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Article

Understanding Patients’ Experiences and Perspectives of Tele-Prehabilitation: A Qualitative Study to Inform Service Design and Delivery

1
General Surgery, Darent Valley Hospital, Dartford DA2 8DA, UK
2
Kent and Medway Prehab, Phase B CIC, London E1 6RA, UK
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Author to whom correspondence should be addressed.
Academic Editors: Josep M. Argilés and Anna Capasso
Clin. Pract. 2022, 12(4), 640-652; https://doi.org/10.3390/clinpract12040067
Received: 15 June 2022 / Revised: 21 July 2022 / Accepted: 12 August 2022 / Published: 16 August 2022
Background: Tele-prehabilitation is a behaviour change intervention that facilities the modification of unhealthy lifestyle behaviours. Understanding patients’ experiences of tele-prehabilitation provides important insights into service improvement. In this study, we aimed to describe our patients’ perceptions of tele-prehabilitation and capture their capabilities, opportunities, and motivations to participate. This was a qualitative study to inform our service design and delivery. Methods: Following purposive sampling, 22 qualitative semistructured interviews were conducted with patients in the community that had completed tele-prehabilitation. Interviews were recorded and transcribed. Deductive content analysis was used to map the identified themes against theoretical determinants of health behaviour change. Results: We conducted 22 interviews. Our patients described their overall experience of tele-prehabilitation as positive and provided important insights that impacted their capabilities, opportunities, and motivations to engage with our service. Our team provided them the capabilities and self-efficacy to engage by personalising multimodal plans and setting goals. The remote delivery of our service was a recurring positive theme in providing flexibility and widening accessibility to participation. A missed opportunity was the potential for peer support through shared experiences with other patients. Patients showed greater motivation to participate for immediate perioperative benefit compared to long-term health gains. Conclusion: Patients’ experiences and perspectives of tele-prehabilitation can be enhanced by incorporating the findings from this qualitative study into service redesign and delivery. We recommend: (1) applying holistic principles in care and goal-setting, (2) delivering a combination of home-based and in-centre programmes, and (3) engaging with patients at the start of their cancer journey when they are most motivated. In turn, this can result in more effective uptake, improve adherence to interventions, and greater satisfaction. View Full-Text
Keywords: cancer; oncology; motivation; aptitude; patient outcome assessment cancer; oncology; motivation; aptitude; patient outcome assessment
MDPI and ACS Style

Wu, F.; Laza-Cagigas, R.; Rampal, T. Understanding Patients’ Experiences and Perspectives of Tele-Prehabilitation: A Qualitative Study to Inform Service Design and Delivery. Clin. Pract. 2022, 12, 640-652. https://doi.org/10.3390/clinpract12040067

AMA Style

Wu F, Laza-Cagigas R, Rampal T. Understanding Patients’ Experiences and Perspectives of Tele-Prehabilitation: A Qualitative Study to Inform Service Design and Delivery. Clinics and Practice. 2022; 12(4):640-652. https://doi.org/10.3390/clinpract12040067

Chicago/Turabian Style

Wu, Fiona, Roberto Laza-Cagigas, and Tarannum Rampal. 2022. "Understanding Patients’ Experiences and Perspectives of Tele-Prehabilitation: A Qualitative Study to Inform Service Design and Delivery" Clinics and Practice 12, no. 4: 640-652. https://doi.org/10.3390/clinpract12040067

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