Integrated short-term palliative rehabilitation in incurable cancer

INTERVENTION: The intervention being tested is Integrated Short‐term Palliative Rehabilitation. It comprises up to 3 manualised sessions (face to face and/or remotely (via telephone or video‐conference) delivered by a rehabilitation practitioner (typically a physiotherapist or occupational therapist). Core components focus on (i) self‐management of symptoms, (ii) physical activities and fitness, and (iii) social participation, with explicit use of behaviour change techniques with goal setting and action planning. The rehabilitation practitioner works in partnership with the person with incurable cancer, and those important to them, to support and optimise their function. Sessions focus on outcomes each person has said are important to them. The rehabilitation practitioner attends to practical, physical, emotional, psychological, and existential concerns impacting on function, either directly within the intervention or indirectly through onward referral. The intervention allows for individual tailoring and flexibility in location, timing and frequency of sessions and content over a 7‐week intervention period. Participants can receive a minimum of two rehabilitation sessions and a maximum of three rehabilitation sessions. It is delivered in addition to any usual services delivered by the participant s oncology team and palliative care team. The randomisation ration is 1:1 (palliative rehabilitation + usual care : usual care only) CONDITION: Advanced incurable solid cancer: lung, colorectal, breast, prostate, etc. ; Cancer PRIMARY OUTCOME: Health related quality of life ‐ Functional Assessment of Cancer Therapy (FACT) General scale at 8 weeks SECONDARY OUTCOME: 1. Functional Assessment of Cancer Therapy (FACT) General scale at 4 and 16 weeks; 2. Disability ‐ World Health Organization Disability Assessment Schedule (WHODAS 2.0) at 8 and 16 weeks; 3. Symptoms‐ Palliative Outcomes Scale – Symptoms (POS‐S) at 8 and 16 weeks; 4. Goal attainment‐ Goal attainment scale (GAS‐Light) at 8 and 16 weeks; 5. Client Service Receipt Inventory at 8 and 16 weeks; INCLUSION CRITERIA: 1. Aged 18 years or older 2. Diagnosis of incurable solid cancer: lung, colorectal, breast, prostate or other, irrespective of timing in relation to any oncology or palliative care treatments 3. Eastern Cooperative Oncology Group performance status 2‐3 4. Able to provide informed consent and complete trial assessments in available languages.