Feasibility and acceptability of a preoperative checklist health promotion in elective surgery in the UK: a mixed-methods study protocol

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dc.contributor.authorKathir Kamarajah, Sivesh
dc.contributor.authorDhesi, Jugdeep
dc.contributor.authorKhunti, Kamlesh
dc.contributor.authorNirantharakumar, Krishnarajah
dc.contributor.authorHughes, Clare
dc.contributor.authorYeung, Joyce
dc.contributor.authorAhuja, Shalini
dc.contributor.authorMorton, Dion
dc.contributor.authorBhangu, Aneel
dc.contributor.departmentHealthcare for Older People
dc.contributor.roleMedical and Dental
dc.contributor.trustauthorHughes, Clare
dc.date.accessioned2025-12-18T11:20:03Z
dc.date.available2025-12-18T11:20:03Z
dc.date.issued2025-11-13
dc.description.abstractINTRODUCTION: Multimorbidity or the presence of two or more long-term conditions is now common in people undergoing surgery. However, current care pathways often miss these healthcare encounters to support long-term health promotion. Therefore, there is a need for practical, scalable approaches that can be integrated into routine surgical care, for which limited solutions exist at present. We have co-designed a structured preoperative checklist to help identify and manage long-term conditions in patients listed for elective surgery. This study aims to evaluate the feasibility and acceptability of this preoperative checklist in patients undergoing elective surgery. METHODS AND ANALYSIS: This is a mixed-methods feasibility study in one National Health Service trust in the UK. We will recruit up to 50 adults scheduled for elective surgery and use the checklist during initial surgical clinic appointments. Quantitative data will include recruitment and retention rates, completion of the checklist and baseline clinical characteristics, analysed using descriptive statistics. Qualitative data will be collected through semistructured interviews with up to 16 patients and clinicians. These interviews will be analysed thematically, guided by the Consolidated Framework for Implementation Research. Triangulation of quantitative and qualitative data will allow us to explore fidelity, acceptability, barriers and facilitators to implementation and refine the intervention ahead of a future pilot cluster randomised trial. ETHICS AND DISSEMINATION: This study has received approval from the Yorkshire & The Humber - Sheffield Research Ethics Committee (approval number: 25/YH/0045). All participants will give written informed consent. Results will be published in peer-reviewed journals and shared with participants, the public and policy stakeholders.
dc.identifier.citationKathir Kamarajah S, Dhesi J, Khunti K, Nirantharakumar K, Hughes C, Yeung J, Ahuja S, Morton D, Bhangu A. Feasibility and acceptability of a preoperative checklist health promotion in elective surgery in the UK: a mixed-methods study protocol. BMJ Open. 2025 Nov 13;15(11):e109010. doi: 10.1136/bmjopen-2025-109010.
dc.identifier.doi10.1136/bmjopen-2025-109010
dc.identifier.eissn2044-6055
dc.identifier.piibmjopen-2025-109010
dc.identifier.pmid41238363
dc.identifier.urihttps://westmid.openrepository.com/handle/20.500.14200/9321
dc.language.isoen
dc.publisherBMJ Publishing Group
dc.relation.urlhttp://bmjopen.bmj.com/
dc.rights© Author(s) (or their employer(s)) 2025. Re-use permitted under CC BY. Published by BMJ Group.
dc.source.beginpagee109010
dc.source.countryEngland
dc.source.issue11
dc.source.journaltitleBMJ Open
dc.source.volume15
dc.subjectComorbidity
dc.subjectLong term care
dc.subjectElective surgical procedures
dc.subjectPreoperative care
dc.titleFeasibility and acceptability of a preoperative checklist health promotion in elective surgery in the UK: a mixed-methods study protocol
dc.typeArticle
dspace.entity.typePublication
oa.grant.openaccessna
rioxxterms.versionNA
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