Implementing Surgery School Prehabilitation Using Telehealth
NCT ID: NCT06631872
Last Updated: 2025-08-27
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
NA
515 participants
INTERVENTIONAL
2025-01-22
2028-07-31
Brief Summary
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The STTARRS trial aims to test the effect of an education program delivered via telehealth in people preparing for lung or major abdominal cancer surgery , compared with usual care on the development of a respiratory complications after surgery.
The secondary aims will be to determine the effect of the online education program for people preparing for lung or major abdominal cancer surgery compared to usual care on the following outcomes; acute hospital length of stay, surgical recovery, physical function and activity, self-efficacy, behaviour change, symptoms, health-related quality of life, number of days alive and out of hospital and health service usage and survival.
This trial includes one sub-study. The sub-study will recruit eligible people preparing for lung cancer surgery. In the sub-study, 35 participants will receive an individualised inspiratory muscle training and walking program delivered and monitored by telehealth in addition to the main STTARRS trial intervention before surgery.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
SINGLE
Study Groups
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Tele-prehabilitation intervention (Intervention Group)
The Teleprehabilitaiton intervention (also known as Surgery School) is a one-off group based education session delivered online. Video presentations of 8-10 key prehabilitation education areas will be facilitated by a live clinician facilitator who will introduce the educational content and answer any questions. All standardised video presentations during the session will be made available to participants through an online password-protected video repository hosted on a video platform after the session and will be available until their surgery.
Tele-prehabilitation education session: Surgery School
Online telehealth education program using videos and a live clinician facilitator
Usual care alone (Control Group)
Participants allocated to the control group will receive usual care according to their health care team, which may consist of advice on smoking cessation, reduction of alcohol intake, nutritional counselling and medical optimisation in preoperative anaesthetic clinic visits. Participants will be asked to maintain their normal daily activities.
Usual Care
Usual care alone. Usual care will be reviewed every four months during the trial and site leads will be asked to provide information about any changes to usual hospital and medical care at their site.
Sub-study: Tele-prehabilitation and inspiratory muscle training program
Eligible participants awaiting lung cancer surgery that have been randomised into the intervention arm will be re-randomised to receive either the STTARRS (larger trial) intervention or the STTARRS intervention PLUS an individualised inspiratory muscle training and walking program delivered by a physiotherapist using telehealth in the lead up to their lung cancer surgery.
The inspiratory muscle training program includes an inspiratory muscle training explanatory video and an individually prescribed dosage and resistance for inspiratory muscle training and walking program, delivered via telehealth.
Tele-prehabilitation education session: Surgery School
Online telehealth education program using videos and a live clinician facilitator
Individualised Inspiratory Muscle Training and Walking Program
An individualised inspiratory muscle training and walking program delivered by a Physiotherapist using telehealth.
Sub-study: Tele-prehabilitation intervention
The Teleprehabilitaiton intervention (also known as Surgery School) is a one-off group based education session delivered online. Video presentations of 8-10 key prehabilitation education areas will be facilitated by a live clinician facilitator who will introduce the educational content and answer any questions. All standardised video presentations during the session will be made available to participants through an online password-protected video repository hosted on a video platform after the session and will be available until their surgery.
Tele-prehabilitation education session: Surgery School
Online telehealth education program using videos and a live clinician facilitator
Interventions
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Tele-prehabilitation education session: Surgery School
Online telehealth education program using videos and a live clinician facilitator
Individualised Inspiratory Muscle Training and Walking Program
An individualised inspiratory muscle training and walking program delivered by a Physiotherapist using telehealth.
Usual Care
Usual care alone. Usual care will be reviewed every four months during the trial and site leads will be asked to provide information about any changes to usual hospital and medical care at their site.
Eligibility Criteria
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Inclusion Criteria
* Provide consent
* Have primary treating surgeon approval
* Proficient in English to understand testing, video interventions as well as outcome assessments.
Exclusion Criteria
* Severe or unstable psychiatric, cognitive or substance abuse disorders, such that precludes informed consent or interferes with cooperation with trial requirements or current inpatients.
* Current inpatients or incarcerated
* Surgery date booked \<7 days from consent
18 Years
ALL
No
Sponsors
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Peter MacCallum Cancer Centre, Australia
OTHER
University of Melbourne
OTHER
Responsible Party
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Principal Investigators
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Linda Denehy, B AppSc (Physio), PhD
Role: PRINCIPAL_INVESTIGATOR
University of Melbourne
Locations
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John Hunter Hospital
New Lambton Heights, New South Wales, Australia
Princess Alexandra Hospital
Woolloongabba, Queensland, Australia
Launceston General Hospital
Launceston, Tasmania, Australia
Austin Health
Heidelberg, Victoria, Australia
Royal Melbourne Hospital
Melbourne, Victoria, Australia
Fiona Stanley Hospital
Perth, Western Australia, Australia
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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4.2 19/02/2025
Identifier Type: -
Identifier Source: org_study_id
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