An official website of the United States government
PrehabPal Web App or Written Surgery Prehabilitation Instructions to Improve Engagement for Older Adults Undergoing Surgery for Colorectal Cancer
Trial Status: active
This clinical trial compares the use of the PrehabPal web application (app) to written surgery prehabilitation instructions to improve engagement with the prehabilitation activates for older adults undergoing surgery for colorectal cancer. Increasing age is associated with poor surgical outcomes after colorectal cancer surgery. However, engaging in prehabilitation activities can result in improved patient outcomes post surgery. Using the PrehabPal app to complete the prehabilitation activities may result in more engagement with prehabilitation activities and may lead to better patient outcomes, than written prehabilitation instructions for older adults undergoing surgery for colorectal cancer.
Inclusion Criteria
Male or female >= 65 years of age at time of evaluation for colorectal cancer resection
Documentation of a colorectal diagnosis as evidenced by the following criteria:
* Biopsy proven colorectal cancer or unresectable neoplastic polyp
Written informed consent (and assent when applicable) obtained from subject or subject’s legal representative and ability for subject to comply with the requirements of the study
Self-reported access to the internet
Participant has at least seven days prior to surgery date to optimize for surgery
English language proficient
Exclusion Criteria
No English language proficiency
No internet access
Documented diagnosis of dementia or Alzheimer’s disease
Surgery scheduled within 7 days
Presence of a condition or abnormality that in the opinion of the investigator would compromise the safety of the patient or the quality of the data
Additional locations may be listed on ClinicalTrials.gov for NCT05520866.
I. To determine the engagement in digital prehabilitation among older adults.
SECONDARY OBJECTIVE:
I. Determine the impact of digital prehabilitation on surgical outcomes and functional recovery at 4 and 8-weeks post-surgery.
OUTLINE: Patients are randomized to 1 of 2 arms.
ARM I: Patients receive access to the PrehabPal web app where they can access tailored prehabilitation activities and education, and speak with a health coach while on study.
ARM II: Patients receive written prehabilitation instructions and education and record the activities completed in a written diary while on study.
Patients follow up at 4 and 8 weeks after discharge from the hospital.
Trial PhaseNo phase specified
Trial Typesupportive care
Lead OrganizationUniversity of California San Francisco
Principal InvestigatorEmily Virginia Anne Finlayson
