| Autor: |
Wagoner CW; Faculty of Kinesiology, University of Calgary, Calgary, AB T2N 1N4, Canada., Dreger J; Faculty of Kinesiology, University of Calgary, Calgary, AB T2N 1N4, Canada., Keats MR; School of Health and Human Performance, Faculty of Health, Dalhousie University, Halifax, NS B3H 4R2, Canada.; Department of Medicine, Division of Medical Oncology, Nova Scotia Health, Halifax, NS B3H 2Y9, Canada., Santa Mina D; Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON M5S 2W6, Canada., McNeely ML; Department of Physical Therapy, University of Alberta, Edmonton, AB T6G 2G4, Canada.; Supportive Care Services, Cancer Care Alberta, Edmonton, AB T5J 3E4, Canada., Cuthbert C; Faculty of Nursing, University of Calgary, Calgary, AB T2N 4V8, Canada., Capozzi LC; Faculty of Kinesiology, University of Calgary, Calgary, AB T2N 1N4, Canada.; Department of Clinical Neurosciences, University of Calgary, Calgary, AB T2N 4N1, Canada., Francis GJ; Department of Clinical Neurosciences, University of Calgary, Calgary, AB T2N 4N1, Canada., Trinh L; Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON M5S 2W6, Canada., Sibley D; Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON M5S 2W6, Canada., Langley J; School of Health and Human Performance, Faculty of Health, Dalhousie University, Halifax, NS B3H 4R2, Canada., Chiekwe J; School of Health and Human Performance, Faculty of Health, Dalhousie University, Halifax, NS B3H 4R2, Canada., Ester M; Faculty of Kinesiology, University of Calgary, Calgary, AB T2N 1N4, Canada., Foucaut AM; Health Educations and Promotion Laboratory, UR 3412, University Sorbonne Paris North, F-93000 Bobigny, France., Culos-Reed SN; Faculty of Kinesiology, University of Calgary, Calgary, AB T2N 1N4, Canada. |
| Abstrakt: |
Barriers to exercise-oncology programs remain for those living with and beyond cancer in rural and remote communities, including geographic isolation and access to programs. The EXercise for Cancer to Enhance Living Well (EXCEL) study was designed to support exercise-oncology implementation in rural and remote communities across Canada. The purpose of this analysis was to evaluate the first-year reach, adoption, and implementation of the EXCEL study. Reach outcomes included participant characteristics, study enrolment, and referral type (self vs. healthcare-provider [HCP] referral). Adoption outcomes included the number of clinical contacts, trained qualified exercise professionals (QEPs), and QEPs delivering EXCEL exercise classes. Implementation outcomes included retention, adherence, assessment completion rates, and adverse-event reporting. A total of 290 individuals living with cancer enrolled in EXCEL in year one, with an 81.4% retention to the study intervention. Most participants self-referred to EXCEL (75.8%). EXCEL's HCP network consisted of 163 clinical contacts, and the QEP network included 45 trained QEPs, 22 of whom delivered EXCEL classes. Adherence to the exercise intervention was 78.2%, and only one adverse event (mild) was reported. Fitness assessment and patient-reported outcome completion rates were above 85% pre- and post-intervention. EXCEL has developed HCP and QEP networks supporting exercise referral and online delivery, and the intervention is meeting feasibility markers. These implementation findings will inform the continued gathering of feedback across stakeholders to ensure that best evidence informs best practices. |
