biostudies-literatureUnknown14(11)McIsaac DI<h4>Introduction</h4>Home-based, virtually-supported care models may represent the most efficient and scalable approach to delivering prehabilitation services. However, virtual approaches to prehabilitation are understudied. This manuscript describes the protocol for an internal pilot randomised controlled trial of a virtually-delivered, multimodal prehabilitation intervention.<h4>Methods and analysis</h4>We will conduct a pragmatic, individual patient, internal pilot randomised controlled trial of home-based, virtually supported, multimodal prehabilitation compared with standard perioperative care in adults undergoing elective, inpatient thoracic, abdominal, pelvic and vascular surgery at five Canadian hospitals. Participants will be partially blinded; clinicians and outcome assessors wilBMJ opene093710https://www.ebi.ac.uk/biostudies/studies/S-EPMC11552010biostudies-literatureSTRIVE pilot trial: a protocol for a multicentre pragmatic internal pilot randomised controlled trial of Structured TRaining to Improve fitness in a Virtual Environment (STRIVE) before surgery.PMC11552010Serrano PWilliams LBeaudet NGibson NHatzakorzian RPierce HWourms VHallet JKowalski SJayas RWright SFergusson DLapierre DMartel GBertolizio GCamire DDubois DCouture ETodd AHeroux JSparrow KSoussi SSidhu SMeliambro AHall RCuthbertson BRussell SAbdulla KBailey JTaneja RMahes NSawchuk CRoach DEl-Gabalawy ROrser BLavallee LTDillane DPlourde GDiDonato RSchwarz SBagry HJacka MD'Aragon FGeorge RWong KHare GRaazi MShore DDSehmbi HBuckley NWong JRoy JDChiu MJager PLecluyse VSobotie SNagpal SGreen JMoliner PNeufeld AChung FDumbarton TSweet VGlezerson BMizubuti GOstiguy ATahasildar BLRAuer RVigil HRBeaubien-Souligny WLellouche FAbdallah FDecker ABrenna CSiddiqui NFarnand MPaul JMcDonald HSuresh VArellano RNoppens RBousquet-Dion GGrocott HBautista MRee RBranje KMcNeely MLBurke NChiniara GMonfort CHladkowicz EBainbridge DBarnes KGoldenberg NKennedy BLi EBoyle DSzabo LGagne MPSiddiqui FLeitch JBak ABamvita JMParlow JChun RMerchant RNKidd GKaustov LMilne ACharan NGregory AJackson TBartoszko JSchricker TSondekoppam RMunro ARosen DGrey RSellers DThavorn KMcCluskey SGilron ILiu AScheede-Bergdahl CMuneer MDuclos CNalla BNickel CYarnold CKe JTran VHedlin PGelinas JPRice TDenault AAlkadri JBussieres JO'Brien JGottesman DWasowicz MTarshis JKerr BLehmann CMartin RCanadian Perioperative Anesthesia Clinical Trials Group (PACT)Christodoulou CHutton JRaiche ILalu MMJoanisse JTurgeon AAvramescu SPreston RDjaiani GHemmerling TMcCartney CEdwards NKlemmer MLove CKarkouti KMcIsaac DITrottier DMcKay WVogt KMoloo HSinasac SDavid Mazer CZwarenstein MMcKeen DLee SLadha KBryson GLefebvre AMontbriand JDrolet PKim JWalraven CVDuggan LBrar SSDuttchen KRoyer OCheng MMcVicar JTandon PNeilpovitz DBeaubien JJerath AWijeysundera DNSampson STran DChau AGagne SNeira VRamos RDeck MRoberts DClarke HSaha TLaw MMcMullen SAucoin SGil AFBreau RPridham JChui JWang DYee DShanthanna HWang GOverbeek CSTRIVE Trial InvestigatorsChagnon FWang LSun LSchmidt MSingh IVerret MAu SWang WMozel MBaghirzada LBanfield JEarle DMutter TGillis CGaudreault JYang HEskander AYang ISpence JJivraj NSun TLe TTan EKhadaroo RBrudney SGorges MBoland LChisholm JGraham RTrivedi VBelley-Cote ERashiq SYang SBeattie WSHarrison TGrunfeld AAl-Nahdi SBeaulieu PMissirlis PMcGinn RChoi SThorleifson MHung OWarden GNates WLebon JSUppal VBoet SDobson GTaljaard MGirard MDeschamps ASedighi SMCarrier FMPrabhakar CChesney TLam WBaldinii GForster AGondal TMansour JCameron MFuller JRamsay TFlexman AfalseSTRIVE pilot trial: a protocol for a multicentre pragmatic internal pilot randomised controlled trial of Structured TRaining to Improve fitness in a Virtual Environment (STRIVE) before surgery.<h4>Introduction</h4>Home-based, virtually-supported care models may represent the most efficient and scalable approach to delivering prehabilitation services. However, virtual approaches to prehabilitation are understudied. This manuscript describes the protocol for an internal pilot randomised controlled trial of a virtually-delivered, multimodal prehabilitation intervention.<h4>Methods and analysis</h4>We will conduct a pragmatic, individual patient, internal pilot randomised controlled trial of home-based, virtually supported, multimodal prehabilitation compared with standard perioperative care in adults undergoing elective, inpatient thoracic, abdominal, pelvic and vascular surgery at five Canadian hospitals. Participants will be partially blinded; clinicians and outcome assessors wil2024-01-01T00:00:00Z2024 Nov2026-06-02T03:39:14.538Z2025-04-04T12:00:48.995ZS-EPMC115520103951078410.1136/bmjopen-2024-093710