{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T11:52:34Z","timestamp":1792237954292,"version":"4.4.0"},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"09\/10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychother Psychosom Med Psychol"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Psychologische Interventionen w\u00e4hrend einer Chemotherapie k\u00f6nnen Patient*innen mit einer Krebserkrankung unterst\u00fctzen und dazu beitragen, das subjektive Belastungserleben zu reduzieren. Die Nutzung von Virtueller Realit\u00e4t (VR) kann deren Wirksamkeit steigern. Ziel der vorliegenden Studie war die Evaluation von Machbarkeit und Akzeptanz einer VR-basierten Achtsamkeitsintervention w\u00e4hrend ambulanter Chemotherapie.<\/jats:p>\n                  <jats:p>In einer monozentrischen, dreiarmig randomisiert-kontrollierten Studie wurden in der ambulanten Chemotherapie-Einheit eines Onkologischen Zentrums Patient*innen mit Krebserkrankungen in eine von drei Gruppen randomisiert: (a) VR-Achtsamkeitsintervention, (b) rezeptive Musikintervention, (c) Kontrollgruppe. Die Interventionen wurden w\u00e4hrend zweier konsekutiver Chemotherapie-Applikationen durchgef\u00fchrt. Zur Machbarkeit wurden Informationen zum Screening vor der Rekrutierung und w\u00e4hrend der Intervention durch eine teilnehmende Beobachtung standardisiert erhoben; die Akzeptanz wurde mittels eines Fragebogens nach der Intervention erfasst. Die Daten wurden deskriptiv analysiert.<\/jats:p>\n                  <jats:p>Von 3.072 angesprochenen Patient*innen erf\u00fcllten 1.590 formal die Einschlusskriterien. Es wurden N=85 Personen eingeschlossen (Teilnahmequote 5,4%). H\u00e4ufige Gr\u00fcnde f\u00fcr Nichtteilnahme waren das Tragen einer K\u00fchlkappe, Sprachbarrieren, fehlendes Interesse und das Vorhandensein eigener Bew\u00e4ltigungsstrategien. Die Durchf\u00fchrung beider Interventionen war grunds\u00e4tzlich machbar; St\u00f6rungen w\u00e4hrend der Interventionen waren h\u00e4ufig. Die VR-Achtsamkeit war mit hohem personellem Aufwand verbunden. Bei insgesamt positiver Bewertung durch die Teilnehmenden zeigte sich keine h\u00f6here Akzeptanz f\u00fcr die VR-Achtsamkeitsintervention im Vergleich zur Musikintervention.<\/jats:p>\n                  <jats:p>Der hohe Anteil nicht teilnehmender Patient*innen kann ein Hinweis sein, dass eine aktive VR-Achtsamkeitsintervention w\u00e4hrend der Infusion einer Chemotherapie f\u00fcr Patient*innen nicht bedarfsgerecht ist und als potenziell \u00fcberfordernd erlebt wird. Der antizipierte Nutzen der VR-Achtsamkeitsintervention k\u00f6nnte zu einem anderen Zeitpunkt w\u00e4hrend der aktiven Therapie (zu Hause, zwischen den Sitzungen) oder zu einem sp\u00e4teren Zeitpunkt nach Ende der Therapie (Survivorship) m\u00f6glicherweise besser zur Entfaltung kommen. F\u00fcr unmittelbare Entlastung w\u00e4hrend einer Chemotherapie erscheint die Musikintervention als eine niederschwellig umsetzbare M\u00f6glichkeit.<\/jats:p>\n                  <jats:p>Die Integration digitaler psychologischer Interventionen in onkologische Routineversorgungspfade bedarf der st\u00e4rkeren Beachtung der spezifischen Bed\u00fcrfnisse der Patient*innen sowie der situativen und organisationsbezogenen Kontexte.<\/jats:p>","DOI":"10.1055\/a-2748-3269","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T00:01:28Z","timestamp":1765843288000},"page":"388-398","source":"Crossref","is-referenced-by-count":1,"title":["Machbarkeit einer Virtual Reality (VR) unterst\u00fctzten Achtsamkeitsintervention f\u00fcr Patient*innen mit Krebs w\u00e4hrend der Chemotherapie"],"prefix":"10.1055","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4819-0144","authenticated-orcid":false,"given":"Andr\u00e9","family":"Karger","sequence":"additional","affiliation":[{"name":"Medizinische Fakult\u00e4t und Universit\u00e4tsklinikum D\u00fcsseldorf, Klinisches Institut f\u00fcr Psychosomatische Medizin und Psychotherapie, Heinrich-Heine-Universit\u00e4t D\u00fcsseldorf"},{"name":"Centrum f\u00fcr Integrierte Onkologie D\u00fcsseldorf (CIO-D), Universit\u00e4tsklinikum D\u00fcsseldorf"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9409-4229","authenticated-orcid":false,"given":"Steffen","family":"Holsteg","sequence":"additional","affiliation":[{"name":"Medizinische Fakult\u00e4t und Universit\u00e4tsklinikum D\u00fcsseldorf, Klinisches Institut f\u00fcr Psychosomatische Medizin und Psychotherapie, Heinrich-Heine-Universit\u00e4t D\u00fcsseldorf"},{"name":"Centrum f\u00fcr Integrierte 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