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WiP Seminar: Dr. Annalijn Conklin
October 19, 2022, 2022
Annalijn Conklin, PhD (Cantab.), MPH, MSc (Research), BSc (Hons)
Assistant Professor, Faculty of Pharmaceutical Sciences, UBC
Partnering with patients on surgical PREhabilitation for better patient outcomes (PREP)
Prehab is a promising but untapped strategy for abdominal operations to improve post-surgical outcomes and reduce costs — a top policy and research priority. The logic for ‘prehab’ is sufficiently compelling that expert consensus calls for a ‘bundle of care’ addressing multiple modifiable behavioural risk factors to provide stronger benefits to patients through synergistic effects on health, and ‘prehab’ is currently being piloted in Eastern Canada and Spain. This patient-oriented feasibility study co-developed a web-based prehabilitation program with six patient partners to support colorectal surgery patients in better preparing for surgery. The new patient education website covered key lifestyle modifications, their role in surgical outcomes, and relevant resources for both colorectal cancer and non-cancer patients waiting for surgery, with content drawn from expert-vetted sources, including our scientific team. We then recruited 25 patients between January and September 2021 to explore the feasibility of providing a web-based intervention of structured support as ‘prehab’ for patients preparing for colorectal cancer surgery in BC. Our results showed that there was high demand and good acceptability of the surgical ‘prehab’ programme involving online structured self-management support, but there was limited practicality for a telephone-based Health Coach as this service was never requested by patients despite reported interest. Our secondary research question of whether there is promise for success in improving overall patient wellbeing was not supported by the three-month follow-up health-related quality of life survey. The results of this study enabled the decision by the surgeons at PHC’s Colorectal Clinic to permanently adopt this patient-oriented website and integrate it into clinical care.
This is a hybrid event, you may attend in person or virtually. Please register and indicate your preference. Click here to register (required): https://ubc.zoom.us/meeting/register/u5cocOCorTIsGdRP6zf5XWZ9PNms9mLR6mnH