NIHR I-Prehab project v1.0

  • Research type

    Research Study

  • Full title

    Inclusive prehab (I-Prehab) to address inequity in cancer outcomes: mixed-methods evaluation research to enhance access, acceptance and adherence

  • IRAS ID

    327117

  • Contact name

    Helen Falconer

  • Contact email

    falconerhe@cardiff.ac.uk

  • Sponsor organisation

    Cardiff University

  • Duration of Study in the UK

    1 years, 3 months, 31 days

  • Research summary

    Background
    Prehab can lead to fewer treatment complications and better cancer outcomes, including longer life. It can also produce service cost savings. If prehab services are to be inclusive for all, changes are required to improve access and to support participation.

    Aim
    We will work with patients, carers, cancer workers, and cancer service managers to make (coproduce) and evaluate I-Prehab. I-Prehab will be a toolkit to support cancer workers to raise awareness of and encourage participation in prehab services for cancer patients. It will be designed to overcome access barriers and provide tools to support adherence, particularly for those from socially deprived and ethnic minority communities. We will study patients receiving treatment for upper gastrointestinal, bowel, lung, or breast cancer.

    Design and methods
    The research will be in 4 stages, planned and delivered in partnership with representatives of socially deprived and ethnic minority communities:

    Stage 1. A review of relevant published research to find out what is known about culturally appropriate support for physical activity, nutrition, and emotional resilience.

    Stage 2. Investigate in detail the current prehab practices in all eight NHS organisations treating cancer in Wales.

    Stage 3. Workshops with people affected by cancer and service providers to use the findings of stages 1 and 2 to produce I-Prehab.

    Stage 4. Test whether it is possible to deliver I-Prehab. This will include checking whether cancer workers will complete I-Prehab education and then use I-Prehab, whether they find it useful and finding out about patients’ experiences.

    Dissemination
    We will work with our partner organisations to distribute I-Prehab across Wales and the rest of the UK. We will share the research findings with healthcare professionals, hospital managers and people affected by cancer through NHS training, charities, the press, social media, conferences, public meetings, and in scientific and professional journals.

  • REC name

    London - Surrey Borders Research Ethics Committee

  • REC reference

    23/PR/0868

  • Date of REC Opinion

    26 Sep 2023

  • REC opinion

    Further Information Favourable Opinion