The University of Southampton
University of Southampton Institutional Repository

From theory to practice: an international approach to establishing prehabilitation programmes

From theory to practice: an international approach to establishing prehabilitation programmes
From theory to practice: an international approach to establishing prehabilitation programmes

Purpose: This article focuses on the following:The importance of prehabilitation in people with cancer and the known and hypothesised benefits. Exploration of the principles that can be used when developing services in the absence of a single accepted model of how these services could be established or configured. Description of approaches and learning in the development and implementation of prehabilitation across three different countries: Canada, the Netherlands and the United Kingdom, based on the authors’ experiences and perspectives. Recent 

Findings: practical tips and suggestions are shared by the authors to assist others when implementing prehabilitation programmes. These include experience from three different approaches with similar lessons. Important elements include the following: (i) starting with a small identified clinical group of patients to refine and test the delivery model and demonstrate proof of concept; (ii) systematic data collection with clearly identified target outcomes from the outset; (iii) collaboration with a wide range of stakeholders including those who will be designing, developing, delivering, funding and using the prehabilitation services; (iv) adapting the model to fit local situations; (v) project leaders who can bring together and motivate a team; (vi) recognition and acknowledgement of the value that each member of a diverse multidisciplinary team brings; (vii) involvement of the whole team in prehabilitation prescription including identification of patients’ levels of risk through appropriate assessment and need-based interventions; (viii) persistence and determination in the development of the business case for sustainable funding; (ix) working with patients ambassadors to develop and advocate for the case for support; and (x) working closely with commissioners of healthcare. 

Summary: principles for the implementation of prehabilitation have been set out by sharing the experiences across three countries. These principles should be considered a framework for those wishing to design and develop prehabilitation services in their own areas to maximise success, effectiveness and sustainability.

Business case, Cancer, Implementation, Multidisciplinary, Multimodal, Prehabilitation, Surgery, Team
1523-3855
129-137
Davis, June F.
b30a966c-a30a-4d9a-a7f5-947e4776b9d1
Van Rooijen, Stefan J.
e33ed634-7fea-49f4-b0ad-b46c5b30834c
Grimmett, Chloe
7f27e85b-2850-481d-a7dd-2835e1a925cd
West, Malcom A.
98b67e58-9875-4133-b236-8a10a0a12c04
Campbell, Anna M.
cdf3f55a-65cd-43d7-803f-9654e25b072e
Awasthi, Rashami
23eaf865-abcf-4406-bfe3-3cf6753ea7cc
Slooter, Gerrit D.
a55d6974-6b0d-462f-a7d4-ecd9311d8159
Grocott, Michael P.
1e87b741-513e-4a22-be13-0f7bb344e8c2
Carli, Franco
1d4c8c9c-dc70-4d7f-a96d-227f6004683d
Jack, Sandy
a175e649-83e1-4a76-8f11-ab37ffd954ea
Davis, June F.
b30a966c-a30a-4d9a-a7f5-947e4776b9d1
Van Rooijen, Stefan J.
e33ed634-7fea-49f4-b0ad-b46c5b30834c
Grimmett, Chloe
7f27e85b-2850-481d-a7dd-2835e1a925cd
West, Malcom A.
98b67e58-9875-4133-b236-8a10a0a12c04
Campbell, Anna M.
cdf3f55a-65cd-43d7-803f-9654e25b072e
Awasthi, Rashami
23eaf865-abcf-4406-bfe3-3cf6753ea7cc
Slooter, Gerrit D.
a55d6974-6b0d-462f-a7d4-ecd9311d8159
Grocott, Michael P.
1e87b741-513e-4a22-be13-0f7bb344e8c2
Carli, Franco
1d4c8c9c-dc70-4d7f-a96d-227f6004683d
Jack, Sandy
a175e649-83e1-4a76-8f11-ab37ffd954ea

Davis, June F., Van Rooijen, Stefan J., Grimmett, Chloe, West, Malcom A., Campbell, Anna M., Awasthi, Rashami, Slooter, Gerrit D., Grocott, Michael P., Carli, Franco and Jack, Sandy (2022) From theory to practice: an international approach to establishing prehabilitation programmes. Current Anesthesiology, 12 (1), 129-137. (doi:10.1007/s40140-022-00516-2).

Record type: Article

Abstract

Purpose: This article focuses on the following:The importance of prehabilitation in people with cancer and the known and hypothesised benefits. Exploration of the principles that can be used when developing services in the absence of a single accepted model of how these services could be established or configured. Description of approaches and learning in the development and implementation of prehabilitation across three different countries: Canada, the Netherlands and the United Kingdom, based on the authors’ experiences and perspectives. Recent 

Findings: practical tips and suggestions are shared by the authors to assist others when implementing prehabilitation programmes. These include experience from three different approaches with similar lessons. Important elements include the following: (i) starting with a small identified clinical group of patients to refine and test the delivery model and demonstrate proof of concept; (ii) systematic data collection with clearly identified target outcomes from the outset; (iii) collaboration with a wide range of stakeholders including those who will be designing, developing, delivering, funding and using the prehabilitation services; (iv) adapting the model to fit local situations; (v) project leaders who can bring together and motivate a team; (vi) recognition and acknowledgement of the value that each member of a diverse multidisciplinary team brings; (vii) involvement of the whole team in prehabilitation prescription including identification of patients’ levels of risk through appropriate assessment and need-based interventions; (viii) persistence and determination in the development of the business case for sustainable funding; (ix) working with patients ambassadors to develop and advocate for the case for support; and (x) working closely with commissioners of healthcare. 

Summary: principles for the implementation of prehabilitation have been set out by sharing the experiences across three countries. These principles should be considered a framework for those wishing to design and develop prehabilitation services in their own areas to maximise success, effectiveness and sustainability.

Text
From Theory to Practice An International Approach to Establishing - Version of Record
Available under License Creative Commons Attribution.
Download (921kB)

More information

Accepted/In Press date: 3 February 2022
e-pub ahead of print date: 18 February 2022
Published date: March 2022
Additional Information: Funding Information: This article is funded by the organisations to which the authors are affiliated.
Keywords: Business case, Cancer, Implementation, Multidisciplinary, Multimodal, Prehabilitation, Surgery, Team

Identifiers

Local EPrints ID: 455238
URI: http://eprints.soton.ac.uk/id/eprint/455238
ISSN: 1523-3855
PURE UUID: 1e925cb3-a331-4f87-acc5-ae65ec662bdc
ORCID for Chloe Grimmett: ORCID iD orcid.org/0000-0002-7540-7206
ORCID for Malcom A. West: ORCID iD orcid.org/0000-0002-0345-5356
ORCID for Michael P. Grocott: ORCID iD orcid.org/0000-0002-9484-7581

Catalogue record

Date deposited: 15 Mar 2022 17:58
Last modified: 14 Jun 2022 01:47

Export record

Altmetrics

Contributors

Author: June F. Davis
Author: Stefan J. Van Rooijen
Author: Chloe Grimmett ORCID iD
Author: Malcom A. West ORCID iD
Author: Anna M. Campbell
Author: Rashami Awasthi
Author: Gerrit D. Slooter
Author: Franco Carli
Author: Sandy Jack

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×