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Development, implementation, and effects of a cancer center's exercise-oncology program
Daniel Santa Mina1,2,3, Darren Au1,2, Leslie E Auger4
1Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Ontario, Canada.
Cancer centers can deliver exercise programs to improve patient function. This study found that a clinically integrated exercise-oncology program significantly improved functional capacity and was highly valued by patients.
Area of Science:
- Exercise oncology
- Cancer rehabilitation
- Clinical integration of exercise programs
Background:
- Limited accessibility to cancer exercise programming is a recognized barrier.
- Cancer centers are well-positioned to deliver exercise-oncology services.
- This study addresses the need for accessible, integrated exercise interventions.
Purpose of the Study:
- To develop and implement a clinically integrated exercise-oncology program.
- To evaluate the effectiveness of the program on functional capacity.
- To assess participant experience and satisfaction.
Main Methods:
- A hospital-based, prescribed at-home exercise program was implemented over 42 months.
- Two phases: pilot (breast, genitourinary cancers) and roll-out (all cancers).
- Assessed functional capacity and participant experience up to 48 weeks.
Main Results:
- 112 participants in pilot, 150 in roll-out phase; attrition rates were 48% and 65%.
- Significant improvements in objective and patient-reported functional capacity measures.
- High participant satisfaction with the program.
Conclusions:
- The integrated exercise-oncology program showed clinically relevant improvements in functional outcomes.
- Despite attrition, the program was highly appreciated by cancer patients.
- Cancer centers can successfully implement and deliver effective exercise interventions.
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