SynthesisThe international journal of behavioral nutrition and physical activity2023
What moves patients to participate in prehabilitation before major surgery? A mixed methods systematic review.
Synthesis in The international journal of behavioral nutrition and physical activity, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Prehabilitation for femoroacetabular impingement syndrome: intervention development using the Medical Research Council Framework.Journal of ISAKOS : joint disorders & orthopaedic sports medicine · 2026Pooled it
- Prehabilitation for cancer surgery: a systematic review of qualitative literature from experienced stakeholders.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Pooled it
- Psychological, social, and behavioral barriers and facilitators to prehabilitation before cancer surgery: a qualitative systematic review.Frontiers in oncology · 2026Pooled it
- Music therapy integrated virtual reality education for preoperative anxiety in gynecological surgery.Scientific reports · 2026Trial
- Facilitators and barriers to participation in prehabilitation prior to orthopaedic elective surgery - a qualitative study with elderly (pre-)frail patients.BMC geriatrics · 2025Trial
- Patient Reflections on Participation in a Randomised Controlled Multimodal Prehabilitation Trial Before Ventral Hernia Repair.International journal of environmental research and public health · 2025Trial
- The Effectiveness of the Be Prepared mHealth App on Recovery of Physical Functioning After Major Elective Surgery: Multicenter Randomized Controlled Trial.JMIR mHealth and uHealth · 2025Trial
- 'Prehabilitation Should Adapt to the Person, not the Other Way Around': A Qualitative Study Exploring Stakeholder Perceptions of Prehabilitation for Total Hip and Knee Arthroplasty.Musculoskeletal care · 2026Article
- Delivering prehabilitation in cancer surgery: a service evaluation at Nottingham University Hospitals.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Observational
- Review
- Preoperative prehabilitation in adults: A concept analysis.International journal of nursing studies advances · 2026Review
- Development of personas to tailor prehabilitation care for patients undergoing cancer surgery: An exploratory study.Internet interventions · 2026Article
- The feasibility of implementing and evaluating individualised digital prehabilitation prior to major elective surgery in adults aged ≥ 50 years: the PreActiv intervention.Perioperative medicine (London, England) · 2026Article
- Mobile App-Supported Self-Management for Chronic Low Back Pain: Realist Evaluation.JMIR mHealth and uHealth · 2026Article
- Prehabilitation interventions to support the postoperative recovery of adult kidney transplant candidates: a scoping review.BMC nephrology · 2026Article
- Feasibility of a Preoperative Exercise and Nutritional Intervention in Sarcopenic Obese Individuals Undergoing Hip or Knee Arthroplasty: A Pilot Randomized Controlled Trial.Archives of rehabilitation research and clinical translation · 2025Article
- Using the Theoretical Domains Framework and Behavior Change Wheel Framework within the world of nutrition support.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2025Review
- Multicomponent prehabilitation and perioperative care in older persons with frailty referred to planned orthopaedic surgery: A feasibility study.Aging clinical and experimental research · 2025Article
- Enhancing postoperative recovery with multimodal prehabilitation: the journey begins before surgery.Korean journal of anesthesiology · 2025Review
- The impact of multimodal prehabilitation on patient activation before surgery: a cohort study.Surgical endoscopy · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrehabilitation offers patients the opportunity to actively participate in their perioperative care by preparing themselves for their upcoming surgery. Experiencing barriers may lead to non-participation, which can result in a reduced functional capacity, delayed post-operative recovery and higher healthcare costs. Insight in the barriers and facilitators to participation in prehabilitation can inform further development and implementation of prehabilitation. The aim of this review was to identify patient-experienced barriers and facilitators for participation in prehabilitation.
methodsFor this mixed methods systematic review, articles were searched in PubMed, EMBASE and CINAHL. Articles were eligible for inclusion if they contained data on patient-reported barriers and facilitators to participation in prehabilitation in adults undergoing major surgery. Following database search, and title and abstract screening, full text articles were screened for eligibility and quality was assessed using the Mixed Method Appraisal Tool. Relevant data from the included studies were extracted, coded and categorized into themes, using an inductive approach. Based on these themes, the Capability, Opportunity, Motivation, Behaviour (COM-B) model was chosen to classify the identified themes.
resultsThree quantitative, 14 qualitative and 6 mixed methods studies, published between 2007 and 2022, were included in this review. A multitude of factors were identified across the different COM-B components. Barriers included lack of knowledge of the benefits of prehabilitation and not prioritizing prehabilitation over other commitments (psychological capability), physical symptoms and comorbidities (physical capability), lack of time and limited financial capacity (physical opportunity), lack of social support (social opportunity), anxiety and stress (automatic motivation) and previous experiences and feeling too fit for prehabilitation (reflective motivation). Facilitators included knowledge of the benefits of prehabilitation (psychological capability), having access to resources (physical opportunity), social support and encouragement by a health care professional (social support), feeling a sense of control (automatic motivation) and beliefs in own abilities (reflective motivation).
conclusionsA large number of barriers and facilitators, influencing participation in prehabilitation, were found across all six COM-B components. To reach all patients and to tailor prehabilitation to the patient's needs and preferences, it is important to take into account patients' capability, opportunity and motivation.
trial registrationRegistered in PROSPERO (CRD42021250273) on May 18th, 2021.
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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 OpenQuestion graph.