ArticleAnnals of nutrition & metabolism2025
Co-Developed Logic Model for Surgical Prehabilitation in an Acute Care Setting: A Qualitative Study of Stakeholders' Perspectives.
Article in Annals of nutrition & metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.
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Corrections and comments
- Erratum issuedErratum.2025
Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
<p>Introduction: Prehabilitation programs treat modifiable risk factors to improve surgical outcomes. However, translation of research into practice remains challenging. Logic models, visual representations of how a program works, have the potential to bridge research-to-practice gaps. We aimed to develop a logic model for prehabilitation programs in tertiary care centers by interviewing stakeholders about what should be the mission, inputs, outputs (activities and participants), and targeted outcomes for prehabilitation.
methodsA multi-site qualitative study was conducted from June 2022 to December 2023. Interviews were analyzed using manifest summative content analysis to determine logic model items. Focus groups for member checking were performed with stakeholders throughout the analysis process.
resultsSixty-one interviews were conducted with stakeholders: prehabilitation staff (n = 12), patients (n = 10), perioperative care physicians (n = 10), nurses (n = 9), dietitians (n = 9), physiotherapists (n = 5), and hospital administrators (n = 6). Findings underscored unanimous support for prehabilitation yet revealed challenges that hindered efficient and equitable resource utilization, which have been addressed in the logic model. To evaluate the success of prehabilitation, both clinician- (n = 44) and patient-oriented outcomes (n = 32) were valued by stakeholders; however, priority outcomes varied by stakeholder group: intervention adherence (prehabilitation staff), experience and satisfaction (patients), and facilitation of discharge (clinicians and hospital administrators).
conclusionThis co-developed logic model was designed to improve the efficiency, accessibility, and sustainability of acute care prehabilitation programs by offering a detailed blueprint. Researchers and clinicians can draw on the insights from this co-production process to develop, implement, and evaluate their own prehabilitation programs. </p>.
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