Prehabilitation Before Major Surgery

The goal of this clinical trial is to learn if a virtually monitored, home-based prehabilitation program is feasible and acceptable for adults undergoing major elective surgery. The main questions it aims to answer are: 1. Can researchers successfully recruit and retain participants across multiple sites? 2. Will participants adhere to the prehabilitation program at a high enough rate to justify a larger trial? Researchers will compare the prehabilitation program to standard preoperative care to see if the intervention is feasible to implement and whether it may help reduce postoperative complications. Participants will: * Be randomly assigned to receive either the prehabilitation program or usual care * Complete questionnaires and physical assessments before and after the intervention * (For those in the intervention group) Receive exercise, nutrition, and mindfulness guidance, protein supplements, and use the CloudDX virtual care platform to support their activities

NCT Number	NCT07590141
Lead Sponsor	Queen's University Collaborators: Canadian Anesthesia Research Foundation, Ottawa Hospital Research Institute, Kingston Health Sciences Centre, Hamilton Health Sciences Centre, St. Joseph's Healthcare Hamilton
Conditions	Prehabilitation, Preoperative Care, Elective Surgical Procedures, Postoperative Complications, Surgical Procedures, Operative
Enrollment	120 participants
Start Date	2026-06-01
Primary Completion	2027-10-31 (estimated)
Study Completion	2028-01-31 (estimated)
Updated on ClinicalTrials.gov	2026-05-15