Community-based exercise for health promotion and secondary cancer prevention in Canada: protocol for a hybrid effectiveness-implementation study
Introduction Cancer care has expanded from a disease-focused, survival-oriented model to an approach that now considers how survivors can live well in the aftermath of intensive therapy, where they may deal with significant changes to their bodies, mental health or emotional well-being. Research evi...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2019-09-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/9/e029975.full |
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| author | Margaret L McNeely Christopher Sellar Tanya Williamson Melissa Shea-Budgell Anil Abraham Joy Harold Y Lau Jacob C Easaw Albert D Murtha Jeffrey Vallance Kerry Courneya John R Mackey Matthew Parliament Nicole Culos-Reed |
| author_facet | Margaret L McNeely Christopher Sellar Tanya Williamson Melissa Shea-Budgell Anil Abraham Joy Harold Y Lau Jacob C Easaw Albert D Murtha Jeffrey Vallance Kerry Courneya John R Mackey Matthew Parliament Nicole Culos-Reed |
| author_sort | Margaret L McNeely |
| collection | DOAJ |
| description | Introduction Cancer care has expanded from a disease-focused, survival-oriented model to an approach that now considers how survivors can live well in the aftermath of intensive therapy, where they may deal with significant changes to their bodies, mental health or emotional well-being. Research evidence supports the benefit of exercise during and following cancer treatments for cancer-related symptoms, physical functioning and fitness, and health-related quality of life. To move this efficacy evidence into practice, we designed and launched a 5-year study to evaluate the relative benefit from implementing a clinic-to-community-based cancer and exercise model of care.Methods and analysis A hybrid effectiveness and implementation trial design is being used to evaluate the effectiveness of delivery of community-based exercise and to collect data on implementation of the programme. The study opened in January 2017, with estimated completion by January 2022. The programme will be delivered in seven cities across the province of Alberta, Canada, with sites including three academic institutions, six YMCA locations, Wellspring Edmonton and Calgary, and six municipal fitness centres. Participants are adult cancer survivors (n=2500) from all tumour groups and stages and at any time point along their cancer treatment trajectory, up to 3 years post treatment completion. Survivors take part in a minimum of 60 min of mild-to-moderate intensity full body exercise twice weekly for a 12-week period. The primary effectiveness outcome is the proportion of participants meeting or exceeding 150 min of moderate intensity exercise per week at 1-year follow-up. The Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework will be utilised to capture individual-level and organizational-level impact of the exercise programme at 12 and 24 weeks and 1-year follow-up. The cohort of survivors participating in the study will allow for long-term (>5-year) evaluation of rates of cancer recurrence and secondary cancers beyond the funding period.Ethics and dissemination The study was approved by the Health Research Ethics Board of Alberta. The study is funded by Alberta Innovates and the Alberta Cancer Foundation. The study will help to answer critical questions on the effectiveness of cancer-specific community-based exercise programming in both the short-term and the long-term. Collectively, the findings will help to inform the acceptability, adoption, feasibility, reach and sustainability of community-based exercise.Trial registration number NCT02984163; Pre-results. |
| format | Article |
| id | doaj-art-060dc9c855134d25851306331c8bef44 |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-060dc9c855134d25851306331c8bef442025-08-20T01:54:12ZengBMJ Publishing GroupBMJ Open2044-60552019-09-019910.1136/bmjopen-2019-029975Community-based exercise for health promotion and secondary cancer prevention in Canada: protocol for a hybrid effectiveness-implementation studyMargaret L McNeely0Christopher Sellar1Tanya Williamson2Melissa Shea-Budgell3Anil Abraham Joy4Harold Y Lau5Jacob C Easaw6Albert D Murtha7Jeffrey Vallance8Kerry Courneya9John R Mackey10Matthew Parliament11Nicole Culos-Reed1211 Supportive Care, Cancer Care Alberta, Edmonton, Alberta, Canada1 Physical Therapy, University of Alberta, Edmonton, Alberta, Canada3 Kinesiology, University of Calgary, Calgary, Alberta, CanadaCharbonneau Cancer Institute and Department of Oncology, University of Calgary, Calgary, Alberta, Canada5 Division of Medical Oncology, Department of Oncology, University