Development and evaluation of a novel pre‐operative surgery school and behavioural change intervention for patients undergoing elective major surgery: Fit‐4‐Surgery School
Development and evaluation of a novel pre‐operative surgery school and behavioural change intervention for patients undergoing elective major surgery: Fit‐4‐Surgery School
Group pre-operative education has usually been limited to conditioning expectations and providing education. Prehabilitation has highlighted modifiable lifestyle factors that are amenable to change and may improve clinical outcomes. We instituted a pre-operative ‘Fit-4-Surgery School’ for patients scheduled for major surgery, to educate and promote healthy behaviour. We evaluated patients’ views having attended the school, and after surgery we asked how it had changed their behaviour with a lifestyle questionnaire. The school was launched in May 2016 and was attended by 586/1017 (58%) of invited patients. Patients who did not attend: lived further away, median (IQR [range]) 8 (4–19 [0–123]) miles vs. 5 (3–14 [0–172]) miles, p < 0.001; and were more deprived, Index of Multiple Deprivation Rank decile median (IQR [range]), 6 (4–8 [1–10]) vs. 7 (4–9 [1–10]), p = 0.04. Of the 492/586 (84%) participants who completed an evaluation questionnaire, 462 (94%) would recommend the school to a friend having surgery and 296 (60%) planned lifestyle changes. After surgery, 232/586 (40%) completed a behavioural change questionnaire, 106 (46%) of whom reported changing at least one lifestyle factor, most commonly by increasing exercise. The pre-operative school was acceptable to patients.
behaviour change, peri-operative medicine, pre-operative education, prehabilitation, surgery school
1207-1211
Fecher‐jones, I.
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Grimmett, C.
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Edwards, M. R.
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Knight, J. S.
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Smith, J.
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Leach, H.
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Moyses, H.
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Jack, S.
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Grocott, M. P. W.
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Levett, D. Z. H.
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September 2021
Fecher‐jones, I.
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Grimmett, C.
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Edwards, M. R.
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Knight, J. S.
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Smith, J.
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Leach, H.
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Moyses, H.
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Jack, S.
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Grocott, M. P. W.
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Levett, D. Z. H.
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Fecher‐jones, I., Grimmett, C., Edwards, M. R., Knight, J. S., Smith, J., Leach, H., Moyses, H., Jack, S., Grocott, M. P. W. and Levett, D. Z. H.
(2021)
Development and evaluation of a novel pre‐operative surgery school and behavioural change intervention for patients undergoing elective major surgery: Fit‐4‐Surgery School.
Anaesthesia, 76 (9), .
(doi:10.1111/anae.15393).
Abstract
Group pre-operative education has usually been limited to conditioning expectations and providing education. Prehabilitation has highlighted modifiable lifestyle factors that are amenable to change and may improve clinical outcomes. We instituted a pre-operative ‘Fit-4-Surgery School’ for patients scheduled for major surgery, to educate and promote healthy behaviour. We evaluated patients’ views having attended the school, and after surgery we asked how it had changed their behaviour with a lifestyle questionnaire. The school was launched in May 2016 and was attended by 586/1017 (58%) of invited patients. Patients who did not attend: lived further away, median (IQR [range]) 8 (4–19 [0–123]) miles vs. 5 (3–14 [0–172]) miles, p < 0.001; and were more deprived, Index of Multiple Deprivation Rank decile median (IQR [range]), 6 (4–8 [1–10]) vs. 7 (4–9 [1–10]), p = 0.04. Of the 492/586 (84%) participants who completed an evaluation questionnaire, 462 (94%) would recommend the school to a friend having surgery and 296 (60%) planned lifestyle changes. After surgery, 232/586 (40%) completed a behavioural change questionnaire, 106 (46%) of whom reported changing at least one lifestyle factor, most commonly by increasing exercise. The pre-operative school was acceptable to patients.
Text
Development and evaluation of a novel preoperative surgery school and behavioural change intervention for patients undergoing elective major surgery
- Accepted Manuscript
More information
Accepted/In Press date: 4 December 2020
e-pub ahead of print date: 3 February 2021
Published date: September 2021
Additional Information:
Funding Information:
We thank H. Clarke, S Berry, C Brown, R. Devlin and A. Farmbrough for their help. IF‐J is supported by a National Institute for Health Research (NIHR), pre‐doctoral research fellowship. The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care. No external funding or competing interests declared.
Publisher Copyright:
© 2021 Association of Anaesthetists
Keywords:
behaviour change, peri-operative medicine, pre-operative education, prehabilitation, surgery school
Identifiers
Local EPrints ID: 447437
URI: http://eprints.soton.ac.uk/id/eprint/447437
ISSN: 0003-2409
PURE UUID: 4ba89d89-e17a-43ab-8568-c6ff83801b90
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Date deposited: 11 Mar 2021 17:36
Last modified: 17 Mar 2024 06:20
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Contributors
Author:
I. Fecher‐jones
Author:
M. R. Edwards
Author:
J. S. Knight
Author:
J. Smith
Author:
H. Leach
Author:
H. Moyses
Author:
S. Jack
Author:
D. Z. H. Levett
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