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Author Spotlight: Enhancing Remote Rehabilitation with Virtual Reality and Electromyography
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Program Barriers and Facilitators in Virtual Cancer Exercise Implementation: A Qualitative Analysis.

Jessica S Gorzelitz1, Nour Bouji2, Nicole L Stout3,4

  • 1Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Rockville, MD, USA.

Translational Journal of the American College of Sports Medicine
|May 23, 2022
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Summary
This summary is machine-generated.

The COVID-19 pandemic forced cancer exercise programs online, revealing key facilitators and barriers to virtual implementation. Strategies like adaptability and stakeholder engagement are crucial for successful online cancer rehabilitation delivery.

Keywords:
Exercise oncologyimplementation sciencetelehealthtelemedicinevirtual exercise

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Area of Science:

  • Oncology
  • Rehabilitation Medicine
  • Health Services Research

Background:

  • The COVID-19 pandemic necessitated a rapid shift from in-person to virtual formats for cancer exercise and rehabilitation programs.
  • This transition aimed to ensure continuity of care for individuals living with and beyond cancer.

Purpose of the Study:

  • To qualitatively assess program-level facilitators and barriers encountered during the implementation of virtual exercise programs for cancer patients.
  • To identify effective strategies for overcoming identified implementation barriers in virtual cancer rehabilitation.

Main Methods:

  • Recruitment of US-based virtual cancer exercise and rehabilitation programs through professional networks.
  • Conducting 1:1 semi-structured interviews with program representatives to explore implementation challenges and successes.
  • Utilizing inductive coding techniques and the Consolidated Framework for Implementation Research for data analysis.

Main Results:

  • Analysis of interviews with 24 program representatives revealed common facilitators and barriers across different program types.
  • Both program- and individual-level strategies were employed to facilitate virtual exercise program delivery.
  • Top-ranked strategies for successful implementation included promoting adaptability, building stakeholder coalitions, developing implementation blueprints, and securing funding.

Conclusions:

  • The study identifies critical program-level barriers and facilitators for virtual cancer exercise and rehabilitation programs.
  • Provides a roadmap of relevant implementation strategies to address common challenges.
  • Offers guidance for future virtual program development and sustainability in cancer care.