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McNeely ML, Suderman K, Yurick JL, Nishimura K, Sellar C, Ospina PA, Pituskin E, Lau H, Easaw JC, Parliament MB, Joy AA, Culos-Reed SN. Feasibility of Implementing Cancer-Specific Community-Based Exercise Programming: A Multi-Centre Randomized Trial. Cancers (Basel) 2022; 14:cancers14112737. [PMID: 35681717 PMCID: PMC9179478 DOI: 10.3390/cancers14112737] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2022] [Revised: 05/10/2022] [Accepted: 05/18/2022] [Indexed: 02/04/2023] Open
Abstract
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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Affiliation(s)
- Margaret L. McNeely
- Department of Physical Therapy, University of Alberta, Edmonton, AB T6G 2G4, Canada; (K.S.); (K.N.); (C.S.); (P.A.O.)
- 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; (E.P.); (J.C.E.); (A.A.J.)
- Correspondence: ; Tel.: +1-780-248-1531
| | - Kirsten Suderman
- Department of Physical Therapy, University of Alberta, Edmonton, AB T6G 2G4, Canada; (K.S.); (K.N.); (C.S.); (P.A.O.)
| | - Janice L. Yurick
- Cross Cancer Institute, Alberta Health Services, Edmonton, AB T6G 1Z2, Canada;
| | - Kathryn Nishimura
- Department of Physical Therapy, University of Alberta, Edmonton, AB T6G 2G4, Canada; (K.S.); (K.N.); (C.S.); (P.A.O.)
- Cross Cancer Institute, Alberta Health Services, Edmonton, AB T6G 1Z2, Canada;
| | - Christopher Sellar
- Department of Physical Therapy, University of Alberta, Edmonton, AB T6G 2G4, Canada; (K.S.); (K.N.); (C.S.); (P.A.O.)
| | - Paula A. Ospina
- Department of Physical Therapy, University of Alberta, Edmonton, AB T6G 2G4, Canada; (K.S.); (K.N.); (C.S.); (P.A.O.)
| | - Edith Pituskin
- Department of Oncology, Faculty of Medicine, University of Alberta, Edmonton, AB T6G 2R3, Canada; (E.P.); (J.C.E.); (A.A.J.)
- Cross Cancer Institute, Alberta Health Services, Edmonton, AB T6G 1Z2, Canada;
- Faculty of Nursing, University of Alberta, Edmonton, AB T6C 1C9, Canada
| | - Harold Lau
- Tom Baker Cancer Centre, Alberta Health Services, Calgary, AB T2N 4N2, Canada;
- Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada;
| | - Jacob C. Easaw
- Department of Oncology, Faculty of Medicine, University of Alberta, Edmonton, AB T6G 2R3, Canada; (E.P.); (J.C.E.); (A.A.J.)
- Cross Cancer Institute, Alberta Health Services, Edmonton, AB T6G 1Z2, Canada;
| | - Matthew B. Parliament
- 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; (E.P.); (J.C.E.); (A.A.J.)
| | - Anil A. Joy
- Department of Oncology, Faculty of Medicine, University of Alberta, Edmonton, AB T6G 2R3, Canada; (E.P.); (J.C.E.); (A.A.J.)
- Cross Cancer Institute, Alberta Health Services, Edmonton, AB T6G 1Z2, Canada;
| | - S. Nicole Culos-Reed
- Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada;
- Faculty of Kinesiology, University of Calgary, Calgary, AB T2N 1N4, Canada
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