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Macmillan commissions M·E·L Research to evaluate its prehabilitation programme for cancer patients in Northern Ireland

We are excited to announce that we will be working with Macmillan again – this time to help assess the outcomes and impact of the prehabilitation programme running in Northern Ireland.

Cancer is frequently related to or caused by factors such as smoking, excessive drinking, unhealthy diet and physical inactivity. Prehabilitation focuses on these risk factors that can be changed to help better prepare patients for cancer treatment, improve their resilience and recovery from treatment, enabling them to live life as fully as possible with and beyond cancer. It takes a person-centred approach, working with people living with cancer, to achieve this. For more information, please visit: https://www.macmillan.org.uk/healthcare-professionals/cancer-pathways/prehabilitation

We will carry out a parallel evaluation to gather learning and provide feedback on the programme design and implementation (process evaluation) at the early stage. Once the programme is well underway, we will then concentrate on assessing the outcome and impact it’s having.

prehabilitation programme evaluation

The evaluation will see us engaging with people living with cancer, Move More Coordinators, programme team members, key stakeholders from Macmillan, 5 health and social care trusts, 11 district councils and other community partners across Northern Ireland throughout the programme.

To address the evaluation aims, outcome mapping will be our key methodology. This is a widely used approach for planning and assessing programmes that aim to trigger behaviour change. It provides a framework for unpacking a programme’s theory of change and collecting data on outcomes as they unfold. We will adopt a mixed-method approach combining quantitative and qualitative methods, including hosting an online community involving people living with cancer. We will also incorporate behaviour change theory such as the COM-B model in order to identify capability, opportunity and motivational factors impacting on patients’ ability to adopt a long-term healthier lifestyle (the B – Behaviour). This change is a key outcome of the prehabilitation programme.

The evaluation is expected to completed in March 2025.

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