Table 1.
Components of the 3-month CIMmH program.
| Category | Presurgery | Postsurgerya | |||
| Week 1-2 | Week 1 (before discharge) | Week 2-3 (nasogastric tube removed) | Week 4-6 (nasogastric tube feeding tube removed) | Week 7-12 | |
| General introduction | Introduction of the CIMmHb program (video by a doctor) | Introduction of the strategies to cope with common postoperative complications | Introduction of the strategies to cope with common postoperative complications | Introduction of the strategies to cope with common postoperative complications | Introduction of the strategies to cope with common postoperative complications |
| Nutrition | N/Ac | Standard postoperative nutrition support in the hospital | Rehabilitation guidance of the jejunostomy feeding enteral nutrition period (video by a doctor and nurse) Home jejunostomy feeding enteral nutrition guidance (article) Home enteral nutrition guidance for the use of the feeding tube (video) |
Rehabilitation guidance of the transitional period between enteral nutrition and ONSd (video by a doctor and nurse) Home nutrition guidance for the transitional period (article) Nutrition prescription by a nutritionist (face-to-face) |
Rehabilitation guidance of ONS and oral intake (video by a doctor and nurse) Home oral nutrition guidance (article) Nutrition prescription by a nutritionist (face-to-face) |
| Physical exercise | Inspiratory muscle training | Walk promotion | Walk promotion | Walk promotion Baduanjin Qigong (video) |
Walk promotion Baduanjin Qigong (video) |
| Psychological courses | N/A | N/A | N/A | Adapted MBCRe courses (articles and audio) | Adapted MBCR courses (articles and audio) |
| Data collection | Data collection at baseline (ie, about 1 week before surgery) | N/A | N/A | Data collection at 1 month after surgery | Data collection at 3 months after surgery |
aPostoperative day (POD) 1: commence 20 mL/h water via jejunostomy feeding; POD 2: commence 20 mL/h jejunostomy feed enteral nutrition suspension; POD 3 to the date of discharge: gradually increase jejunostomy feed to the rate that meets the individual daily energy plan.
bCIMmH: comprehensive intervention model using the mobile health system.
cN/A: not applicable.
dONS: oral nutrition supply.
eMBCR: mindfulness-based cancer recovery.