Implementing a virtual mind-body prehabilitation program for patients undergoing thoracic surgery: A quality improvement project Journal Article
| Authors: | Mao, J. J.; Molena, D.; Desai, K.; Schobert, K.; Seluzicki, C.; Wilson, D.; Hardbattle, R.; Rocco, G.; Jones, D. |
| Article Title: | Implementing a virtual mind-body prehabilitation program for patients undergoing thoracic surgery: A quality improvement project |
| Abstract: | Background: Prehabilitation before thoracic surgery has been found to improve outcomes in patients with cancer; however, COVID-19 presented challenges to access on-site programs. We describe the development, implementation, and evaluation of a synchronous, virtual mind-body prehabilitation program developed in response to COVID-19. Methods: Eligible participants were patients seen at a thoracic oncology surgical department of an academic cancer center, aged 18 years or older with a diagnosis of thoracic cancer and referred at least 1 week before surgery. The program offered 2 45-minute preoperative mind-body fitness classes each week delivered via Zoom (Zoom Video Communications, Inc). We collected data for referrals, enrollment, participation, and evaluated patient-reported satisfaction and experience. We conducted brief semistructured interviews about participants’ experience. Results: Among 278 patients referred, 260 were approached, and of those 197 (76%) patients agreed to participate. Among participants, 140 (71%) attended at least 1 class, with an average of 11 attendees per class. The majority of participants reported being extremely satisfied (97.8%), extremely likely to recommend the classes to others (91.2%), and indicated that classes were very much helpful in preparing for surgery (90.8%). Patients also reported that the classes helped reduce anxiety/stress (94.2%), fatigue (88.5%), pain (80.7%), and shortness of breath (86.5%). Qualitative data further suggest that the program made participants feel stronger, more connected to their peers, and better prepared for surgery. Conclusions: This virtual mind-body prehabilitation program was well received with high satisfaction and benefits and is highly feasible to implement. This approach may help overcome some of the challenges to in-person participation. © 2023 The Author(s) |
| Keywords: | integrative medicine; prehabilitation; thoracic cancer; virtual mind-body |
| Journal Title: | JTCVS Open |
| Volume: | 14 |
| Issue: | C |
| ISSN: | 2666-2736 |
| Publisher: | Elsevier Inc. |
| Date Published: | 2023-01-01 |
| Start Page: | 615 |
| End Page: | 622 |
| Language: | English |
| DOI: | 10.1016/j.xjon.2023.03.003 |
| PROVIDER: | scopus |
| PMCID: | PMC10328830 |
| PUBMED: | 37425445 |
| DOI/URL: | |
| Notes: | Article -- MSK Cancer Center Support Grant (P30 CA008748) acknowledged in PDF -- MSK corresponding author is Jun Mao -- Source: Scopus |
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