ESTRO 2024 - Abstract Book

S5726

RTT - Patient experience and quality of life

ESTRO 2024

Good social ties/ connection (had active social lives via clubs or networks)

Had too much on (overwhelm)

Caring responsibilities

Had adapted lifestyle in past

Had been on other programmes like PR already

Altruistic

Did not readily see the value (to them) of changing lifestyle

Could see the value in the options

The patients that declined PREHABS preferred to focus on treatment. Other PREHABS options were viewed as an additional worry or burden with patients stating “worried about diagnosis” (6501D) “too much on “(6502D) “too tired and wanted to focus on treatment” (6506D). and “not likely to benefit me” (6503D). Additionally, one of them had responsibility for caring for a partner with dementia (6504D). Theories of psychological distress were confirmed. These patients experienced more burden either psychologically or practically. This led them to view the lifestyle adaptations as less valuable to them than those who were more resilient.

Conclusion:

In this study reported differences between those that declined PREHABS and those that took part suggested a need to adapt the delivery model. Those who were more distressed about diagnosis and treatment with less resources (time and money) were less likely to take part or find value in lifestyle adaptations they had to opt into. This led the team to evaluate methods of communication and models of opting patients into future services to avoid inequities in treatment as part of building a theory of change to scale up prehabilitation in Leeds and to other NHS Trusts.

Yorkshire Cancer Research Funded PREHABS study

Keywords: lifestyle, prehabilitation, qualitative

References:

1) Bloom E. Prehabilitation Evidence and Insight. Macmillan Cancer Support 2017 Prehabilitiation Evidence and Insight Review (macmillan.org.uk)

2) Ritchie J, Lewis J: Qualitative research practice: a guide for social science students and researchers. 2003, London: Sage

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Digital Poster

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