Patientenedukation und Adhärenz in der Prähabilitation
摘要
Prehabilitation encompasses physical, nutritional, and psychological interventions delivered between cancer diagnosis and the start of acute treatment. It can reduce complications, improve functional recovery, and enhance emotional stability, yet adherence remains suboptimal.
ObjectiveThis study aimed to identify psychological and structural determinants of adherence and discuss how psycho-oncological, integrative, and digital approaches can increase the effectiveness of oncological prehabilitation.
Materials and methodsA narrative review of current evidence on resilience, the COM‑B model (capability, opportunity, motivation, behavior), the transtheoretical model (TTM), health literacy, integrative oncology, and systematic reviews addressing adherence and barriers in prehabilitation was performed.
ResultsResilience, self-efficacy, motivation, and health literacy are key psychological resources underlying behavioral change. Both COM‑B and TTM help to analyze determinants and tailor interventions to individual readiness. Studies show that social support, personalized programs, and clear communication significantly enhance adherence. Integrative oncology provides a coherent framework integrating somatic, psychological, and lifestyle-based interventions. Digital tools can support education, monitoring, and engagement but do not replace personal interaction.
ConclusionEffective prehabilitation requires patient-centered education, interdisciplinary coordination, and psychosocial support. Future programs should include standardized educational modules, digital complements, and adaptive multiprofessional concepts that can be individually tailored and incorporated into clinical guidelines.