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Bei haufigen Tumorentitaten (z. B. Mamma-, Prostata- oder Kolonkarzinom) nehmen 75−80 % der Betroffenen naturheilkundliche Methoden in Anspruch 6 , 18 , 20 . Patienten in der aktiven Behandlungsphase (Operation, Chemotherapie, Strahlentherapie u. a.) verfolgen mit der Anwendung von Naturheilkunde und Komplementarmedizin haufig die Reduktion von Nebenwirkungen der konventionellen Tumortherapie, aber auch eine aktive Starkung der Gesundheit 10 , 17 . Menschen, die die aktive Tumortherapie abgeschlossen haben, interessieren sich besonders fur Moglichkeiten der Rezidivprophylaxe 19 . Dieser Nachfrage von Tumorpatienten entspricht das naturheilkundliche Tumorbegleitprogramm des Kompetenzzentrums fur Komplementarmedizin und Naturheilkunde (KoKoNat) des Klinikums rechts der Isar der Technischen Universitat Munchen. Die Einzelkomponenten des Patientenkompetenz-Programms werden beschrieben.

Das Individuelle Gesundheits-Management (IGM) als Lebensstil-Programm kombiniert ein modernes webbasiertes Gesundheitsportal mit einer personlichen Gesundheitsbegleitung in Form von Beratung, Seminaren, Kursen und kurortlichen Gesundheitsaufenthalten („blended learning-Konzept“). Es zielt auf die Gesundheitsforderung, Krankheitspravention und Patientenschulung von Herz-Kreislauf- und Stoffwechselerkrankungen sowie Stressfolgeschaden und will den Einzelnen „zum Manager seiner eigenen Gesundheit“ machen. Primare Settings sind die Kommunen, Betriebe und das medizinische Versorgungsklientel. Das Vorhaben versteht sich als Demonstrationsprojekt zur Starkung einer proaktiven Versorgung der regionalen Bevolkerung. Das inhaltliche Konzept „prufen – planen – praktizieren“ umfasst ein 12-wochiges Basistraining mit einer mindestens 9-monatigen Aufbau- oder Erhaltungsphase.

Background: Epidemiological data shows globally increasing numbers of obesity and stress-related diseases. In this article, a comprehensive medical lifestyle modification programme - called Individual Health Management (IHM) - is described in detail and discussed as a promising tool to individually manage and reverse such negative health trends in patients. Methods: The IHM programme is based on a blended learning concept. It comprises a 12-week basic training phase, followed by a 9-month maintenance phase, and includes the following key features: 1) web-based and physician-led health screenings; 2) a structured 12-week basic training with a core curriculum providing tuition in behavioural self-management strategies for weight loss and stress reduction; 3) weekly supervised group sessions during the core curriculum; 4) tailoring of materials, strategies and lifestyle goals; 5) continuous self-monitoring and feedback of the achieved progress; 6) regular contact with physicians or health professionals based on either face-to-face or distant lifestyle counselling; 7) recurrent one-day health seminars to ensure the sustainability of obtained results. Conclusions: IHM is a multi-component lifestyle intervention programme to increase physical activity, to reduce calorie intake and to practice both self and stress management. Individual care, group support and a tailored web-based programme blend to achieve the desired goals. A randomised control study to evaluate IHM's effects on weight control is currently being conducted.

Background Overweight is considered an important risk factor for diseases in the context of metabolic syndrome. Lifestyle modifications are the means of choice to reduce weight in persons with a Body Mass Index of 28 to 35. The study examines whether there are any differences between two intervention strategies regarding weight reduction in overweight persons. Methods/Design The study is a multicentre randomized controlled trial with observation duration of 12 months. Eight study centres are involved to include a minimal sample size of 150 participants. Randomization ratio is 2:1. Feasible persons are checked according to inclusion and exclusion criteria and after given informed consent are assigned randomly to one of two intervention programs: A) intervention group: comprehensive lifestyle modification program (Individual Health Management IHM) with 3 months reduction phase plus 9 months maintaining phase, B) control group: written information with advice for healthy food habits (Usual care UC). Participants of the IHM group have access to a web-based health portal and join 3 full-day and 10 two-hour training sessions during the first 3 months. During the remaining 9 months four refresh trainings will be performed. There are 3 different diet strategies (fasting, two-day diet, meal replacement) for free choice. Participants of the control group are provided with acknowledged rules for healthy food according to the German Nutrition Society (DGE). Examinations are conducted at baseline, after 3, 6, 9 and 12 months. They include body weight, waist circumference, blood pressure, laboratory findings and a bio-impedance analysis to measure body composition. Statistical analysis of the primary outcome ‘change of body weight after 12 months’ is based on ITT population including analysis of variance of the weight differences between month 0 and 12 with the factors ‘group’, ‘baseline value’ and ‘study centre’. Secondary outcomes will be analyzed exploratively. Discussion The monitoring of the study will implement different measures to enhance compliance, avoid attrition and ensure data quality. Based on a blended learning concept and using web-based e-health tools the program promises to achieve sustainable effects in weight reduction. Trial registration German Clinical Trials Register Freiburg (DRKS): DRKS00006736 (date registered 20/09/2014). Electronic supplementary material The online version of this article (doi:10.1186/s40608-015-0069-x) contains supplementary material, which is available to authorized users.

CONSORT 2010 checklist of information to include when reporting a randomised trial*. (DOC 216Â kb)