Digital Support to Multimodal Community-Based Prehabilitation: Looking for Optimization of Health Value Generation

Anael Barberan-Garcia*, Isaac Cano, Bart C. Bongers, Steffen Seyfried, Thomas Ganslandt, Florian Herrle, Graciela Martinez-Palli*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

1 Citation (Web of Science)

Abstract

Prehabilitation has shown its potential for most intra-cavity surgery patients on enhancing preoperative functional capacity and postoperative outcomes. However, its large-scale implementation is limited by several constrictions, such as: i) unsolved practicalities of the service workflow, ii) challenges associated to change management in collaborative care; iii) insufficient access to prehabilitation; iv) relevant percentage of program drop-outs; v) need for program personalization; and, vi) economical sustainability. Transferability of prehabilitation programs from the hospital setting to the community would potentially provide a new scenario with greater accessibility, as well as offer an opportunity to effectively address the aforementioned issues and, thus, optimize healthcare value generation. A core aspect to take into account for an optimal management of prehabilitation programs is to use proper technological tools enabling: i) customizable and interoperable integrated care pathways facilitating personalization of the service and effective engagement among stakeholders; ii) remote monitoring (i.e. physical activity, physiological signs and patient-reported outcomes and experience measures) to support patient adherence to the program and empowerment for self-management; and, iii) use of health risk assessment supporting decision making for personalized service selection. The current manuscript details a proposal to bring digital innovation to community-based prehabilitation programs. Moreover, this approach has the potential to be adopted by programs supporting long-term management of cancer patients, chronic patients and prevention of multimorbidity in subjects at risk.

Original languageEnglish
Article number662013
Number of pages7
JournalFrontiers in Oncology
Volume11
DOIs
Publication statusPublished - 17 Jun 2021

Keywords

  • CANCER
  • EXERCISE
  • FITNESS
  • ICT
  • INCREASE PHYSICAL-ACTIVITY
  • INTERVENTION
  • NORDIC WALKING
  • OUTCOMES
  • REHABILITATION
  • RISK PATIENTS
  • SURGERY
  • behavioral change
  • eHealth
  • exercise training and nutrition counseling
  • mHealth
  • physical activity
  • prehabilitation
  • psychological well-being
  • technology
  • NUTRITION

Cite this