The Ottawa Hospital Research Institute
  Ottawa, Ontario, Canada Recruiting

Study contacts

• Principal investigator: Daniel McIsaac, MD,MPH,FRCPC — The Ottawa Hospital
• Study coordinator: Emily Hladkowicz, PhD
• Email: emhladkowicz@toh.ca
• Phone: 613-798-5555

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.