[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"trial:NCT06874413":3,"trial-entities:NCT06874413":116,"trial-summary:NCT06874413":120},{"id":4,"nct_id":4,"org_study_id":5,"brief_title":6,"official_title":6,"overall_status":7,"completion_date":8,"status_verified_date":9,"last_update_date":10,"start_date":11,"sponsor_name":12,"lead_sponsor_class":13,"has_dmc":14,"brief_summary":15,"detailed_description":16,"conditions":17,"keywords":20,"study_type":21,"primary_purpose":22,"phases":23,"enrollment_info":25,"interventions":28,"primary_outcomes":40,"secondary_outcomes":45,"sex":67,"minimum_age":68,"maximum_age":69,"healthy_volunteers":14,"eligibility_criteria":70,"std_ages":97,"locations":99,"central_contacts":109,"overall_officials":110,"references":114,"see_also_links":115},"NCT06874413","2290314","Targeted Prehabilitation With Physical Exercise and Inspiratory Muscle Training for Elderly Frail Patients Prior to Ventral Hernia Repair","ENROLLING_BY_INVITATION","2027-06-30","2026-05","2026-05-27","2025-03-19","Prisma Health-Upstate","OTHER",false,"The purpose of this study is to assess the physical fitness of patients undergoing hernia repair and correlate the postoperative outcomes and recovery as well as assess the impact of a targeted physical exercise program preoperatively in a cohort of frail, elderly patients.\n\nThe investigators hypothesize that physical exercise will improve activity levels in elderly patients with frailty prior to ventral hernia repair. The investigators further hypothesize that increased levels of activity preoperatively will correlate with improved postoperative outcomes.","The goals of this study are to:\n\n* assess the impact of a targeted physical exercise program on activity levels prior to ventral hernia repair in elderly, frail patients using wearable activity monitoring.\n* correlate physical activity and the impact of physical exercise with postoperative outcomes, including quality of life, postoperative complications, length of hospital stay, discharge to home, and return to baseline activity.\n\nThe investigators intend to randomize one group of elderly, frail patients to perform an exercise program for 6-8 weeks prior to surgery and another group of elderly, frail patients to receive standard of care preoperative instructions.\n\nThe investigators will also collect data from a cohort of patients receiving a ventral or inguinal hernia repair who have a wearable activity monitor that are willing to download an application on their phone and allow us to monitor their activity levels prior to surgery.",[18,19],"Frailty","Ventral Hernia",[],"INTERVENTIONAL","TREATMENT",[24],"NA",{"count":26,"type":27},120,"ESTIMATED",[29,35],{"type":30,"name":31,"description":32,"armGroupLabels":33},"BEHAVIORAL","Prehabilitation","Physical prehabilitation or exercise conducted through the YMCA's Silver Sneaker's program prior to receiving surgery that will be assessed through the use of wearable activity monitors.",[34],"Group 2 - Physical Exercise Arm",{"type":13,"name":36,"description":37,"armGroupLabels":38},"Standard of Care (SOC)","Patients will receive standard of care preoperative instructions.",[39],"Group 1 - Standard of Care",[41],{"measure":42,"description":43,"timeFrame":44},"Activity levels","Amount of time spent active measured by data from wearable activity monitors","6-8 weeks preoperatively",[46,50,53,55,58,61,64],{"measure":47,"description":48,"timeFrame":49},"Quality of Life Pre- and Postoperative Assessment","Quality of life will be measured with the Hernia-Related Quality of Life Survey (HerQLes). This survey is a 12 question survey that measures how strongly the patient agrees or disagrees (strongly, moderately, and slightly agree or disagree) with the statement.","14-30 days postoperatively",{"measure":51,"description":52,"timeFrame":49},"Quality of Life Pre- and Postoperative Outcomes","Quality of life as measured by the Patient-Reported Outcome Measurement Information System (PROMIS-3).",{"measure":51,"description":54,"timeFrame":49},"Quality of life as measured by the Patient-Reported Outcome Measurement Information System (EuraHS).",{"measure":56,"description":57,"timeFrame":49},"Postoperative Outcomes - Surgical Complications","Postoperative complications",{"measure":59,"description":60,"timeFrame":49},"Postoperative Outcomes - Length of Stay","Number of days staying in the hospital prior to discharge",{"measure":62,"description":63,"timeFrame":49},"Postoperative Outcomes - Discharge Location","Discharge location",{"measure":65,"description":66,"timeFrame":49},"Postoperative Outcomes - Return to Baseline","Ability to return to baseline activity","ALL","65 Years",null,{"inclusion":71,"exclusion":83,"raw_text":96},[72,73,74,75,76,77,78,79,80,81,82,78],"Groups 1 \\& 2:","Age 65 or greater","Presence of a ventral hernia with plans for elective hernia repair with mesh","Willing to consent to study and randomization, including activity data capture","Score of ≥6 and ≤11 on the Edmonton Frail Scale OR 5-item modified Frail Index Score \\> 0","For patients with cardiac disease, additional referral for cardiac risk assessment may be performed at the discretion of the treating surgeon or anesthesiologist. If deemed appropriate risk, patients may still enroll.","Uses a smartphone that is capable of downloading the Health Kit application","Group 3:","Age 18 or older","Presence of a ventral hernia or inguinal hernia with plans for elective repair with mesh","Willing to consent to activity data capture",[84,85,86,87,88,89,90,91,92,93,94,95,87,91,92,93],"Group 1 \\&2:","Age \\\u003C65","Unwilling or unable to consent to study or randomization","Joint or muscle pain with movement at a level of 5 out of 10 or higher per patient report","Score of ≥12 on Edmonton Frail Scale","mFI-5 positive for congestive heart failure (newly diagnosed or exacerbated within 30 days)","Functional dependence that prevents self-guided physical prehabilitation or other condition medically unsuitable for exercises (as determined by surgeon).","BMI \\>50","Parastomal hernia repair or repair without mesh","Plan for concurrent procedure","\\\u003C18 y\u002Fo","Unwilling or unable to consent to study","Inclusion Criteria:\n\n* Groups 1 \\& 2:\n\n  * Age 65 or greater\n  * Presence of a ventral hernia with plans for elective hernia repair with mesh\n  * Willing to consent to study and randomization, including activity data capture\n  * Score of ≥6 and ≤11 on the Edmonton Frail Scale OR 5-item modified Frail Index Score \\> 0\n  * For patients with cardiac disease, additional referral for cardiac risk assessment may be performed at the discretion of the treating surgeon or anesthesiologist. If deemed appropriate risk, patients may still enroll.\n  * Uses a smartphone that is capable of downloading the Health Kit application\n* Group 3:\n\n  * Age 18 or older\n  * Presence of a ventral hernia or inguinal hernia with plans for elective repair with mesh\n  * Willing to consent to activity data capture\n  * Uses a smartphone that is capable of downloading the Health Kit application\n\nExclusion Criteria:\n\n* Group 1 \\&2:\n\n  * Age \\\u003C65\n  * Unwilling or unable to consent to study or randomization\n  * Joint or muscle pain with movement at a level of 5 out of 10 or higher per patient report\n  * Score of ≥12 on Edmonton Frail Scale\n  * mFI-5 positive for congestive heart failure (newly diagnosed or exacerbated within 30 days)\n  * Functional dependence that prevents self-guided physical prehabilitation or other condition medically unsuitable for exercises (as determined by surgeon).\n  * BMI \\>50\n  * Parastomal hernia repair or repair without mesh\n  * Plan for concurrent procedure\n\nGroup 3:\n\n* \\\u003C18 y\u002Fo\n* Unwilling or unable to consent to study\n* Joint or muscle pain with movement at a level of 5 out of 10 or higher per patient report\n* BMI \\>50\n* Parastomal hernia repair or repair without mesh\n* Plan for concurrent procedure",[98],"OLDER_ADULT",[100],{"facility":101,"city":102,"state":103,"zip":104,"country":105,"geoPoint":106},"Prisma Health","Greenville","South Carolina","29615","United States",{"lat":107,"lon":108},34.85262,-82.39401,[],[111],{"name":112,"affiliation":101,"role":113},"Jeremy Warren, MD","PRINCIPAL_INVESTIGATOR",[],[],{"nct_id":4,"conditions":117,"biomarkers":119},[18,118,19],"Inguinal Hernia",[],{"nct_id":4,"found":14,"summary":69,"prompt_version":69}]