The Alberta Cancer Exercise "ACE" Program for Cancer Survivors: Supporting Community-based Exercise Participation for Health Promotion and Secondary Cancer Prevention
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 2,570
- 试验地点
- 4
- 主要终点
- Physical Activity Minutes Per Week
研究概览
简要总结
The primary purpose of this proposed 5-year hybrid effectiveness and implementation study is to evaluate the relative benefit from, and implementation of an Alberta wide clinic-to-community-based cancer and exercise model of care - the Alberta Cancer Exercise (ACE) Program. The investigators hypothesize that the strategy will improve the physical well-being and QoL of survivors (on and off cancer treatment) while preventing the development of secondary cancers.
详细描述
A total of 2500 adult cancer survivors will be enrolled in the 5-year study. The investigators will build capacity by expanding ACE training and programming to sites beyond the large urban centers. The investigators plan for implementation in 7 Alberta YMCAs and/or City Recreation facilities within 3 years, as well as to formally establish partnerships within AHS to build further capacity across the province within existing AHS programming (e.g., CancerControl Rehab Services, Alberta Healthy Living Program and Primary Care Network). Virtual and supported home-based options will be available as an alternative.
Eligible and consenting participants will be screened for exercise safety, and following fitness testing will be triaged to appropriate exercise programming in their home or community. The exercise intervention will take place at the survivor's home, YMCAs and municipal fitness centres across the province. The supported home-based and community-based exercise program will be administered by exercise specialists who have undergone the ACE Cancer and Exercise: Training for Fitness Professionals course. Survivors will take part in a combination of aerobic, resistance, balance, and flexibility exercises delivered in a circuit-type class setting or group personal training format, twice weekly for an 8-to-12-week period.
Effectiveness outcomes include physical fitness, physical activity, quality of life, and healthcare utilization. These outcomes are known factors associated with the secondary prevention of cancer. The RE-AIM framework will be used to evaluate program reach, effectiveness, adoption, implementation and maintenance. The Alberta Quality Matrix for Health will serve as a framework to inform program sustainability beyond the funding period. Through this research, the investigators will better understand the effectiveness of the ACE program, and evaluate processes to support future implementation and sustainability.
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 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •have a diagnosis of cancer;
- •be over the age of 18 years;
- •be able to participate in low-intensity levels of activity at minimum;
- •be pretreatment, or receiving active cancer treatment (i.e., surgery, systemic therapy and radiation therapy), or have received cancer treatment within the past 3 years; or have ongoing significant cancer or treatment-related impairments (requiring supportive exercise intervention);
- •be able to provide informed written consent in English.
- •Exclusion criteria:
- •Inability or deemed unsafe to participate in physical activity program
排除标准
- 未提供
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
次要结局
- General Health-related Quality of Life(Baseline to One-year)
- Upper extremity grip strength(Baseline to One-year)
- Quality of Life Cancer Specific(Baseline to One year)
- Functional performance test(Baseline to One-year)
- Aerobic Endurance(Baseline to One-year)
- Upper extremity flexibility(Baseline to One-year)
- Cost-effectiveness evaluation(Baseline to One-year)
- Program implementation and evaluation(Baseline to One-year)
- Lower extremity flexibility(Baseline to One-year)
- Exercise adherence(Baseline to 12-weeks)
- Body Composition(Baseline to One-year)
- Fatigue(Baseline to One-year)
- Balance(Baseline to One-year)
- Waist and hip measurements(Baseline to One-year)
- Adverse events(Baseline to One-year)