Overview
This is a multi-center, randomized trial investigating the use of PrehabPal web app versus a written surgery prehabilitation instructions among individuals aged 65 years and older preparing for colon cancer surgery. PrehabPal is a web app designed with, and for, older adults preparing for surgery at University of California, San Francisco (UCSF). This app has the potential to fill a crucial clinical gap for older cancer patients by designing an individualized prehabilitation program and providing prehabilitation coaching.
Description
PRIMARY OBJECTIVE:
I. Determine the effectiveness of PrehabPal in delivering prehabilitation and improving outcomes for elders who undergo colorectal cancer surgery.
SECONDARY OBJECTIVES:
I. Determine the impact of PrehabPal on surgical outcomes and functional recovery compared to standard written surgery prehabilitation materials.
- OUTLINE
Participants will be randomly assigned to 1 of 2 conditions. Study participation will continue for up to 12 weeks, with intervention 7-21 days before surgery and a follow-up visit 8 weeks after surgery.
Eligibility
Inclusion Criteria:
- Male or female >=65 years of age at time of evaluation for colorectal cancer resection.
- Documentation of a colorectal diagnosis as evidenced by the following criteria:
- Biopsy proven colorectal cancer or unresectable neoplastic polyp.
- Written informed consent (and assent when applicable) obtained from subject or
subject's legal representative and ability for subject to comply with the requirements of the study.
- Self-reported access to the Internet.
- Participant has at least seven days prior to surgery date to optimize for surgery.
- English language proficient.
Exclusion Criteria:
- No English language proficiency.
- No Internet access.
- Documented diagnosis of dementia or Alzheimer's disease.
- Surgery scheduled within 7-days.
- Presence of a condition or abnormality that in the opinion of the Investigator would compromise the safety of the patient or the quality of the data.