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Trial Title: Implementing Surgery School Prehabilitation Using Telehealth

NCT ID: NCT06631872

Condition: Lung Cancer
Colorectal Cancer
Oesophageal Cancer
Pancreas Cancer
Gastric Cancer

Conditions: Official terms:
Pancreatic Neoplasms

Study type: Interventional

Study phase: N/A

Overall status: Not yet recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Intervention model description: This is a two-arm, multicentre, comparative, assessor-blinded, randomised, controlled, hybrid (Type 1; examining both efficacy and feasibility) superiority trial that includes one sub-study.

Primary purpose: Supportive Care

Masking: Single (Outcomes Assessor)

Intervention:

Intervention type: Behavioral
Intervention name: Tele-prehabilitation education session: Surgery School
Description: Online telehealth education program using videos and a live clinician facilitator
Arm group label: Sub-study: Tele-prehabilitation and inspiratory muscle training program
Arm group label: Sub-study: Tele-prehabilitation intervention
Arm group label: Tele-prehabilitation intervention (Intervention Group)

Intervention type: Behavioral
Intervention name: Individualised Inspiratory Muscle Training and Walking Program
Description: An individualised inspiratory muscle training and walking program delivered by a Physiotherapist using telehealth.
Arm group label: Sub-study: Tele-prehabilitation and inspiratory muscle training program

Intervention type: Other
Intervention name: Usual Care
Description: Usual care alone. Usual care will be reviewed every four months during the trial and site leads will be asked to provide information about any changes to usual hospital and medical care at their site.
Arm group label: Usual care alone (Control Group)

Summary: The physiological challenge of major surgery has been likened to running a marathon. In both cases, preparation is critical. Yet, many patients undergo major surgery without understanding the potential consequences. The STTARRS trial aims to test the effect of an education program delivered via telehealth in people preparing for lung or major abdominal cancer surgery , compared with usual care on the development of a respiratory complications after surgery. The secondary aims will be to determine the effect of the online education program for people preparing for lung or major abdominal cancer surgery compared to usual care on the following outcomes; acute hospital length of stay, surgical recovery, physical function and activity, self-efficacy, behaviour change, symptoms, health-related quality of life, number of days alive and out of hospital and health service usage and survival. This trial includes one sub-study. The sub-study will recruit eligible people preparing for lung cancer surgery. In the sub-study, 65 participants will receive an individualised inspiratory muscle training and walking program delivered and monitored by telehealth in addition to the main STTARRS trial intervention before surgery.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Preparing for lung cancer (open or video assisted) or major abdominal cancer surgery (upper GI, hepatobiliary and colorectal, open or video assisted). - Provide consent - Have primary treating surgeon approval - Proficient in English to understand testing, video interventions as well as outcome assessments. Exclusion Criteria: - Concurrent, actively treated other malignancy of history of other malignancy treated within the past year, - Severe or unstable psychiatric, cognitive or substance abuse disorders, such that precludes informed consent or interferes with cooperation with trial requirements or current inpatients.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: John Hunter Hospital

Address:
City: New Lambton Heights
Zip: 2305
Country: Australia

Contact:
Last name: Jennifer Mackney, PhD
Email: jennifer.mackney@health.nsw.gov.au

Facility:
Name: Princess Alexandra Hospital

Address:
City: Woolloongabba
Zip: 4102
Country: Australia

Contact:
Last name: Claire Hackett, BPHTY
Email: claire.hackett@health.qld.gov.au

Facility:
Name: Launceston General Hospital

Address:
City: Launceston
Zip: 7250
Country: Australia

Contact:
Last name: Ianthe Boden, PhD
Email: ianthe.boden@ths.tas.gov.au

Facility:
Name: Austin Health

Address:
City: Heidelberg
Zip: 3084
Country: Australia

Contact:
Last name: Sue Berney, PhD
Email: sue.berney@austin.org.au

Facility:
Name: Royal Melbourne Hospital

Address:
City: Melbourne
Zip: 3050
Country: Australia

Contact:
Last name: Leonie Shaw, BAppSc(Phy)
Email: leonie.shaw@mh.org.au

Facility:
Name: Fiona Stanley Hospital

Address:
City: Perth
Zip: 6845
Country: Australia

Contact:
Last name: Vinicius Cavalheri, PhD
Email: vinicius.cavalheri@curtin.edu.au

Start date: October 2024

Completion date: October 2027

Lead sponsor:
Agency: University of Melbourne
Agency class: Other

Collaborator:
Agency: Peter MacCallum Cancer Centre, Australia
Agency class: Other

Source: University of Melbourne

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06631872

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