Ganda-Heath Chhaya, Smits Anke, Ang Christine, Ratnavelu Nithya
Newcastle UniversityMedical School, Newcastle Upon Tyne, UK.
Northern Gynaecological Oncology Centre, Queen Elizabeth Hospital, Gateshead, UK.
Cancer Control. 2025 Jan-Dec;32:10732748251375516. doi: 10.1177/10732748251375516. Epub 2025 Sep 16.
IntroductionPrehabilitation aims to optimise functional capacity, nutritional status, and mental wellbeing, to minimise surgical morbidity and enhance recovery. Hospital-based prehabilitation programs may face practical barriers, such as distance, time, and cost of travel. App-based prehabilitation may therefore offer a practical solution.ObjectiveThe aim of this study was to assess the feasibility, acceptability, and safety of introducing an app-based prehabilitation program into the standard care for women undergoing gynaecological cancer surgery.MethodsThis was a feasibility study performed as part of a prehabilitation service development project for women undergoing gynaecological cancer surgery between April 2024 and May 2024. Women were approached to trial the 'Surgery Hero' prehabilitation app prior to surgery, which was a multimodal app-based intervention including physical exercise, nutrition, and mental wellbeing through information modules, videos, and real-time access to a health coach. Feasibility was assessed through recruitment, activation, participation, and drop-out rates, and adverse events were monitored. Acceptability was assessed through participant satisfaction scores, and semi-structured interviews with thematic analysis of facilitators and barriers to program participation.ResultsFifteen licenses were available and successfully utilised, with a recruitment rate of 58.6% and an activation rate of 88.2%. The participation rate was 93.3% and the mean engagement rate was 76.3%. No adverse events were reported. The mean overall program satisfaction score was 4.5 out of 5. Participants felt motivated to participate and were reassured by the coaching calls and information provision. However, they felt limited by the short preoperative interval and their current state of health.ConclusionsApp-based prehabilitation appears to be a feasible, acceptable, and safe option for women undergoing surgery for a gynaecological cancer. However, further studies are needed to confirm these findings.
引言
术前康复旨在优化功能能力、营养状况和心理健康，以尽量减少手术并发症并促进康复。基于医院的术前康复项目可能面临实际障碍，如距离、时间和交通成本。因此，基于应用程序的术前康复可能提供一种切实可行的解决方案。
目的
本研究的目的是评估将基于应用程序的术前康复项目引入妇科癌症手术女性标准护理中的可行性、可接受性和安全性。
方法
这是一项可行性研究，作为2024年4月至2024年5月期间妇科癌症手术女性术前康复服务开发项目的一部分。邀请女性在手术前试用“Surgery Hero”术前康复应用程序，这是一种基于多模式应用程序的干预措施，包括通过信息模块、视频以及实时联系健康教练进行体育锻炼、营养指导和心理健康指导。通过招募率、激活率、参与率和退出率评估可行性，并监测不良事件。通过参与者满意度评分以及对项目参与的促进因素和障碍进行主题分析的半结构化访谈来评估可接受性。
结果
有15个许可证可供使用并成功利用，招募率为58.6%，激活率为88.2%。参与率为93.3%，平均参与度为76.3%。未报告不良事件。项目总体满意度平均得分为4.5分（满分5分）。参与者感到有动力参与，并通过辅导电话和信息提供感到安心。然而，她们感到术前间隔时间短以及当前健康状况限制了参与。
结论
基于应用程序的术前康复对于接受妇科癌症手术的女性似乎是一种可行、可接受且安全的选择。然而，需要进一步研究来证实这些发现。
