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1012 Push and pull factors associated with engagement with prehabilitation for ovarian cancer: a qualitative review
  1. Josh Courtney Mcmullan1,
  2. Rhiannon Philips2,
  3. Denitza Williams3 and
  4. Sadie Jones1
  1. 1University Hospital of Wales, Cardiff, UK
  2. 2Cardiff Metropolitan University, Cardiff, UK
  3. 3Cardiff University, Cardiff, UK


Introduction/Background Advanced ovarian cancer is a complex disease and the management often requires complex surgery with known peri-operative risks. Prehabilitation programs include the patient’s time from diagnosis to treatment and aims to improve function and metabolic reserve with the hope of reducing these peri-operative complications. Multimodal prehabilitation interventions include exercise, nutritional optimisation, psychological support, frailty and lifestyle modification (e.g. smoking cessation).

Methodology A qualitative analysis of the prehabilitation programmes across four UK gynae-oncology cancer centres. Data was collected using reflective semi-structured interviews. Analysis included an inductive Braun&Clarke thematic analysis using NVivo to identify themes which were subsequently linked to the RE:AIM service evaluation framework.

Results 21 semi-structured interviews were conducted in total. Themes identified included;

  1. Introduction (RE:AIM Implementation)

    • timing/volume/content of information. Mixed views on the most appropriate method for information giving but little understanding of the overall aims.

  2. Engagement (RE:AIM Reach/Adoption)

    • Perceived need. Less likely to engage if have a strong social support or self-reported strong psychological baseline.

    • convenience of appointments has no impact on engagement.

    • accessibility of staff significantly improves engagement.

    • social anxiety impacts negatively on engagement.

  3. Usefulness (RE:AIM Effectiveness)

    • repeated assessments improve engagement due to evidence of strength building.

    • lack of initial perceived need for psychological intervention but overwhelmingly positive once they engage.

  4. Improvements (RE:AIM Maintenance)

    • Strong desire for more support with psychosexual/menopause health, regardless of age.

    • family involvement.

    • Continuity and follow up post treatment.

Conclusion In order to provide a personalised model of multi-modal prehabilitation for ovarian cancer it is of paramount importance to listen to patient opinions. This qualitative analysis shows a strong link between information giving and perceived need, with those who have a strong social network being less likely to engage. Clinicians must be mindful of psychosexual and post-menopausal health, regardless of age.

Disclosures None to declare.

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