Literature DB >> 34224017

Clinician's perspectives of implementing exercise-based rehabilitation in a cancer unit: a qualitative study.

Amy M Dennett1,2, Casey L Peiris3, Germaine Tan4,5, Nora Shields3.   

Abstract

PURPOSE: To explore the clinician experience of the feasibility of a supervised, exercise-based rehabilitation program co-located within a cancer treatment unit.
METHOD: A qualitative study using individual semi-structured interviews was completed. Fifteen clinicians were purposively sampled from a cancer unit at a tertiary hospital where a new, exercise-based rehabilitation program was implemented. Interviews were audio-recorded and transcribed verbatim. Data were coded independently by two reviewers and analysed by thematic analysis.
RESULTS: The main theme was, 'a co-located cancer rehabilitation program was perceived to initiate a cultural change'. A positive culture for exercise-based rehabilitation was demonstrated by consistent, positive messaging about exercise from a broad range of hospital staff. The culture shift was facilitated by the program being convenient for patients and staff, being visible, and by rapport building all within the context of filling a service gap.
CONCLUSION: This study identified key practical elements in initiating a positive culture around exercise-based rehabilitation within a cancer unit. These data may inform future implementation of rehabilitation programs to improve access to exercise for cancer survivors.

Entities:  

Keywords:  Exercise; Experience; Implementation; Perceptions; Rehabilitation; Survivorship

Year:  2021        PMID: 34224017     DOI: 10.1007/s00520-021-06378-4

Source DB:  PubMed          Journal:  Support Care Cancer        ISSN: 0941-4355            Impact factor:   3.603


  24 in total

1.  Perceived barriers to and facilitators of being physically active during adjuvant cancer treatment.

Authors:  Anna Henriksson; Cecilia Arving; Birgitta Johansson; Helena Igelström; Karin Nordin
Journal:  Patient Educ Couns       Date:  2016-01-28

Review 2.  Effects and moderators of exercise on quality of life and physical function in patients with cancer: An individual patient data meta-analysis of 34 RCTs.

Authors:  Laurien M Buffart; Joeri Kalter; Maike G Sweegers; Kerry S Courneya; Robert U Newton; Neil K Aaronson; Paul B Jacobsen; Anne M May; Daniel A Galvão; Mai J Chinapaw; Karen Steindorf; Melinda L Irwin; Martijn M Stuiver; Sandi Hayes; Kathleen A Griffith; Alejandro Lucia; Ilse Mesters; Ellen van Weert; Hans Knoop; Martine M Goedendorp; Nanette Mutrie; Amanda J Daley; Alex McConnachie; Martin Bohus; Lene Thorsen; Karl-Heinz Schulz; Camille E Short; Erica L James; Ron C Plotnikoff; Gill Arbane; Martina E Schmidt; Karin Potthoff; Marc van Beurden; Hester S Oldenburg; Gabe S Sonke; Wim H van Harten; Rachel Garrod; Kathryn H Schmitz; Kerri M Winters-Stone; Miranda J Velthuis; Dennis R Taaffe; Willem van Mechelen; Marie-José Kersten; Frans Nollet; Jennifer Wenzel; Joachim Wiskemann; Irma M Verdonck-de Leeuw; Johannes Brug
Journal:  Cancer Treat Rev       Date:  2016-12-05       Impact factor: 12.111

3.  A G+3-to-T donor splice site mutation leads to skipping of exon 50 in von Willebrand factor mRNA.

Authors:  G Mertes; M Ludwig; B Finkelnburg; M Krawczak; R Schwaab; H H Brackmann; K Olek
Journal:  Genomics       Date:  1994-11-01       Impact factor: 5.736

4.  The cancer rehabilitation journey: barriers to and facilitators of exercise among patients with cancer-related fatigue.

Authors:  Janine Blaney; Andrea Lowe-Strong; Jane Rankin; Anna Campbell; James Allen; Jackie Gracey
Journal:  Phys Ther       Date:  2010-06-17

5.  Impact of exercise on chemotherapy completion rate: A systematic review of the evidence and recommendations for future exercise oncology research.

Authors:  Kelcey A Bland; Kendra Zadravec; Taryne Landry; Sarah Weller; Logan Meyers; Kristin L Campbell
Journal:  Crit Rev Oncol Hematol       Date:  2019-02-16       Impact factor: 6.312

6.  The challenge of timing: a qualitative study on clinician and patient perspectives about implementing exercise-based rehabilitation in an acute cancer treatment setting.

Authors:  Amy M Dennett; Katherine E Harding; Melissa S Reed
Journal:  Support Care Cancer       Date:  2020-04-15       Impact factor: 3.603

7.  Physical activity levels before and after a diagnosis of breast carcinoma: the Health, Eating, Activity, and Lifestyle (HEAL) study.

Authors:  Melinda L Irwin; Diane Crumley; Anne McTiernan; Leslie Bernstein; Richard Baumgartner; Frank D Gilliland; Andrea Kriska; Rachel Ballard-Barbash
Journal:  Cancer       Date:  2003-04-01       Impact factor: 6.860

8.  Knowledge, attitudes, and practice of oncologists and oncology health care providers in promoting physical activity to cancer survivors: an international survey.

Authors:  Sarah J Hardcastle; Robert Kane; Paola Chivers; Dana Hince; Andrew Dean; Dominic Higgs; Paul A Cohen
Journal:  Support Care Cancer       Date:  2018-05-08       Impact factor: 3.603

9.  Accelerometer-derived physical activity and sedentary time by cancer type in the United States.

Authors:  Keith M Thraen-Borowski; Keith P Gennuso; Lisa Cadmus-Bertram
Journal:  PLoS One       Date:  2017-08-14       Impact factor: 3.240

10.  A systematic review of rehabilitation and exercise recommendations in oncology guidelines.

Authors:  Nicole L Stout; Daniel Santa Mina; Kathleen D Lyons; Karen Robb; Julie K Silver
Journal:  CA Cancer J Clin       Date:  2020-10-27       Impact factor: 508.702

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  2 in total

Review 1.  A scoping review examining the integration of exercise services in clinical oncology settings.

Authors:  Elochukwu F Ezenwankwo; Daniel A Nnate; Godspower D Usoro; Chimdimma P Onyeso; Ijeoma B Anieto; Sam C Ibeneme; Yumna Albertus; Victoria E Lambert; Antoninus O Ezeukwu; Ukachukwu O Abaraogu; Delva Shamley
Journal:  BMC Health Serv Res       Date:  2022-02-21       Impact factor: 2.655

2.  Building the plane while it's flying: implementation lessons from integrating a co-located exercise clinic into oncology care.

Authors:  Mary A Kennedy; Sara Bayes; Robert U Newton; Yvonne Zissiadis; Nigel A Spry; Dennis R Taaffe; Nicolas H Hart; Daniel A Galvão
Journal:  BMC Health Serv Res       Date:  2022-10-06       Impact factor: 2.908

  2 in total

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