Trial reportBMC geriatrics2026
Barriers and facilitators to prehabilitation participation among older adults undergoing major elective surgery: a qualitative study using the capability, opportunity, motivation - behavior model.
Trial report in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05752474 (Multi-Component Prehabilitation Program for High-Risk Older Adults Undergoing Major Elective Surgery), which is not on this map. Not yet cited in PubMed.
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.
Multi-Component Prehabilitation Program for High-Risk Older Adults Undergoing Major Elective Surgery: A Pilot and Feasibility Study
Who cites it
0 citing papers in PubMed.
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Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundPrehabilitation may improve patients’ functional capacity before surgery and enhance postoperative recovery. This study aimed to identify facilitators and barriers to participation in a multi-component prehabilitation program among older adults undergoing major elective surgery.
methodsThis qualitative study, nested within a single-arm feasibility trial, included patients aged ≥ 65 years who participated in a prehabilitation program consisting of exercise, nutrition counseling, and meditation. Semi-structured interviews were conducted, and a hybrid deductive–inductive thematic analysis approach was applied. Finalized thematic summaries were subsequently organized using the Capability, Opportunity, Motivation-Behavior framework.
resultsTwenty-four participants completed interviews (mean age 76.5 years; 42% female; 8% black; 17% frail; 75% undergoing cardiovascular surgery). Fewer barriers and more facilitators were identified for the exercise and nutrition components, whereas more barriers than facilitators were found for meditation. Limited physical opportunity (e.g., limitations of physical environment, resources, and time) was the most prominent barrier to engagement, while social opportunity and reflective motivation emerged as major facilitators. Barriers to engagement, across program components, included physical symptoms, limited knowledge, environmental and logistical constraints, negative social influence, habit formation challenges, personal skepticism, lack of discipline, and negative emotional responses. Facilitators encompassed enhanced self-efficacy, guided instruction, prior experience, accessible resources, individualized planning, support from instructors and family, positive beliefs, emotional reinforcement, goal setting, and integration of routines.
conclusionThis study highlights the importance of a person-centered approach to maximize participation in multi-component prehabilitation among older adults before major elective surgery. Targeting barriers related to physical opportunity, while simultaneously fostering a supportive social environment and strengthening internal motivation through personalized goals and positive reinforcement, may enhance adherence and contribute to the success of prehabilitation programs. CLINICAL
trial registrationNCT05752474.
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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.