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

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.