Project EXCEL: Dissemination, Implementation, and Effectiveness of the Exercise Oncology Survivorship Partnership Model - Reaching Rural Cancer Survivors to Enhance Quality of Life
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 1,500
- 试验地点
- 3
- 主要终点
- Physical Activity Minutes Per Week
研究概览
简要总结
Project EXCEL will provide community or online exercise programs to rural and remote and under-served cancer survivors, as well as encourage participants to become life-long exercisers. Exercise is an evidence-based self-management strategy that benefits all cancer survivors. However, most cancer survivors who live in remote or rural places don't have adequate opportunities to be involved in exercise programs that are tailored to their needs.
详细描述
As cancer survivorship numbers grow, a focus on positive health in survivorship is essential. Exercise is an evidence-based effective self-management strategy that benefits all cancer survivors (CS). However, the majority of research and the limited development of evidence-based clinical or community programs in exercise and cancer has been conducted almost exclusively in urban academic and clinical settings, with very limited implementation outreach to "hard to reach" CS.
In this proposed cancer exercise hybrid implementation effectiveness research, over 5 years we will use an integrated knowledge translation approach to move the current evidence-base that clearly supports the role of exercise in cancer survivorship, into sustainable and effective community-based or online settings that will optimize the delivery of exercise to rural/remote and underserved CS (RCS). Implementing and evaluating the proposed Exercise Oncology Survivorship (EOS) partnership model will result in a sustainable resource to support the implementation and delivery of exercise oncology programs in rural Canadian communities.
Investigators will work to develop lasting referral pathways between cancer care clinics and local fitness professionals. These fitness professionals will have additional cancer specific training to ensure they can effectively and safely deliver the program. Eligible and consenting participants will be screened for exercise safety, and following fitness testing will be triaged to appropriate exercise programming. If, due to COVID-19 public health restrictions, community based programming cannot occur, the exercise sessions will be delivered online by fitness professionals.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •have a diagnosis of cancer
- •are over the age of 18 years
- •are able to participate in mild levels of activity
- •are about to have treatment, are currently having treatment, or have had cancer treatment within the last 5 years
- •can read/write in English
- •can access online programs, if necessary, to participate in the exercise programs.
排除标准
- •unable to read/write in English
- •are unable to participate in exercise
- •for online programs, do not have internet or computer access
研究组 & 干预措施
Intervention
All participants will be involved in group exercise classes, twice a week for 12 weeks.
干预措施: Group Exercise Classes (Behavioral)
结局指标
主要结局
Physical Activity Minutes Per Week
时间窗: Baseline to one-year
Change in number of participants meeting Guidelines for Physical Activity of 150 minutes per week of moderate intensity exercise, based on accelerometer data from commercially-available activity tracker.
次要结局
- Upper extremity grip strength(Baseline to post 12-week exercise intervention)
- Functional performance test(Baseline to post 12-week exercise intervention)
- Upper extremity flexibility(Baseline to post 12-week exercise intervention)
- Lower extremity flexibility(Baseline to post 12-week exercise intervention)
- Balance(Baseline to post 12-week exercise intervention)
- Symptom tracking(Baseline to one year)
- Cancer related symptoms(Baseline to one year)
- Body Composition(Baseline to post 12-week exercise intervention)
- Aerobic Endurance(Baseline to post 12-week exercise intervention)
- Subjective reporting of average weekly physical activity(Baseline to one year)
- General Health-related Quality of Life(Baseline to one year)
- Fatigue(Baseline to one year)
- General well-being(Baseline to one year)
- Cognition(Baseline to one year)
- Barriers and facilitators to exercise participation(Baseline to one year)
- Exercise adherence(Baseline to one year)
- Program implementation and evaluation(Baseline to one year)