of Alberta, Edmonton, Alberta, Canada6 Oncology, University of Calgary, Calgary, Alberta, Canada7 Medical Oncology, Cross Cancer Institute, Edmonton, Alberta, Canada8 Radiation Oncology, Cross Cancer Institute, Edmonton, Alberta, CanadaFaculty of Health Disciplines, Athabasca University, Athabasca, Alberta, Canada10 Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Alberta, CanadaDepartment of Oncology, University of Alberta, Edmonton, Alberta, Canada12 Radiation Oncology, University of Alberta Faculty of Medicine and Dentistry, Edmonton, Alberta, Canada3 Kinesiology, University of Calgary, Calgary, Alberta, CanadaIntroduction Cancer care has expanded from a disease-focused, survival-oriented model to an approach that now considers how survivors can live well in the aftermath of intensive therapy, where they may deal with significant changes to their bodies, mental health or emotional well-being. Research evidence supports the benefit of exercise during and following cancer treatments for cancer-related symptoms, physical functioning and fitness, and health-related quality of life. To move this efficacy evidence into practice, we designed and launched a 5-year study to evaluate the relative benefit from implementing a clinic-to-community-based cancer and exercise model of care.Methods and analysis A hybrid effectiveness and implementation trial design is being used to evaluate the effectiveness of delivery of community-based exercise and to collect data on implementation of the programme. The study opened in January 2017, with estimated completion by January 2022. The programme will be delivered in seven cities across the province of Alberta, Canada, with sites including three academic institutions, six YMCA locations, Wellspring Edmonton and Calgary, and six municipal fitness centres. Participants are adult cancer survivors (n=2500) from all tumour groups and stages and at any time point along their cancer treatment trajectory, up to 3 years post treatment completion. Survivors take part in a minimum of 60 min of mild-to-moderate intensity full body exercise twice weekly for a 12-week period. The primary effectiveness outcome is the proportion of participants meeting or exceeding 150 min of moderate intensity exercise per week at 1-year follow-up. The Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework will be utilised to capture individual-level and organizational-level impact of the exercise programme at 12 and 24 weeks and 1-year follow-up. The cohort of survivors participating in the study will allow for long-term (>5-year) evaluation of rates of cancer recurrence and secondary cancers beyond the funding period.Ethics and dissemination The study was approved by the Health Research Ethics Board of Alberta. The study is funded by Alberta Innovates and the Alberta Cancer Foundation. The study will help to answer critical questions on the effectiveness of cancer-specific community-based exercise programming in both the short-term and the long-term. Collectively, the findings will help to inform the acceptability, adoption, feasibility, reach and sustainability of community-based exercise.Trial registration number NCT02984163; Pre-results.https://bmjopen.bmj.com/content/9/9/e029975.full |
| spellingShingle | Margaret L McNeely Christopher Sellar Tanya Williamson Melissa Shea-Budgell Anil Abraham Joy Harold Y Lau Jacob C Easaw Albert D Murtha Jeffrey Vallance Kerry Courneya John R Mackey Matthew Parliament Nicole Culos-Reed Community-based exercise for health promotion and secondary cancer prevention in Canada: protocol for a hybrid effectiveness-implementation study BMJ Open |
| title | Community-based exercise for health promotion and secondary cancer prevention in Canada: protocol for a hybrid effectiveness-implementation study |
| title_full | Community-based exercise for health promotion and secondary cancer prevention in Canada: protocol for a hybrid effectiveness-implementation study |
| title_fullStr | Community-based exercise for health promotion and secondary cancer prevention in Canada: protocol for a hybrid effectiveness-implementation study |
| title_full_unstemmed | Community-based exercise for health promotion and secondary cancer prevention in Canada: protocol for a hybrid effectiveness-implementation study |
| title_short | Community-based exercise for health promotion and secondary cancer prevention in Canada: protocol for a hybrid effectiveness-implementation study |
| title_sort | community based exercise for health promotion and secondary cancer prevention in canada protocol for a hybrid effectiveness implementation study |
| url | https://bmjopen.bmj.com/content/9/9/e029975.full |
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