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An Evidence-Based Walking Program in Oregon Communities: Step It Up! Survivors.

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Summary
This summary is machine-generated.

Community walking programs can help cancer survivors increase physical activity. A capacity-building intervention, including funding and technical assistance, successfully supported program implementation, though tailored support is needed for adaptation and sustainability.

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Area of Science:

  • Health Promotion
  • Cancer Survivorship
  • Implementation Science

Background:

  • Physical activity is crucial for managing cancer treatment side effects, yet many survivors remain inactive.
  • Community group-based walking programs are evidence-based strategies to promote physical activity.
  • Real-world implementation challenges often hinder the population health impact of evidence-based programs.

Purpose of the Study:

  • To conceptualize and evaluate a capacity-building intervention for implementing a community group-based walking program for cancer survivors.
  • To assess the effectiveness of technical assistance and small-grant funding in supporting program delivery.

Main Methods:

  • Utilized the Interactive Systems Framework for Dissemination and Implementation.
  • Adapted an evidence-based walking program guide for cancer survivors.
  • Provided capacity-building intervention (technical assistance, small grants) to eight organizations.
  • Evaluated implementation using monthly reports, site visits, interviews, and final reports, measuring adoption, acceptability, feasibility, fidelity, and penetration.

Main Results:

  • The "Step It Up! Survivors" (SIUS) program increased physical activity and social connections for cancer survivors.
  • Grantees faced challenges in recruitment, partnerships, and adherence despite technical assistance.
  • Facilitators included community partners and program components like incentives and webinars.
  • Overall fidelity ranged from 64% to 88%, with some organizations integrating SIUS for sustainability.
  • Funding and technical assistance proved effective, but varying needs for adaptation and implementation support were observed.

Conclusions:

  • Capacity-building interventions, including funding and technical assistance, are effective for implementing community-based physical activity programs for cancer survivors.
  • Tailoring technical assistance to organizational needs during adaptation, implementation, and sustainability phases is crucial for program success.
  • Addressing implementation challenges requires flexible support structures and leveraging community partnerships.