Department of Physical Therapy, University of Alberta, 2-50 Corbett Hall, Edmonton, AB T6G 2G4, Canada.
Cross Cancer Institute, Alberta Health Services, 11560 University Avenue, Edmonton, AB T6G 1Z2, Canada.
Int J Environ Res Public Health. 2020 Jun 1;17(11):3911. doi: 10.3390/ijerph17113911.
Our aim was to understand cancer survivor needs prior to, and following the Alberta Cancer Exercise (ACE) pilot randomized trial as a means to inform implementation of a province-wide cancer-specific, community-based exercise program.
Questionnaires and semi-structured stakeholder engagement sessions were conducted with cancer survivors to explore preferences, barriers and facilitators/benefits at two timepoints: (1) pre-ACE: prior to initiation of the ACE pilot trial ( = 13 survivors and = 5 caregivers); and (2) post-ACE: following participation in the ACE pilot trial ( = 20 survivors). Descriptive statistics were used to summarize quantitative data from questionnaires. Stakeholder engagement data were analyzed using a framework analysis approach. Emergent themes were then mapped to actionable outcomes.
Pre-ACE, survivors indicated a preference for exercise programs that were (1) supervised by exercise specialists knowledgeable about cancer, (2) included support from other health care providers, (3) were held in community locations that were easily accessible. Post-ACE, participants identified (1) a lack of exercise counseling from health care providers, (2) the need for earlier introduction of exercise in the care pathway, and (3) supported referral to exercise programming.
An integrated knowledge translation approach identified actionable outcomes to address survivor needs related to exercise in clinical cancer and community-based contexts.
我们的目的是在艾伯塔癌症运动（ACE）试验性随机试验之前和之后了解癌症幸存者的需求，以便为在全省范围内实施以癌症为特定对象的社区为基础的锻炼计划提供信息。
采用问卷调查和半结构化利益攸关方参与会议的方式，在两个时间点与癌症幸存者进行了探讨，以探讨偏好、障碍和促进因素/益处：（1）ACE 之前：在 ACE 试验性试验开始之前（= 13 名幸存者和= 5 名照顾者）；（2）ACE 之后：在参与 ACE 试验性试验之后（= 20 名幸存者）。使用描述性统计来总结问卷的定量数据。采用框架分析方法对利益攸关方参与数据进行分析。然后将出现的主题映射到可操作的结果。
ACE 之前，幸存者表示希望参加以下锻炼计划：（1）由了解癌症的运动专家监督；（2）包括其他医疗保健提供者的支持；（3）在便于到达的社区地点进行。ACE 之后，参与者确定了（1）医疗保健提供者缺乏锻炼咨询；（2）需要更早地在护理途径中引入锻炼；（3）支持向锻炼计划转介。
通过综合知识转化方法，确定了可操作的结果，以满足与临床癌症和社区为基础的环境中锻炼相关的幸存者需求。
