Category: Cancer Rehabilitation; Clinical Practice (assessment, diagnosis, treatment, knowledge translation/EBP, implementation science, program development)
Objective : Long term: To create a novel, modern approach to exercise training by providing an interactive, web-based, home exercise design. Short term: to the current landscape of physician attitudes towards exercise programs for bone marrow transplant patients in Calgary, AB, recognize patients' retrospective opinions on exercise after going through a bone marrow transplant, appreciate patient's perspectives on exercise prior to having gone through a bone marrow transplant, and determine physician and patient perspectives of feasibility of proposed exercise program.
Design : A short survey (6 questions) was distributed to BMT physicians (n=10) , patients undergoing BMT (n=11; 6 auto-HSCT, 5 allo-HSCT) , and patients who are >5 years post-BMT (n=12; 2 auto-HSCT, 10 allo-HSCT). Questions themes: support, feasibility, willingness to participate, knowledge.
Setting : As above, the setting was BMT patients in ambulatory or hospitalized care.
Participants (or Animals, Specimens, Cadavers) : Patients pre/undergoing BMT - 13 approached, 11 participated
Patients 5-years post BMT- 12 approached, 12 participated
Physicans treating BMT patients- 15 approached, 10 participated
Interventions : Questionnaire
Main Outcome Measure(s) : 1. Baseline knowledge re: exercise post-BMT
2. Patient and physician opinion re: need for a BMT exercise program
3. Patient willingness to participate in our proposed exercise program
Results : Overall, most patients and physicians realized the importance of exercise in the BMT setting. All patients > 5 years post-transplant agreed that an exercise program is beneficial. 100% of patients pre-BMT supported this initiative.
Conclusions : Overall, our survey demonstrated that both patients and physicans are aware of the importance of exercise and that this is an unmet need in our current BMT program. Developing our proposed program would benefit our current BMT patients and could easily be extended to hematology patients outside of the BMT program.
Potential barriers include: funding, support, time, access to equipment.