| Proposal |
Tactics |
Comments |
| Increase the rate of completion of the prehabilitation program |
Improve program accessibility |
Patients sometimes had logistical or scheduling conflicts that impeded full participation; these barriers should be removed as much as possible |
| Align the program with surgical and medical agendas |
| Promote patient engagement and self-efficacy |
| Refine and standardize the service delivery |
Redesign the program to use a lean approach |
Create different tiers of patients to help individualize approaches but do not allow this to complicate the program |
| Use a three-layer approach (low, medium, and high risk) and individualize to each patient |
| Better risk assessment |
Use multilevel predictive models |
Validated risk assessments may be vital and prehabilitation programs may require individualization to meet the needs of each patient |
| Personalize the interventions for each patient |
| Digital support |
Cloud-based mature digital support to ensure stakeholders’ interoperability |
Prehabilitation must be integrated into the clinical workflow and process at all levels, including into the digital landscape |
| Broaden the scope of current digital efforts to include prehabilitation |
| Community-based interventions |
Transfer services, when possible, to community-based stakeholders such as recreation or sports centers |
Many prehabilitation activities are suitable for community-based centers, such as recreation facilities, which can be recruited as partners |
| Provide remote support for home-based activities |
| Encourage networking among various healthcare tiers to promote better collaboration |
