Is it feasible to conduct a randomised controlled trial of pretransplant exercise (prehabilitation) for patients with multiple myeloma awaiting autologous haematopoietic stem cell transplantation? Protocol for the PREeMPT study

KEEN, Carol, SKILBECK, Julie, ROSS, Helen, LAUREN, Smith, COLLINS, Karen, DIXEY, Joanne, WALTERS, Stephen, GREENFIELD, Diana, SNOWDEN, John and MAWSON, Susan (2018). Is it feasible to conduct a randomised controlled trial of pretransplant exercise (prehabilitation) for patients with multiple myeloma awaiting autologous haematopoietic stem cell transplantation? Protocol for the PREeMPT study. BMJ Open, 8 (3).

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Official URL: http://bmjopen.bmj.com/content/8/3/e021333.full?ij...
Link to published version:: https://doi.org/10.1136/bmjopen-2017-021333
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    Abstract

    Introduction While myeloma is an incurable malignancy, developments in disease management have led to increased life expectancy in recent years. Treatment typically involves stem-cell transplantation. Increased survival rates equate to more patients living with the burden of both the disease and its treatment for increasing number of years, rendering myeloma a long-term condition. Evidence exists to demonstrate the benefits of exercise for patients recovering from stem-cell transplantation, and prehabilitation—exercise before treatment—has been shown to be effective in other disease areas. To date there has been no research into prehabilitation in patients with myeloma awaiting transplantation treatment. Our objective is to determine whether it is feasible to conduct a randomised controlled trial into pretransplant exercise for patients with multiple myeloma who are awaiting autologous stem-cell transplantation. Methods and analysis This mixed methods study identifies patients with diagnosis of multiple myeloma who have been assigned to the autologous transplantation list and invites them to participate in six weekly sessions of individualised, supervised exercise while awaiting transplantation. Quantitative data to determine feasibility targets include rates of recruitment, adherence and adverse events, and outcome measures including 6 min walking distance test and quality of life. Qualitative interviews are undertaken with a purposive sample of patients to capture their experiences of the study and the intervention. Ethics and dissemination Ethics committee approval has been obtained. Dissemination will be through open-access publications and presentations and will seek to reach multiprofessional bases as well as patients and carer groups, addressing the widespread interest in this area of research. Trial registration number NCT03135925; Pre-results.

    Item Type: Article
    Additional Information: Article No. 8:e021333
    Research Institute, Centre or Group - Does NOT include content added after October 2018: Centre for Health and Social Care Research
    Departments - Does NOT include content added after October 2018: Health and Well-being > Department of Nursing and Midwifery
    Identification Number: https://doi.org/10.1136/bmjopen-2017-021333
    Depositing User: Julie Skilbeck
    Date Deposited: 21 Mar 2018 11:25
    Last Modified: 17 Jun 2020 10:57
    URI: http://shura.shu.ac.uk/id/eprint/18988

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