Preferences, Interests, and Barriers to Physical Activity–Based Prehabilitation Prior to Lung Resection: A Survey Study

Abstract

Purpose: Despite its demonstrated benefits, prehabilitation before lung cancer surgery remains poorly implemented. This study investigated the preferences, interests, and barriers to exercise-based prehabilitation among patients eligible for thoracic surgery. Method: This cross-sectional study conducted from January 2022 to July 2023 used self-administered questionnaires to collect data on preferences and barriers to exercise-based prehabilitation in cancer patients scheduled for lung resection at a French comprehensive cancer center. Results: Most of the 23 participants (n = 20, 90.9%) were unaware of prehabilitation but expressed a strong interest in participating in an exercise program prior to lung surgery (n = 16, 72.7%). Walking (n = 16, 80.0%) and home-based exercise (n = 14, 70.0%) were the most preferred activities. Programs of short to moderate duration (1–4 weeks) and located within 30 min travel from home were preferred. Participants preferred exercising alone or with family members and showed limited interest in the group or facility-based sessions. While 81.8% (n = 18) felt capable of engaging in an exercise-based prehabilitation program, common barriers included distance from the care center, breathlessness, and fatigue. Physical and medical limitations were more frequently reported than psychological ones. Conclusion: Despite limited awareness, lung cancer patients show a strong interest in exercise-based prehabilitation. Home-based and flexible programs aligned with patient preferences may help overcome participation barriers. These findings support the development of personalized, accessible prehabilitation strategies to enhance engagement before lung surgery.