Revealed Patient Preferences in Prehabilitation - A Retrospective Review

Abstract

Introduction. Prehabilitation is increasingly common in both practice, and literature. Program descriptions and elements seem to vary considerably by program, and a clear, comprehensive understanding of patient preferences and need in prehabilitation is lacking.
Methods. A revealed patient preference approach was employed through a retrospective review of referrals and appointments booked by patients in a provincial program. Visits were analysed to understand the impact of sex, cancer comorbidity, and level of service on patient engagement with different disciplines.
Results. While patients engaged in a mix of service delivery methods and levels of personalization, they were more likely to attend sessions offered in a psychosocial domain, or with psychosocial disciplines such as occupational therapy, social work or psychology regardless of sex or cancer comorbidity. Sex discrepancies did exist in overall enrollment, with significantly more females attending, despite significantly more males being referred.
Conclusion. Reviewing program self-selection and enrollment created an increased understanding of patient preference and need, revealing a strong preference for psychosocial interventions. A multi-disciplinary approach to prehabilitation is essential in ensuring the needs of all patients are being met.