Category: Cancer Rehabilitation; Clinical Practice (assessment, diagnosis, treatment, knowledge translation/EBP, implementation science, program development); Quality Improvement and Implementation Science
Objective(s) : To synthesize the implementation characteristics of community-based exercise programs for cancer survivors and provide recommendations to advance community-based practice.
Data Sources : PubMed, Web of Science, and EBSCO databases.
Study Selection : A systematic review of literature identified publications on community-based exercise programs for cancer survivors, published 1980-2018.
Data Extraction : Text describing implementation characteristics (program costs, required resources, implementation materials) was extracted from full text publications. Characteristics were reported as means (SD) or frequencies.
Data Synthesis : Identified programs (N=31) were mostly free to participants (n=11, 35.5%) and received funding from one (n=12, 38.7) or multiple (n=7, 36.8%) sources. No programs reported operational costs. Staff training, facility/equipment, and time were required resources. Staff included exercise professionals (n=16, 51.6%; personal trainer, exercise physiologist) or a multidisciplinary team (n=14, 45.2%; nurse, therapist, coach). Training was cancer-specific (n=12, 48.7%), including standardized certifications (n=8, 25.8%), or program-specific (n=4, 12.9%). Facilities included: community fitness/wellness centers (n=23, 74.2%), outpatient clinics (n=3, 9.7%) and cancer centers (n=2, 6.5%). Most programs (n= 24, 77.4%) described necessary equipment, from basic to advanced. Time comprised twice weekly supervised exercise sessions (n=17, 54.8%) for M = 12.6 ± 5.6 (3-30) weeks, each session lasted M = 65.3 ± 20.0 (27.5 - 90) minutes. Implementation materials (i.e., standardized implementation manual) were utilized by two out of nine (22.2%) reoccurring programs; manualized programs have been ongoing ≥7 years.
Conclusions : Most community-based exercise programs for cancer survivors are free, last 12 weeks, and require: funding, staff training and fitness facilities/equipment. No programs reported operational costs and only a few used standardized implementation materials; these characteristics may limit ongoing implementation and dissemination, and therefore should be a focus of future programs.
Kelley Covington– Research Assistant, ReVital Cancer Rehabilitation, Fort Collins, Colorado
Mackenzi Pergolotti– Director of Research, ReVital Cancer Rehabilitation, Select Medical, Fort Collins, Colorado
Mary Hidde– PhD Student and Research Assistant, Colorado State University, Fort Collins, Colorado
Heather Leach– Assistant Professor, Colorado State University, Fort Collins, Colorado