Development and evaluation of a novel pre?operative surgery school and behavioural change intervention for patients undergoing elective major surgery: Fit?4?Surgery School

Group pre-operative education has usually been limited to conditioning expectations and providing education. Prehabilitation highlighted modifiable lifestyle factors that are amenable change may improve clinical outcomes. We instituted a ‘Fit-4-Surgery School’ for patients scheduled major surgery, educate promote healthy behaviour. evaluated patients’ views having attended the school, after surgery we asked how it had changed their behaviour with questionnaire. The school was launched in May 2016 by 586/1017 (58%) of invited patients. Patients who did not attend: lived further away, median (IQR [range]) 8 (4–19 [0–123]) miles vs. 5 (3–14 [0–172]) miles, p < 0.001; were more deprived, Index Multiple Deprivation Rank decile [range]), 6 (4–8 [1–10]) 7 (4–9 [1–10]), = 0.04. Of 492/586 (84%) participants completed an evaluation questionnaire, 462 (94%) would recommend friend 296 (60%) planned changes. After 232/586 (40%) behavioural 106 (46%) whom reported changing at least one factor, most commonly increasing exercise. acceptable