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Updated: Aug 20, 2025

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Studying the implementation of exercise oncology interventions: a path forward.

Prajakta Adsul1, Kathryn Schmitz2, Karen M Basen-Engquist3

  • 1Department of Internal Medicine, University of New Mexico, Albuquerque, NM, USA.

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Summary

Implementing exercise evidence-based interventions (EBIs) for cancer survivors requires effective strategies. This study identifies common barriers and facilitators in non-research settings to guide future implementation efforts.

Keywords:
Exercise oncologyadaptationsevidence-based interventionshealth behaviorimplementation sciencesupportive care

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Area of Science:

  • Exercise Oncology
  • Implementation Science
  • Cancer Survivorship

Background:

  • Growing evidence supports exercise benefits for cancer survivors.
  • The field needs practical strategies to implement these evidence-based interventions (EBIs) in real-world settings.
  • Translating research findings into clinical practice remains a challenge.

Purpose of the Study:

  • To describe pragmatic observations and strategies for implementing exercise oncology EBIs in non-research settings.
  • To identify common implementation barriers and facilitators encountered.
  • To map these observations and strategies onto the Exploration, Preparation, Implementation, and Sustainment (EPIS) Framework.

Main Methods:

  • Described three distinct implementation projects.
  • Collected data on common barriers and facilitators.
  • Utilized the Experts Recommending Implementation Change (ERIC) study to operationalize strategies.
  • Mapped findings to the EPIS Framework.

Main Results:

  • Identified key barriers including funding, organizational capacity, training, relationship building, patient referral, and engagement.
  • Detailed strategies from three projects: a toolkit for self-managed interventions, adaptation of a behavior change intervention, and adaptation of an in-person intervention to outpatient/home settings.
  • Highlighted facilitators related to stakeholder engagement and intervention adaptability.

Conclusions:

  • Implementation strategies offer starting points for exercise oncology EBIs in clinical and community settings.
  • These findings can inform future implementation research to advance the translation of exercise oncology evidence.
  • Successful implementation requires addressing identified barriers and leveraging facilitators.