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Exploring The Fidelity of Resistance Training Interventions in Regional, Rural, And Remote Cancer Care: A Systematic
Christopher W Rowe1, Nicolas H Hart1,2,3,4,5, Julia Carlino1
1Human Performance Research Centre, School of Sport, Exercise and Rehabilitation, Faculty of Health, University of Technology Sydney (UTS), Sydney, NSW, Australia.
Journal of Sports Science & Medicine
|June 19, 2026
Summary
Implementing resistance exercise for cancer survivors in rural areas is difficult. Reporting of exercise principles and fidelity measures in these studies is poor, hindering real-world application and replication of findings.
Area of Science:
- Oncology
- Exercise Science
- Public Health
Background:
- Resistance-based exercise is crucial for cancer care but challenging to implement in non-metropolitan areas.
- High-quality, high-fidelity implementation is vital for effective supportive cancer care.
Purpose of the Study:
- To systematically review how exercise prescription principles and fidelity measures are reported in resistance-based exercise interventions for cancer survivors in regional, rural, and remote areas.
- To identify gaps in reporting to improve future research and clinical practice.
Main Methods:
- A systematic scoping review adhering to PRISMA-ScR guidelines.
- Searched five databases for peer-reviewed studies on resistance exercise for adult cancer survivors in non-metropolitan settings.
- Extracted and descriptively summarized data on exercise prescription principles (e.g., specificity, overload) and fidelity measures (e.g., adherence, dose).
Main Results:
- Only 12 studies met inclusion criteria out of 2490 screened.
- Exercise prescription principles were poorly reported; specificity was most common, while diminished returns and reversibility were least reported.
- Fidelity measures were also inadequately reported; differentiation was most common, but adherence/dose was absent.
- No study reported all FITT principles (Frequency, Intensity, Time, Type).
Conclusions:
- Reporting of exercise prescription principles, FITT principles, and fidelity measures is suboptimal in studies involving cancer survivors in regional, rural, and remote areas.
- Improved reporting quality is essential for the replication and translation of clinical research into practice for these underserved populations.
- Future research must prioritize comprehensive reporting to enhance the effectiveness and accessibility of resistance exercise interventions.