Effects of preoperative physical training on clinical outcomes of patients with Abdominal Cancer and barriers and facilitators for surgical patients stay active during hospitalization

• Grant number: 17/24276-6
• Support Opportunities: Scholarships in Brazil - Doctorate
• Start date: March 01, 2018
• End date: September 30, 2020
• Field of knowledge: Health Sciences - Physiotherapy and Occupational Therapy
• Principal Investigator: Adriana Claudia Lunardi
• Grantee: Isabel Fialho Fontenele Garcia
• Host Institution: Pró-Reitoria de Pós-Graduação, Pesquisa e Extensão. Universidade Cidade de São Paulo (UNICID). São Paulo , SP, Brazil

Abstract

Promoting the benefits of keeping the hospitalized surgical patient physically active is essential to prevent the impairment of their functional capacity and other harms that generate new hospitalizations preventable by increasing their mobility. However, in clinical practice, we found patients spending long periods in their beds. Objectives: to evaluate the effects of preoperative physical training programs on patients with Abdominal Cancer; develop and evaluate the measurement properties of a questionnaire of barriers and facilitators for physical activity of surgical patients during hospitalization. Methods: systematic review of randomized clinical trials of interventions with preoperative physical exercise in patients with Abdominal Cancer. Primary outcomes: incidence of postoperative pulmonary complications and post-intervention and postoperative exercise capacity. Secondary outcomes: length of hospital stay; postoperative mortality; quality of life; mortality, readmission and late complications; Adverse events; patient adherence to preoperative physical training. Clinimetry study involving development and evaluation of the measurement properties of a questionnaire of barriers and facilitators for physical activity of surgical patients during hospitalization. Statistical analysis: reliability will be assessed by reproducibility, internal consistency and measurement error. Reproducibility: intraclass correlation coefficient (ICC2.1) and 95% CIs; internal consistency: Cronbach's alpha; measurement error: standard error of measurement; interpretability: minimum detectable difference and floor and ceiling effects; validity: association between the developed questionnaire and the Morton Mobility Index (DEMMI) scale using Pearson's correlations. (AU)