Identification and Multidisciplinary Prehabilitation of at Risk Elderly patients undergoing colorectal cancer therapy (IMPRovE). A feasibility scoping study to implement a prehabilitation programme at Western Health

Interventions: Patients equal or over the age of 65 will have a frailty assessment using the G8 scoring system.
Patients who score 14 or below will have a comprehensive geriatric assessment by a geriatrician. A multidisciplinary team (physiotherapy, dietetics) will assess these patients and a prescribed pre habilitation programme will be designed and offered to the patient to complete over a period of 4 weeks. These interventions will be individualised based on clinical assessment. Dietician may prescribe dietary supplementation; physiotherapists may prescribe daily exercise regime and geriatricians may optimise patient drug therapy. However, it will be 1x1 hour consultation per fortnight for 4 weeks as a one on one face to face consultation by both a dietician and physiotherapist. Adherence monitoring will include food diary and exercise diary. Following this programme, patients will then proceed to their planned colorectal cancer surgery. Patients will have a 2 week and 90 day post surgery interview.
Primary outcome(s): Measures of feasibility (composite outcome):-
Evaluation of the acceptability and suitability of the intervention and preliminary evaluation of participant responses to intervention using the Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM) and the Feasibility of Intervention Measurement (FIM)
[At enrolment and week 4 (after enrolment) just prior to surgery];Rate of adherence to the intervention protocol - eg using daily food plan, exercise diary[At the time of prehabilitation assessment, review of food plan and exercise diary will be completed]; Time to geriatrician and prehabilitation team review by audit of study database[At the time of completion of assessments (prehabilitation and geriatrician), review of study database will be performed to gather information on time from recruitment to time to complete assessments]
Study Design: Purpose: Prevention; Allocation: Non-randomised trial