Action 2 - Promotion of Physical Activity in chronic cases with different levels of severity: Pre-habilitation intervention in high risk candidates for major surgery

Aim - The intervention encompasses a portfolio with customized ICT-supported self-management services aiming at promoting daily physical activity in chronic patients. The aims are to increase accessibility, cost-effectiveness and sustainability of effects of rehabilitation programs. It targets three layers of candidates proposing different modular services in each of them: (i) citizens at risk and patients with mild disease; (ii) community-based program for clinically stable chronic patients; and, (iii) pre-habilitation program for candidates to high-risk surgery. The latter will be extended to a general program for prevention of surgical complications currently being implemented at Hospital Clinic.
The setting aims to solve current practical limitations for extensive deployment of the service(s), namely: i) accessibility, ii) behaviour change component; and, iii) financial sustainability; so that the service(s) can become operational as a standard of care intervention. From a technological point of view, the following figure depicts the different tools that are envisaged as facilitators both at the medical (right hand-side) and the informal care (left hand-side) domains.
Background - A recent randomized controlled trial on the pre-habilitation program has been completed at Hospital Clinic with highly positive results demonstrating efficacy (publication in preparation). The intervention, as well as customized versions of the approach for lower risk patients, deserve large scale deployment as mainstream services for candidate patients to assess cost-effectiveness. Moreover, ICT-support to the program is being developed by Eurecat. A self-management tool for promotion of daily physical activity (ActivApp 0.1.0) is available.