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Bridging the gap: a pre-post feasibility study of embedding exercise therapy into a co-located cancer unit

journal contribution
posted on 25.03.2022, 00:34 by Amy DennettAmy Dennett, B Zappa, R Wong, SB Ting, K Williams, Casey PeirisCasey Peiris
Purpose: To establish the feasibility of embedding a flexible, exercise-based rehabilitation program into a cancer treatment unit to allow cancer survivors early exercise support. Method: A pre-post study was conducted using Bowen’s Framework to describe key domains of feasibility: demand (referrals), acceptability (uptake, attendance, satisfaction), implementation (resources), practicality (adverse events, costs) and limited-efficacy (function, quality of life, self-efficacy). Participants were medically stable, adult cancer survivors receiving curative or palliative treatment for cancer at the health service. Participants completed an 8-week home or hospital-based exercise program. Data were analysed descriptively. Standardised mean differences (Hedge’s g) and mean differences were calculated to determine effect size and clinical significance. Results: The exercise-based rehabilitation service received 155 referrals over 6 months. Of those eligible, 73/119 (61%) commenced. Participants opting for twice-weekly, hospital-based exercise attended 9/16 (56%) sessions. Participants reported high satisfaction and there were no major adverse events. The program utilised existing resources, with the predominant cost being staff. The average health service cost per participant was AUD $1,104. Participants made clinically significant gains in function (6-min walk distance; + 73 m, 95% confidence interval 49 to 96) and quality of life (EORTC QLQ-C30 Global quality of life; + 8 units, 95% confidence interval 3 to 13). Conclusion: Implementation of exercise-based rehabilitation in a co-located cancer unit was safe and feasible. Access, patient and staff education and establishing funding streams are important implementation considerations. Implications for cancer survivors Access to exercise in a cancer unit provides opportunity for early intervention to optimise function during treatment.

Funding

This project was funded by a service improvement grant from North Eastern Melbourne Integrated Cancer Services.

History

Publication Date

01/11/2021

Journal

Supportive Care in Cancer

Volume

29

Issue

11

Pagination

11p. (p. 6701-6711)

Publisher

Springer

ISSN

0941-4355

Rights Statement

© The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021

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