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
≥ 18 years of age
Undergoing major elective intra-thoracic, intra-abdominal or orthopedic surgery. Major surgery is defined as any operation performed under general and/or spinal anesthesia requiring a skin incision extending beyond the subcutaneous tissue
More than 3 weeks from the date of scheduled operation
Emergency Surgery
Operation in less than 3 weeks from time of initial research contact
Patients who are pregnant
Unable/unwilling to sign written informed consent
Queen's University
Lead sponsor
Canadian Anesthesia Research Foundation
Collaborator
Ottawa Hospital Research Institute
Collaborator
Kingston Health Sciences Centre
Collaborator
Hamilton Health Sciences Centre
Collaborator
St. Joseph's Healthcare Hamilton
Collaborator