Dennett Amy M, Tang Clarice Y, Chiu April, Osadnik Christian, Granger Catherine L, Taylor Nicholas F, Campbell Kristin L, Barton Christian
La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Australia.
Allied Health Clinical Research Office, Eastern Health, Box Hill, Australia.
JMIR Cancer. 2022 Apr 21;8(2):e34903. doi: 10.2196/34903.
Access to exercise therapy for cancer survivors is poor. Professional development to support exercise professionals in delivering these interventions is needed. Few online resources exist for exercise professionals to address this issue.
To develop and evaluate a freely available online toolkit to support exercise professionals working with cancer survivors.
A 2-phase, experience-based co-design approach was used to develop and evaluate the online toolkit. The two phases were as follows: 1) needs identification and co-design of resources and platform and 2) pilot evaluation. Four co-design workshops were conducted, transcribed, and thematically analyzed to identify key elements for the toolkit. For the pilot evaluation, a customized survey (the Determinants of Implementation Behavior Questionnaire) was distributed to exercise professionals at baseline and 3 months after launch of the online toolkit to determine its usability, utility, and effectiveness in improving their knowledge, confidence, and behavior. Results were reported as the median and interquartile range and changes were calculated using non-parametric tests. Website analytics described site usage after the initial evaluation.
Twenty-five exercise professionals participated in co-designing 8 key elements of the online Cancer Exercise Toolkit: the homepage and pages for getting started, screening and safety, assessment, exercise prescription, education, locations, and resources. For the pilot evaluation, 277/320 respondents (87% of whom were physiotherapists) from 26 countries completed the survey at baseline, with 58 exercise professionals completing follow-up surveys at 3 months. Exercise professionals' knowledge, skills, and confidence in delivering exercise therapy to cancer survivors increased 3 months after baseline (items 1, 6, and 8: median score 5, IQR 3 to 6) to follow-up (items 1 and 6: median score 6, IQR 5 to 6; item 8: median score 5, IQR 5 to 7; P<.001) on a 1 to 7 Likert scale. Most participants (35/44, 80%) agreed or strongly agreed they would recommend the toolkit to colleagues. In the 6 months following the pilot evaluation, the toolkit received an average of 866 views per month.
The co-designed online Cancer Exercise Toolkit was a useful resource for exercise professionals that may increase their knowledge, skills, and confidence in providing exercise therapy to cancer survivors.
癌症幸存者获得运动疗法的机会很少。需要开展专业培训，以支持运动专业人员提供这些干预措施。针对运动专业人员解决这一问题的在线资源很少。
开发并评估一个免费的在线工具包，以支持为癌症幸存者提供服务的运动专业人员。
采用两阶段、基于经验的协同设计方法来开发和评估在线工具包。两个阶段如下：1）需求识别以及资源和平台的协同设计；2）试点评估。举办了四次协同设计研讨会，进行了转录和主题分析，以确定工具包的关键要素。对于试点评估，在基线时以及在线工具包推出3个月后，向运动专业人员发放了一份定制调查问卷（实施行为决定因素问卷），以确定其在提高知识、信心和行为方面的可用性、实用性和有效性。结果以中位数和四分位间距报告，并使用非参数检验计算变化。网站分析描述了初始评估后的网站使用情况。
25名运动专业人员参与了在线癌症运动工具包8个关键要素的协同设计：主页以及入门、筛查与安全、评估、运动处方、教育、地点和资源页面。对于试点评估，来自26个国家的277/320名受访者（其中87%是物理治疗师）在基线时完成了调查，58名运动专业人员在3个月时完成了后续调查。与基线时（第1、6和8项：中位数分数为5，四分位间距为3至6）相比，运动专业人员在为癌症幸存者提供运动疗法方面的知识、技能和信心在3个月后的随访中有所提高（第1和6项：中位数分数为6，四分位间距为5至6；第8项：中位数分数为5，四分位间距为5至7；P<.001），采用1至7李克特量表。大多数参与者（35/44，80%）同意或强烈同意他们会向同事推荐该工具包。在试点评估后的6个月里，该工具包平均每月收到866次浏览。
协同设计的在线癌症运动工具包是运动专业人员的有用资源，可能会增加他们为癌症幸存者提供运动疗法的知识、技能和信心。
