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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

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Evaluating a digital prehabilitation tool in patients with colorectal surgery: protocol for a multisite randomised

Kelsey Ogomori¹, Jeanette Broering², Camille Rogine³

¹University of California San Francisco School of Medicine, San Francisco, California, USA kelsey.ogomori@ucsf.edu.

|February 18, 2025

Summary

A new digital tool helps older adults engage in prehabilitation before colorectal cancer surgery. This personalized program aims to reduce surgical risks for this vulnerable population.

Keywords:

Colorectal surgery GERIATRIC MEDICINE Randomized Controlled Trial SURGERY eHealth

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Area of Science:

Geriatric Medicine
Surgical Oncology
Digital Health

Background:

Colorectal cancer disproportionately affects older adults, a group at higher risk for surgical complications.
Prehabilitation can mitigate surgical risks, but implementation faces barriers.
A novel digital tool was developed with older adults to address these challenges.

Purpose of the Study:

To evaluate the effectiveness of a co-designed digital prehabilitation tool for older adults undergoing colorectal cancer surgery.
To assess patient engagement with personalized prehabilitation programs generated by an algorithm.

Main Methods:

A multisite, unblinded randomized trial involving 132 patients aged 65+ scheduled for colorectal cancer resection.
Participants randomized 2:1 to receive a digital tool with a health coach or usual care with written materials.
Primary outcome: patient engagement with prehabilitation activities.

Main Results:

The study is currently enrolling patients and has not yet reported primary outcomes.
The digital tool assesses patient-specific geriatric vulnerabilities to create tailored prehabilitation plans.
Intervention group receives a web application and home health coach support.

Conclusions:

The study will provide insights into the feasibility and effectiveness of digital prehabilitation for older surgical oncology patients.
Successful implementation could improve outcomes for a high-risk demographic.
Further research will determine the impact on surgical outcomes and patient recovery.