Effectiveness of a resilience model-based cancer prehabilitation program in patients with newly diagnosed colorectal cancer: A randomized controlled trial.

PURPOSE: This study aimed to develop a resilience model-based cancer prehabilitation program and evaluate its effects on resilience, symptoms, and spiritual well-being in patients with newly diagnosed colorectal cancer.

METHODS

A randomized controlled trial recruited 128 patients from a medical center in northern Taiwan. Patients were randomized to an intervention group (n = 63; 12-week resilience model-based cancer prehabilitation program plus standard care) or a control group (n = 65; standard care). Outcomes were assessed at five time points: prior to surgery and 1, 2, 6, and 12 months post-surgery.

RESULTS

Groups did not differ at baseline. Intention-to-treat analysis showed the intervention group had higher levels of self-reliance at T4 (β = 2.167, 95 % CI [0.367, 3.968], p = 0.018, Cohen's d = 0.23). Per-protocol analysis demonstrated higher overall resilience at 12 months (β = 11.723, 95 % CI [4.100, 19.347], p = 0.003). Domain-specific improvements were observed in self-reliance, equanimity, purpose, and authenticity. Fear of cancer recurrence and spiritual well-being also improved.

CONCLUSIONS

The resilience model-based cancer prehabilitation program empowered patients to actively engage in recovery and sustain physical and psychological adaptation over time. Integrating physical and psychological components within a resilience model-based cancer prehabilitation program is an effective approach to promote holistic recovery and long-term well-being. Future studies should explore strategies to enhance adherence and examine the generalizability of these findings.