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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Patient and Public Involvement in Prehabilitation: A Systematic Review.

Rachel Muir1,2,3,4, Megan Rattray5, Peta-Anne Zimmerman4,6,7

  • 1Faculty of Health, Southern Cross University, Gold Coast, Australia.

Clinical Rehabilitation
|June 1, 2026
PubMed
Summary

Patient and public involvement (PPI) in prehabilitation programs is limited and inconsistently reported. Enhancing collaborative approaches is crucial for improving program acceptability and adherence, strengthening the evidence base for prehabilitation interventions.

Keywords:
Patient and public involvementcodesignoptimisationprehabilitationsystematic review

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Area of Science:

  • Healthcare Research
  • Patient Engagement
  • Intervention Science

Background:

  • Prehabilitation programs aim to improve patient outcomes before surgery.
  • Patient and Public Involvement (PPI) is increasingly recognized as vital for healthcare research.
  • The extent and quality of PPI in prehabilitation require systematic evaluation.

Purpose of the Study:

  • To systematically assess the extent and quality of patient and public involvement (PPI) reporting in prehabilitation programs and research.
  • To identify current practices and reporting standards for PPI in this field.

Main Methods:

  • A systematic review of literature was conducted using PRISMA guidelines.
  • Searches were performed across multiple databases (MEDLINE, EMBASE, CINAHL, PsycINFO, Cochrane).
  • Methodological quality was assessed using the Mixed Methods Appraisal Tool (MMAT), with patient representative involvement.

Main Results:

  • 16 studies reporting PPI in prehabilitation were included from five countries.
  • Most studies involved patients at multiple stages, utilizing diverse methods like co-design.
  • Reporting quality was suboptimal, with only three studies meeting GRiPP2-SF criteria and none using formal PPI checklists.

Conclusions:

  • Prehabilitation programs often lack robust patient and public involvement, impacting acceptability and adherence.
  • Despite limited evidence, some studies show sustained and meaningful PPI.
  • Inconsistent reporting necessitates clearer guidelines to strengthen the evidence base and promote wider adoption of PPI in prehabilitation.