{
  "abstract": "Introduction 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.",
  "authors": [
    {
      "affiliations": [
        "Department of Applied Health Sciences, University of Birmingham, Birmingham, UK",
        "University of Birmingham, Birmingham, UK"
      ],
      "name": "Sivesh Kathir Kamarajah"
    },
    {
      "affiliations": [
        "Ageing and Health, Guy's and St Thomas’ Hospitals NHS Trust, London, England, UK"
      ],
      "name": "Jugdeep Dhesi"
    },
    {
      "affiliations": [
        "Diabetes Research Centre, University of Leicester, Leicester, England, UK"
      ],
      "name": "Kamlesh Khunti"
    },
    {
      "affiliations": [
        "Institute of Applied Health Research, King’s College London, London, England, UK"
      ],
      "name": "Krishnarajah Nirantharakumar"
    },
    {
      "affiliations": [
        "University Hospitals Birmingham NHS Foundation Trust, Birmingham, England, UK"
      ],
      "name": "Clare Hughes"
    },
    {
      "affiliations": [
        "Warwick Medical School, University of Warwick, Coventry, England, UK"
      ],
      "name": "Joyce Yeung"
    },
    {
      "affiliations": [
        "Health Services and Population Research Department, King’s College London, London, UK"
      ],
      "name": "Shalini Ahuja"
    },
    {
      "affiliations": [
        "University of Birmingham, Birmingham, UK"
      ],
      "name": "Dion Morton"
    },
    {
      "affiliations": [
        "NIHR Global Health Research Unit on Global Surgery, Universities of Birmingham, Edinburgh and Warwick, Birmingham, UK"
      ],
      "name": "Aneel Bhangu"
    }
  ],
  "title": "Feasibility and acceptability of a preoperative checklist health promotion in elective surgery in the UK: a mixed-methods study protocol",
  "uid": "96245160-0dda-58ce-8f62-33a1a896db2e"
}