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The Exercise Oncology Knowledge Mobilization Initiative: An International Modified Delphi Study
Scott C Adams1,2,3, Jenna Smith-Turchyn4, Daniel Santa Mina3,5,6
1Department of Cardiology, Toronto General Hospital Research Institute, Toronto, ON, Canada.
Integrating exercise oncology into cancer care requires prioritizing qualified exercise professional (QEP) integration, healthcare provider (HCP) education, and accessible programs. Aligning stakeholder priorities is key for exercise as a standard of cancer care.
Area of Science:
- Exercise oncology
- Knowledge mobilization
- Cancer survivorship
Background:
- Exercise is crucial for cancer patients but poorly integrated into care.
- Knowledge mobilization (KM) is vital to improve exercise opportunities.
- Effective integration requires identifying and prioritizing research and KM themes.
Purpose of the Study:
- To develop and refine key exercise oncology research and KM themes.
- To rank the importance of these themes for standardizing exercise in cancer care.
- To identify stakeholder alignment and discordance on priorities.
Main Methods:
- Modified Delphi study using an international stakeholder workshop and online surveys.
- Incorporated feedback from cancer survivors, HCPs, QEPs, policymakers, and researchers.
- Themes were rated, ranked, and agreement analyzed across stakeholder groups.
Main Results:
- Twelve exercise oncology research and KM themes were finalized.
- Top-ranked themes: QEP integration, HCP education, and program accessibility.
- Significant agreement on general theme rankings, but variability in specific order and differences between policymakers and others.
Conclusions:
- Findings guide initiatives to implement exercise as standard cancer care.
- Alignment on priorities is essential for successful integration.
- Further research needed to understand differing priorities across stakeholder groups.
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