Prehabilitation Before Major Surgery

Summary

The goal of this clinical trial is to learn if a virtually monitored, home-based prehabilitation program is feasible and acceptable for adults undergoing major elective surgery. The main questions it aims to answer are:

1. Can researchers successfully recruit and retain participants across multiple sites?
2. Will participants adhere to the prehabilitation program at a high enough rate to justify a larger trial?

Researchers will compare the prehabilitation program to standard preoperative care to see if the intervention is feasible to implement and whether it may help reduce postoperative complications.

Participants will:

* Be randomly assigned to receive either the prehabilitation program or usual care
* Complete questionnaires and physical assessments before and after the intervention
* (For those in the intervention group) Receive exercise, nutrition, and mindfulness guidance, protein supplements, and use the CloudDX virtual care platform to support their activities

Conditions

• Prehabilitation
• Preoperative Care
• Elective Surgical Procedures
• Postoperative Complications
• Surgical Procedures, Operative

Interventions

BEHAVIORAL

Virtually Monitored Home-Based Prehabilitation Program

A multimodal, home-based prehabilitation program delivered via the CloudDX® virtual platform. Participants in the intervention group will be given a comprehensive prehabilitation pamphlet including: 1. a prescription for aerobic and strength exercises to be completed each week 2. nutritional counselling 3. descriptions of mindfulness deep breathing exercises 4. 36 Premier Protein shakes The participants will complete baseline questionnaires and receive prehabilitation consultation and education after onboarding to the CloudDX virtual platform using a cellular-enabled tablet provided to them, or their own device.

Sponsors & Collaborators

• Canadian Anesthesia Research Foundation

  collaborator UNKNOWN

• Ottawa Hospital Research Institute

  collaborator OTHER

• Kingston Health Sciences Centre

  collaborator OTHER

• Hamilton Health Sciences Centre

  collaborator UNKNOWN

• St. Joseph's Healthcare Hamilton

  collaborator OTHER

• Queen's University

  lead OTHER

Principal Investigators

• Jordan Leitch, MSc, MD, FRCPC · Queen's University

Study Design

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

TRIPLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2026-06-01

Primary Completion

2027-10-31

Completion

2028-01-31

Countries

• Canada

Study Locations