Maximizing patient adherence to prehabilitation: what do the patients say?
Abstract
Purpose Multimodal prehabilitation programs (exercise, nutrition, and anxiety reduction) have been shown to be successful for enhancing patients' physical function prior to surgery, although adherence remains a challenge. Given the short pre-operative period, maintaining adherence is critical to maximize program effectiveness. This study was designed to better understand patients' perspectives of prehabilitation and to identify factors related to program adherence.Methods A qualitative descriptive study was conducted based on 52 cancer patients enrolled in a prehabilitation program at the Montreal General Hospital, Montreal, Canada. Data was collected with a structured questionnaire designed to evaluate the program.Results Patients enjoyed their experience in prehabilitation, especially the exercise program and training sessions. The primary motivating factor for participation was to be physically prepared for the surgery. The most challenging exercise component was resistance training, while the most enjoyed was the aerobic training. Approximately 50% of patients were interested in group fitness classes as opposed to supervised individual training sessions for reasons related to social support. The preferred methods for exercise program delivery were home-based and one supervised exercise session per week. The biggest barrier to participation was related to transportation.Conclusions These findings highlight the need to make prehabilitation programs more patient-centered. This is critical when designing more effective therapeutic strategies tailored to meet patients' specific needs while overcoming program non-adherence.
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Social support is an effective facilitator of physical activity.
“because social support is an effective facilitator of physical activity [40].”
From Pilot study of a telehealth perioperative physical activity intervention for older adults with cancer and their caregivers (2020) · cites this paper as [40]
In-person interventions may be prohibitive because of patient and caregiver travel burden.
“In-person interventions may be prohibitive due to patient/caregiver travel burden [40].”
From Pilot study of a telehealth perioperative physical activity intervention for older adults with cancer and their caregivers (2020) · cites this paper as [40]
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- Authors
- Ferreira, V., Agnihotram, R. V., Bergdahl, A., van Rooijen, S. J., Awasthi, R., Carli, F., & Scheede-Bergdahl, C.
- Affiliations
- Montreal General Hospital (CA)
- McGill University Health Centre (CA)
- Concordia University (CA)
- Venue
- Supportive Care in Cancer
- Published
- 2018-02-24
- Volume
- 26
- Issue
- 8
- Pages
- 2717-2723
- ISSN
- 0941-4355 (ISSN-L)
- 1433-7339
- OpenAlex
- W2791807193
- Cited by
- 181
- References
- 31
- Citations by year
- 2026: 4 · 2025: 30 · 2024: 38 · 2023: 33 · 2022: 29 · 2021: 24 · 2020: 14 · 2019: 7 · 2018: 2
- FWCI
- 12.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Supportive Care in Cancer (publishedVersion)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (submittedVersion)
- Funders
- Fondation de l'Hôpital Général de Montréal
- Topics
- Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Keywords
- prehabilitation, patient adherence, cancer surgery, patient perspectives, exercise program, resistance training, aerobic exercise, nutrition, anxiety reduction, social support, home-based exercise, transportation barriers, patient-centered care, barriers to participation
- MeSH terms
- Aged, Cross-Sectional Studies, Female, Humans, Male, Neoplasms, Patient Compliance, Preoperative Care, Surveys and Questionnaires, Exercise, Patient Preference
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