Trial reportBMC geriatrics2025
Facilitators and barriers to participation in prehabilitation prior to orthopaedic elective surgery - a qualitative study with elderly (pre-)frail patients.
Trial report in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04418271 (Prehabilitation of Elderly Frail or Pre-frail Patients Prior to Elective Surgery - a Randomized Controlled Multicenter Study), which is not on this map. Cited by 4 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Prehabilitation of Elderly Frail or Pre-frail Patients Prior to Elective Surgery - a Randomized Controlled Multicenter Study (PRAEP-Go)
Who cites it
4 citing papers in PubMed.
- Trial
- [Position paper on prehabilitation in Germany].Chirurgie (Heidelberg, Germany) · 2026Review
- Facilitators and Barriers to Digital Self-Management in Older Adults With Depression: COM-B and Theoretical Domain Framework Qualitative Study.JMIR aging · 2026Article
- Factors influencing patient involvement in treatment decision-making for diabetic retinopathy: a mixed methods study protocol.BMJ open · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients with frailty syndrome have limited functional resources and an increased risk of postoperative complications. Prehabilitation may reduce adverse events and improve postoperative recovery. This study aimed to investigate the facilitators and barriers to participation in prehabilitation prior to elective surgery from the perspective of elderly (pre-)frail patients.
methodsThis qualitative study was nested within the PRAEP-GO trial, a multicentre randomised controlled trial currently investigating the (cost-)effectiveness of multimodal prehabilitation for elderly (pre-)frail patients in Germany. From February to April 2023, semi-structured face-to-face interviews were conducted with patients allocated to the intervention group of the PRAEP-GO trial. After verbatim transcription of the interviews, data were analysed using content-structuring qualitative content analysis. Results were synthesised using the capability, opportunity, motivation and behaviour (COM-B) model.
resultsEight patients with a mean age of 78.5 ± 3 years were interviewed in their homes. All interviewees had an indication for an orthopaedic surgery and had participated in the prehabilitation programme offered within the PRAEP-GO trial. In total, 32 facilitators and 25 barriers to participation were identified. These could be assigned to the entire spectrum of the COM-B model. The focus on individual needs, personalised advice from healthcare professionals and a well-organised prehabilitation programme facilitated participation in prehabilitation. Gaps in knowledge, limited physical functioning, (co-)morbidities and an inflexible attitude were identified as barriers.
conclusionsThese insights from the elderly (pre-)frail patient's perspective are an essential addition to the quantitative data generated in prehabilitation trials. The identified facilitators and barriers should be considered in the future implementation of prehabilitation programmes for this population.
trial registrationPRAEP-GO trial: ClinicalTrials.gov (NCT04418271; June 1, 2020), Qualitative study: Open Science Framework Registries (osf.io/xnbqc; February 18, 2023).
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.