The role of behavioural science in personalised multimodal prehabilitation in cancer
The role of behavioural science in personalised multimodal prehabilitation in cancer
Multimodal prehabilitation is increasingly recognized as an important component of the pre-operative pathway in oncology. It aims to optimize physical and psychological health through delivery of a series of tailored interventions including exercise, nutrition, and psychological support. At the core of this prescription is a need for considerable health behavior change, to ensure that patients are engaged with and adhere to these interventions and experience the associated benefits. To date the prehabilitation literature has focused on testing the efficacy of devised exercise and nutritional interventions with a primary focus on physiological and mechanistic outcomes with little consideration for the role of behavioral science, supporting individual behavior change or optimizing patient engagement. Changing health behavior is complex and to maximize success, prehabilitation programs should draw on latest insights from the field of behavioral science. Behavioral science offers extensive knowledge on theories and models of health behavior change to further advance intervention effectiveness. Similarly, interventions developed with a person-centered approach, taking into consideration individual needs and preferences will increase engagement. In this article, we will provide an overview of the extent to which the existing prehabilitation literature incorporates behavioral science, as well as studies that have explored patient's attitudes toward prehabilitation. We will go on to describe and critique ongoing trials in a variety of contexts within oncology prehabilitation and discuss how current scientific knowledge may be enhanced from a behavioral science perspective. We will also consider the role of “surgery schools” and detail practical recommendations that can be embedded in existing or emerging clinical settings.
behavior change, behavioral science, cancer, co-design, interventions, oncology, prehabilitaion
Grimmett, Chloe
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Bradbury, Katherine
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Oksbjerg Dalton, Susanne
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Fecher-Jones, Imogen
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Hoedjes, Meeke
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Varkonyi-Sepp, Judit
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E Short, Camille
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16 February 2021
Grimmett, Chloe
7f27e85b-2850-481d-a7dd-2835e1a925cd
Bradbury, Katherine
87fce0b9-d9c5-42b4-b041-bffeb4430863
Oksbjerg Dalton, Susanne
3900ba35-eb93-4eaa-96d4-deeb12c3564c
Fecher-Jones, Imogen
ab8373c5-3e2b-43cc-a3a1-3caa7240fbcb
Hoedjes, Meeke
8400e5d7-d65c-449c-ae9a-11e550acf1ab
Varkonyi-Sepp, Judit
d9ecea44-3b11-418d-956a-74a2e7814fe1
E Short, Camille
246ebe96-0f6a-47f6-ba5d-9f23601cbb12
Grimmett, Chloe, Bradbury, Katherine, Oksbjerg Dalton, Susanne, Fecher-Jones, Imogen, Hoedjes, Meeke, Varkonyi-Sepp, Judit and E Short, Camille
(2021)
The role of behavioural science in personalised multimodal prehabilitation in cancer.
Frontiers in Psychology, 12, [634223].
(doi:10.3389/fpsyg.2021.634223).
Abstract
Multimodal prehabilitation is increasingly recognized as an important component of the pre-operative pathway in oncology. It aims to optimize physical and psychological health through delivery of a series of tailored interventions including exercise, nutrition, and psychological support. At the core of this prescription is a need for considerable health behavior change, to ensure that patients are engaged with and adhere to these interventions and experience the associated benefits. To date the prehabilitation literature has focused on testing the efficacy of devised exercise and nutritional interventions with a primary focus on physiological and mechanistic outcomes with little consideration for the role of behavioral science, supporting individual behavior change or optimizing patient engagement. Changing health behavior is complex and to maximize success, prehabilitation programs should draw on latest insights from the field of behavioral science. Behavioral science offers extensive knowledge on theories and models of health behavior change to further advance intervention effectiveness. Similarly, interventions developed with a person-centered approach, taking into consideration individual needs and preferences will increase engagement. In this article, we will provide an overview of the extent to which the existing prehabilitation literature incorporates behavioral science, as well as studies that have explored patient's attitudes toward prehabilitation. We will go on to describe and critique ongoing trials in a variety of contexts within oncology prehabilitation and discuss how current scientific knowledge may be enhanced from a behavioral science perspective. We will also consider the role of “surgery schools” and detail practical recommendations that can be embedded in existing or emerging clinical settings.
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More information
Accepted/In Press date: 20 January 2021
e-pub ahead of print date: 16 February 2021
Published date: 16 February 2021
Additional Information:
Funding Information:
CG is funded by a National Institute for Health Research (NIHR), postdoctoral fellowship. The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care. IF-J is an ICA Pre-doctoral Clinical Academic Fellow supported by Health Education England and the National Institute for Health Research. CS is funded by a Victoria Cancer Agency (VCA), mid-career fellowship. SD is funded by the Danish Cancer Society Research Center. JV-S is funded by the NIHR Southampton Biomedical Research Center.
Publisher Copyright:
© Copyright © 2021 Grimmett, Bradbury, Dalton, Fecher-Jones, Hoedjes, Varkonyi-Sepp and Short.
Keywords:
behavior change, behavioral science, cancer, co-design, interventions, oncology, prehabilitaion
Identifiers
Local EPrints ID: 446866
URI: http://eprints.soton.ac.uk/id/eprint/446866
ISSN: 1664-1078
PURE UUID: a662ebc3-40e8-4ed1-b945-879a2009bbf4
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Date deposited: 24 Feb 2021 17:32
Last modified: 06 Jun 2024 01:50
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Contributors
Author:
Susanne Oksbjerg Dalton
Author:
Imogen Fecher-Jones
Author:
Meeke Hoedjes
Author:
Judit Varkonyi-Sepp
Author:
Camille E Short
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