PP310 - PERIOPERATIVE REHABILITATION PROGRAM DELIVERED VIA A SMART PHONE BASED DIGITAL PLATFORM IN PATIENTS UNDERGOING NEOADJUVANT THERAPY FOR GASTRIC CANCER SURGERY

PP310

PERIOPERATIVE REHABILITATION PROGRAM DELIVERED VIA A SMART PHONE BASED DIGITAL PLATFORM IN PATIENTS UNDERGOING NEOADJUVANT THERAPY FOR GASTRIC CANCER SURGERY

Z. Wang^1,2,3,4,*, J. Liu¹, W. Deng^1,2,3,4, Z. Bai^1,2,3,4, B. An⁵, Z. Zheng^1,2,3,4, J. Yin^1,2,3,4, J. Zhang^1,2,3,4

¹Department of General Surgery, Beijing Friendship Hospital, Capital Medical University, ²Beijing Key Laboratory of Cancer Invasion and Metastasis Research, ³National Clinical Research Center for Digestive Diseases, ⁴National Key Laboratory of Digestive Health, ⁵University of Chinese Academy of Social Sciences, Beijing, China

Rationale: Patients with gastric cancer undergoing neoadjuvant therapy often experience reduced functional capacity, malnutrition, and psychological distress, which increase perioperative risk. Multimodal rehabilitation may enhance outcomes, yet its effectiveness is frequently undermined by low adherence, insufficient supervision, and limited personalization.

Methods: We developed a smart phone based digital platform to deliver a perioperative multimodal rehabilitation program (exercise, nutrition, psychological support) for gastric cancer patients undergoing neoadjuvant therapy. This program is provided in addition to usual care, delivered by a dietitian, exercise scientist and psychologist using either weekly telephone calls (telephone therapeutic group) or a smart phone based digital platform (digital therapeutic group) for the entire perioperative period, compared with a usual care control group.

Results: The digital platform is fully developed and validated. Key functions include intelligent triage navigation with symptom recognition and hospital referral, patient education covering perioperative and follow-up phases via video/text/AI chatbot, daily personalized exercise prescriptions with instructional videos, standardized sample menu recommendations with speech/text/photo dietary recording, psychological counselling videos(relaxation audio, patient stories), and automated follow-up questionnaire distribution and result statistics.

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Conclusion: This smart phone based digital platform enables automated, home-based, multimodal perioperative rehabilitation. For patients, it reduces the burden of repeated hospital visits and provides personalized, real-time guidance. For hospitals, it reduces manual supervision workload and offers a scalable solution suitable for community and resource-limited settings.

Disclosure of Interest: None declared