scholarly journals Delivering exercise medicine to cancer survivors: has COVID-19 shifted the landscape for how and who can be reached with supervised group exercise?

2021 ◽  
Author(s):  
Kerri M. Winters-Stone ◽  
Cassie Boisvert ◽  
Fuzhong Li ◽  
Karen S. Lyons ◽  
Tomasz M. Beer ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Group Exercise ◽  
Exercise Medicine

scholarly journals Telerehabilitation’s Safety, Feasibility, and Exercise Uptake in Cancer Survivors: Process Evaluation (Preprint)

2021 ◽  
Author(s):  
Amy Dennett ◽  
Katherine E Harding ◽  
Jacoba Reimert ◽  
Rebecca Morris ◽  
Phillip Parente ◽  
...  
Keyword(s):  
Physical Activity ◽  
Health Service ◽  
Adverse Events ◽  
Cancer Survivors ◽  
Process Evaluation ◽  
Health Coaching ◽  
Home Exercise ◽  
Group Exercise ◽  
The Impact ◽  
Online Group

BACKGROUND Access to exercise for cancer survivors is poor despite global recognition of its benefits. Telerehabilitation may overcome barriers to exercise for cancer survivors but is not routinely offered. OBJECTIVE Following the rapid implementation of an exercise-based telerehabilitation program in response to COVID-19, a process evaluation was conducted to understand the impact on patients, staff, and the health service with the aim of informing future program development. METHODS A mixed methods evaluation was completed for a telerehabilitation program for cancer survivors admitted between March and December 2020. Interviews were conducted with patients and staff involved in implementation. Routinely collected hospital data (adverse events, referrals, admissions, wait time, attendance, physical activity, and quality of life) were also assessed. Patients received an 8-week telerehabilitation intervention including one-on-one health coaching via telehealth, online group exercise and education, information portal, and home exercise prescription. Quantitative data were reported descriptively, and qualitative interview data were coded and mapped to the Proctor model for implementation research. RESULTS The telerehabilitation program received 175 new referrals over 8 months. Of those eligible, 123 of 150 (82%) commenced the study. There were no major adverse events. Adherence to health coaching was high (674/843, 80% of scheduled sessions), but participation in online group exercise classes was low (n=36, 29%). Patients improved their self-reported physical activity levels by a median of 110 minutes per week (IQR 90-401) by program completion. Patients were satisfied with telerehabilitation, but clinicians reported a mixed experience of pride in rapid care delivery contrasting with loss of personal connections. The average health service cost per patient was Aus $1104 (US $790). CONCLUSIONS Telerehabilitation is safe, feasible, and improved outcomes for cancer survivors. Learnings from this study may inform the ongoing implementation of cancer telerehabilitation.

scholarly journals A model approach to group exercise in cancer survivors

2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Karen Y. Wonders ◽  
Brittany Stout ◽  
Danielle Ondreka
Keyword(s):  
Cancer Survivors ◽  
Group Exercise ◽  
Model Approach

The effect of a supervised exercise program on arm girth measurements in breast cancer survivors.

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. 9115-9115
Author(s):  
Laura M. Leach ◽  
Amy Kleski ◽  
Kathy Spencer ◽  
Michelle LaLonde ◽  
Thomas J. Sweeney ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Resistance Training ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Exercise Program ◽  
The Body ◽  
Entry And Exit ◽  
Group Exercise ◽  
Upper Arm ◽  
Supervised Exercise

9115 Background: There is minimal research examining the effect of cardiovascular and resistance exercise after surgery and/or radiation treatment to the breast and axillary area. Currently there are no guidelines for activity restrictions; however, medical providers historically have recommended limiting activity of the affected arm in an attempt to prevent the development of lymphedema. This could potentially affect future quality of life and other medical issues in breast cancer survivors. Methods: Female breast cancer survivors (n=79) completed an 8-week group exercise program meeting two days per week for cardiovascular and resistance training. Participants were also encouraged to exercise independently in addition to their group sessions. Bilateral arm girth measurements were performed on all participants upon program entry and exit. Measurements were taken distal to the ulnar styloid process (wrist) and three inches above (upper arm) and below (elbow) the lateral epicondyle of the elbow. All participants included in this analysis attended ≥ 70% of the group exercise sessions and had complete entry and exit measurements. Results: Participants attended an average of 15.94 ± 3.75 exercise sessions during the 8 week program. Changes in arm girth measurement were compared for the surgical side and non-surgical sides of the body using paired t-tests. Arm girth changes in the surgical side of the body were compared to the non-surgical side of the body using the Wilcoxon Ranked Sum test. The surgical and the non-surgical arm girths did not significantly increase at the wrist (p=0.55 and p=0.76), elbow (p=0.31 and p=0.24) or upper arm (p=0.18 and p=0.42). The changes in arm girth observed on the surgical body side were not significantly different from the changes observed on the non-surgical side (wrist (p=0.67), elbow (p=0.44), and upper arm (p=0.36). Conclusions: A structured, group-based exercise program involving both cardiovascular and resistance training did not significantly increase arm girth measurements in breast cancer survivors.

scholarly journals The influence of a supervised group exercise intervention combined with active lifestyle recommendations on breast cancer survivors’ health, physical functioning, and quality of life indices: study protocol for a randomized and controlled trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Luiz Augusto Riani Costa ◽  
Raphael F. Barreto ◽  
Sarah Milani Moraes de Leandrini ◽  
Aline Rachel Bezerra Gurgel ◽  
Gabriel Toledo de Sales ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Physical Activity ◽  
Cancer Survivors ◽  
Physical Functioning ◽  
Breast Cancer Survivors ◽  
Exercise Intervention ◽  
Group Exercise ◽  
Active Lifestyle

Abstract Background Most cancer patients, under active treatment or not, are sedentary, despite increasing scientific and clinical understanding of the benefits of exercise and physical activity, such as improving quality of life, limiting disease symptoms, decreasing cancer recurrence, and increasing overall survival. Studies have shown that both supervised exercise and unsupervised physical activity programs have low adherence and limited long-term benefits among cancer survivors. Therefore, interventions focused on increasing physical activity levels have clinical and psychological relevance. The present study will examine the feasibility and efficacy of an intervention that combines supervised group exercise with active lifestyle recommendations, analyzing its clinical, psychological, physiological, functional, and immunological effects in breast cancer survivors. Methods Women aged 35–75 years who have completed chemotherapy, radiotherapy, and surgery for breast cancer will be recruited from the Cancer Institute of the State of Sao Paulo (ICESP) and take part in a 16-week, parallel-group, randomized, and controlled trial. They will receive a booklet with recommendations for achieving a physically active lifestyle by increasing overall daily movement and undertaking at least 150 min/week of structured exercise. Then, they will be randomized into two groups: the supervised group will take part in two canoeing group exercise sessions every week, and the unsupervised group will increase their overall physical activity level by any means, such as active commuting, daily activities, or home-based exercise. Primary outcome includes aerobic capacity. Secondary outcomes are physical activity, physical functioning, self-reported quality of life, fatigue, presence of lymphedema, body composition, immune function, adherence to physical activity guidelines, and perceptions of self-image. Discussion Results should contribute to advance knowledge on the impact of a supervised group exercise intervention to improve aspects related to health, physical functioning, and quality of life in female breast cancer survivors. Trial registration Brazilian Registry of Clinical Trials Number: RBR-3fw9xf. Retrospectively Registered on 27 December 2018. Items from the World Health Organization Trial Registration Data Set can be accessed on http://www.ensaiosclinicos.gov.br/rg/RBR-3fw9xf/.

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