DESIGNING FOR INTEGRATION: PLANNING AND EVALUATION OF A CLINICAL EXERCISE ONCOLOGY PROGRAM
Alex Brooks1, Shana Harrington1, Alec Schumpp1, Mary Kennedy2, Amul Dhaliwal1, Jake Dawson1, Sydney Brewster1, Emily Andriello1, Reghan Truesdell1, Annie Griffin1, Lauren Williamson1, Emily Parsowith1, Estefania Lanzagorta1, Madison Owens1, Ciaran Fairman1. 1University of South Carolina, Columbia, SC. 2Edith Cowan University, Perth.
BACKGROUND: Research suggests that exercise has beneficial effects on a variety of cancer related health outcomes. However, effectively implemented exercise programs for individuals with cancer are lacking. The aim of this project was to design and evaluate an exercise program for the Midlands oncology community. METHODS: This study was completed in two phases: 1) Pre-integration and 2) Evaluation. A stakeholder advisory group that included partners from the University and hospital systems was formed to guide the project. During the pre-integration phase, key healthcare personnel were interviewed to determine program delivery specifics and referral management. This resulted in the design and execution of an 8-week (offered 2 times per week) aerobic and resistance exercise program that ran 3 times over the course of 10 months. Outcomes included the Bellarmine Norton Assessment Tool (BNAT) consisting of the 2-minute step test, 30-second sit to stand, 30-second arm curl and timed up and go as well as fatigue assessed using the FACIT fatigue scale. RESULTS. The pre-integration phase determined the participant referral process and the location/delivery of the program. Specifically, 4 points of interaction were identified as opportunities for referrals (chemotherapy education nurses, primary nurse practitioners, offboarding services and rehabilitation service referral). Further, it was decided to leverage existing rehabilitation infrastructure and facilities to deliver the exercise program, which informed days per week (two), times of offering (6:30am-7:30am and 5:30pm-6:30pm), and outcomes assessed. Program participants experienced significant improvements in cancer-related fatigue (pre: 43.0 ±9.45, post: 38.00±11.34, p<0.05), 2-minute step test (pre: 74.54 ±19.29, post: 88.79±11.34, p<0.05), 30-second sit to stand (pre: 10.71±4.19, post:12.54±5.66, p<0.05), 30-second arm curl(pre: 13.20±3.43, post:15.88±5.45, p<0.05) and timed up and go(pre: 8.04±3.49, post:6.38±2.4, p<0.05). CONCLUSION: The effectiveness of an exercise program for individuals with cancer was supported by statistically significant improvements in physical function and fatigue. Preplanning with healthcare system stakeholders provided critical input to facilitate referrals and delivery of the program. Future programs aiming for integration should consider this approach.
Brooks, A; Harrington, S; Schumpp, A; Kennedy, M; Dhaliwal, A; Dawson, J; Brewster, S; Andriello, E; Truesdell, R; Griffin, A; Williamson, L; Parsowith, E; Lanzagorta, E; Owens, M; and Fairman, C
"DESIGNING FOR INTEGRATION: PLANNING AND EVALUATION OF A CLINICAL EXERCISE ONCOLOGY PROGRAM,"
International Journal of Exercise Science: Conference Proceedings: Vol. 16:
2, Article 321.
Available at: https://digitalcommons.wku.edu/ijesab/vol16/iss2/321