{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T19:48:55Z","timestamp":1791834535283,"version":"4.3.4"},"reference-count":19,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T00:00:00Z","timestamp":1791504000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Perioperative Practice"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Prehabilitation is recognised as an important component of perioperative optimisation. Data regarding anaesthetists\u2019 involvement in prehabilitation and factors influencing its implementation are limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To evaluate the understanding, adoption, access and implementation of prehabilitation among anaesthetists in India and identify factors associated with implementation behaviour.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A nationwide survey of anaesthetists was conducted using a validated questionnaire assessing knowledge, role engagement, system support, implementation, barriers and innovation readiness. Quantitative data underwent correlation and regression analyses; qualitative responses were thematically mapped to the Consolidated Framework for Implementation Research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among 259 respondents, awareness of prehabilitation was high, but only 32.4% routinely referred patients. Higher Implementation Scores were noted in enhanced recovery after surgery\u2013based settings. Digital readiness, current understanding, enhanced recovery after surgery practice and academic association independently predicted implementation. Qualitative findings emphasised structured referral pathways, multidisciplinary collaboration and organisational support involving the wider perioperative team.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Despite positive perceptions, prehabilitation implementation remains limited. Organisational readiness, enhanced recovery after surgery integration and digital enablement may be key drivers of adoption.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17504589261485192","type":"journal-article","created":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T11:15:02Z","timestamp":1791544502000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Integration of prehabilitation into perioperative care: A multidomain cross-sectional analysis of prehabilitation practice among anaesthetists across academic and non-academic settings"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8542-873X","authenticated-orcid":false,"given":"Ram","family":"Singh","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-1891-1473","authenticated-orcid":false,"given":"Armanullah","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1014-8407","authenticated-orcid":false,"given":"Prakash","family":"Gondode","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8876-7883","authenticated-orcid":false,"given":"Aritra","family":"Kundu","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9337-296X","authenticated-orcid":false,"given":"Tiajem","family":"Jamir","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8865-0854","authenticated-orcid":false,"given":"Sakshi","family":"Duggal","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,9]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"crossref","unstructured":"Banasiewicz T Kobiela J Cwali\u0144ski J et al 2023 Recommendations on the use of prehabilitation i.e. comprehensive preparation of the patient for surgery Polski Przeglad Chirurgiczny 95 (4) 62\u201391 https:\/\/doi.org\/10.5604\/01.3001.0053.8854","DOI":"10.5604\/01.3001.0053.8854"},{"key":"e_1_3_4_3_1","doi-asserted-by":"crossref","unstructured":"Barman S Walker RC Pucher PP et al 2025 A national survey of the provision of prehabilitation for oesophagogastric cancer patients in the UK Annals of the Royal College of Surgeons of England 107 (4) 300\u2013306 https:\/\/doi.org\/10.1308\/rcsann.2024.0092","DOI":"10.1308\/rcsann.2024.0092"},{"key":"e_1_3_4_4_1","doi-asserted-by":"crossref","unstructured":"Bezmarevi\u0107 M Folwarski M Wobith M et al 2026 Use and implementation of prehabilitation in major abdominal surgery: Results of an international survey Clinical Nutrition 61 106666 https:\/\/doi.org\/10.1016\/j.clnu.2026.106666","DOI":"10.1016\/j.clnu.2026.106666"},{"key":"e_1_3_4_5_1","doi-asserted-by":"crossref","unstructured":"Blumenau Pedersen M Saxton J Birch S et al 2023 The use of digital technologies to support home-based prehabilitation prior to major surgery: A systematic review The Surgeon 21 (6) e305\u2013e315 https:\/\/doi.org\/10.1016\/j.surge.2023.05.006","DOI":"10.1016\/j.surge.2023.05.006"},{"key":"e_1_3_4_6_1","doi-asserted-by":"crossref","unstructured":"Cho AR Vongchaiudomchoke W Balde D et al 2025 Enhancing postoperative recovery with multimodal prehabilitation: The journey begins before surgery Korean Journal of Anesthesiology 78 (5) 401\u2013417 https:\/\/doi.org\/10.4097\/kja.25320","DOI":"10.4097\/kja.25320"},{"key":"e_1_3_4_7_1","doi-asserted-by":"crossref","unstructured":"Fuchs TI Pfab C Kiselev J et al 2024 Barriers and facilitators to the implementation of prehabilitation for elderly frail patients prior to elective surgery: A qualitative study with healthcare professionals BMC Health Services Research 24 536 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