دورية أكاديمية
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Feasibility of Implementing Cancer-Specific Community-Based Exercise Programming: A Multi-Centre Randomized Trial.

التفاصيل البيبلوغرافية
العنوان: Feasibility of Implementing Cancer-Specific Community-Based Exercise Programming: A Multi-Centre Randomized Trial.
المؤلفون: McNeely ML; Department of Physical Therapy, University of Alberta, Edmonton, AB T6G 2G4, Canada.; Cancer Care Alberta, Alberta Health Services, Edmonton, AB T5J 3E4, Canada.; Department of Oncology, Faculty of Medicine, University of Alberta, Edmonton, AB T6G 2R3, Canada., Suderman K; Department of Physical Therapy, University of Alberta, Edmonton, AB T6G 2G4, Canada., Yurick JL; Cross Cancer Institute, Alberta Health Services, Edmonton, AB T6G 1Z2, Canada., Nishimura K; Department of Physical Therapy, University of Alberta, Edmonton, AB T6G 2G4, Canada.; Cross Cancer Institute, Alberta Health Services, Edmonton, AB T6G 1Z2, Canada., Sellar C; Department of Physical Therapy, University of Alberta, Edmonton, AB T6G 2G4, Canada., Ospina PA; Department of Physical Therapy, University of Alberta, Edmonton, AB T6G 2G4, Canada., Pituskin E; Department of Oncology, Faculty of Medicine, University of Alberta, Edmonton, AB T6G 2R3, Canada.; Cross Cancer Institute, Alberta Health Services, Edmonton, AB T6G 1Z2, Canada.; Faculty of Nursing, University of Alberta, Edmonton, AB T6C 1C9, Canada., Lau H; Tom Baker Cancer Centre, Alberta Health Services, Calgary, AB T2N 4N2, Canada.; Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada., Easaw JC; Department of Oncology, Faculty of Medicine, University of Alberta, Edmonton, AB T6G 2R3, Canada.; Cross Cancer Institute, Alberta Health Services, Edmonton, AB T6G 1Z2, Canada., Parliament MB; Cancer Care Alberta, Alberta Health Services, Edmonton, AB T5J 3E4, Canada.; Department of Oncology, Faculty of Medicine, University of Alberta, Edmonton, AB T6G 2R3, Canada., Joy AA; Department of Oncology, Faculty of Medicine, University of Alberta, Edmonton, AB T6G 2R3, Canada.; Cross Cancer Institute, Alberta Health Services, Edmonton, AB T6G 1Z2, Canada., Culos-Reed SN; Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada.; Faculty of Kinesiology, University of Calgary, Calgary, AB T2N 1N4, Canada.
المصدر: Cancers [Cancers (Basel)] 2022 May 31; Vol. 14 (11). Date of Electronic Publication: 2022 May 31.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: MDPI Country of Publication: Switzerland NLM ID: 101526829 Publication Model: Electronic Cited Medium: Print ISSN: 2072-6694 (Print) Linking ISSN: 20726694 NLM ISO Abbreviation: Cancers (Basel) Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Basel, Switzerland : MDPI
مستخلص: Background: There is growing recognition of the importance of reporting preliminary work on the feasibility of a trial. The present study aimed to assess the feasibility of (1) a proposed fitness testing battery, and (2) processes related to the implementation of cancer-specific exercise programming in a community setting.
Methods/design: A randomized controlled implementation feasibility trial was performed in advance of a large-scale implementation study. Eligible participants within 18 months of a cancer diagnosis were randomized to immediate or delayed community-based exercise at YMCA locations in Calgary and Edmonton, Canada for an 8-week period. The primary outcome for the trial was the feasibility of the physical fitness testing battery, defined as a 70% or greater completion rate across the 24-week study period. The Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework was used to evaluate processes related to implementation of the exercise program across the two sites.
Results: Eighty participants were recruited, 73 (91%) completed the 8-week trial, and 68 (85%) completed the 16- and 24-week follow-ups. Sixty participants (75%) completed the full physical fitness test battery at each time point, and 59 (74%) completed the patient-reported outcome measures. Statistically significant between-group differences were found in favor of the exercise group for functional aerobic capacity, upper and lower extremity strength, and symptoms. Differences were found between the sites, however, in completion rates and processes related to program implementation.
Discussion: Findings suggest the need for minor adaptations to the physical fitness battery and outcome measures to better fit the community context. While findings support feasibility, context-specific challenges related to implementation processes were identified.
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معلومات مُعتمدة: 2015 MSI Foundation
فهرسة مساهمة: Keywords: cancer; exercise; implementation; randomized controlled trial
تواريخ الأحداث: Date Created: 20220610 Latest Revision: 20220716
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC9179478
DOI: 10.3390/cancers14112737
PMID: 35681717
قاعدة البيانات: MEDLINE
الوصف
تدمد:2072-6694
DOI:10.3390/cancers14112737