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This study is designed to evaluate the short-term physiological impact and acceptability of a telehealth-delivered prehabilitation program for patients preparing for MBS. We anticipate that the intervention will result in improvements in CRF over a 4-week period and will be acceptable to participants. These findings will inform refinements to the program and guide future implementation efforts.
JMIR Res Protoc 2025;14:e77538
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There is growing evidence showing that prehabilitation can improve postoperative recovery and reduce the incidence of postoperative complications [1-6]. Prehabilitation aims to enhance the patients’ general health and well-being prior to major surgery by modifying behavioral and lifestyle risk factors [3].
JMIR Mhealth Uhealth 2025;13:e58703
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The thoracic surgeon will then raise the subject of prehabilitation with patients. At this point, patients will have the choice to participate in the prehabilitation program or not. If the participants do not agree to the study, they will continue with a standard of care.
JMIR Res Protoc 2025;14:e60791
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Many health apps for perioperative guidance are available, but the content is often narrow and applied to only one aspect of the care pathway, such as prehabilitation or postoperative monitoring [11-14]. An e Coach for colorectal surgery was reported, but did not include prehabilitation, for which digital coaching can be particularly helpful [15]. Furthermore, clear reporting of feasibility for older surgical patients in real-life clinical practice is often missing [16,17].
JMIR Perioper Med 2025;8:e67425
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The Prehab App has been developed as a platform linked to a wearable device, enabling individualized, risk-adjusted, home-based aerobic exercise training as prehabilitation before major surgery. The objective of the prospective interventional PROTEGO MAXIMA trial was to evaluate the accuracy of wearable measurements and the safety of the prehabilitation program compared with certified electrocardiogram (ECG) measurements in a supervised and controlled environment.
JMIR Mhealth Uhealth 2025;13:e55298
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Prehabilitation also involves the identification of potential impairments and the implementation of targeted interventions aimed at optimizing health, thereby reducing the risk and severity of future treatment-related complications. The efficacy of cancer prehabilitation programs is supported by findings from several international reviews and meta-analyses [2-4].
JMIR Form Res 2025;9:e64427
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Improved patient preparation and awareness to surgery, thanks to prehabilitation (Pre Hab) programs, helps to minimize side effects, improve patients’ postoperative psychological and physiological status, and ease postoperative recovery [7,8].
J Med Internet Res 2024;26:e55429
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The term “prehabilitation” refers to actively preparing patients for surgery through interventions such as exercise, nutritional support, psycho-cognitive training, or a combination thereof, to enhance functional capacity and improve tolerance to upcoming surgical stress [3,5]. Although prehabilitation is highly valued by patients, the evidence supporting its benefits in the musculoskeletal field is varied and uncertain [3,8].
J Med Internet Res 2024;26:e52943
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Prehabilitation is a new field in clinical medicine that focuses on the optimal preparation of a patient for an operation [1]. The concept is based on multiple pillars of short-term lifestyle modifications predominantly reflecting the World Health Organization’s (WHO) recommendations for physical activity and the European code against cancer [2,3]. Specifically, it focuses on physical activity, mental well-being, and optimal nutrition.
JMIR Form Res 2024;8:e59513
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Lifestyle modifications in nutrition and exercise prior to oncologic treatment are key strategies of prehabilitation (prehab) and have been shown to optimize patients’ functional capacity and improve postoperative outcomes [24-26]. Results from this work are being used to propose the next evolution of this project, which is the adaptation of a culturally appropriate prehab program for San Carlos Apache patients diagnosed with cancer who are preparing for surgery.
JMIR Form Res 2024;8:e51669
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