A Practical Approach to Using Integrated Knowledge Translation to Inform a Community-Based Exercise Study

被引:14
作者
Suderman, Kirsten [1 ]
Dolgoy, Naomi [1 ]
Yurick, Janice [2 ]
Sellar, Christopher [1 ]
Nishimura, Kathryn [1 ,3 ]
Culos-Reed, S. Nicole [3 ]
Joy, Anil A. [2 ]
McNeely, Margaret L. [1 ,2 ]
机构
[1] Univ Alberta, Dept Phys Therapy, 2-50 Corbett Hall, Edmonton, AB T6G 2G4, Canada
[2] Alberta Hlth Serv, Cross Canc Inst, 11560 Univ Ave, Edmonton, AB T6G 1Z2, Canada
[3] Univ Calgary, Fac Kinesiol, 2500 Univ Dr NW, Calgary, AB T2N 1N4, Canada
关键词
exercise; physical therapy; cancer; knowledge translation; implementation; barriers; BREAST-CANCER SURVIVORS; PHYSICAL-ACTIVITY; BARRIERS; RECOMMENDATIONS; BEHAVIOR; HEALTH; REHABILITATION; FACILITATORS; PREVENTION; SEDENTARY;
D O I
10.3390/ijerph17113911
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Background: 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. Methods: 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 (n = 13 survivors and n = 5 caregivers); and (2) post-ACE: following participation in the ACE pilot trial (n = 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. Results: 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. Conclusions: An integrated knowledge translation approach identified actionable outcomes to address survivor needs related to exercise in clinical cancer and community-based contexts.
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页数:15
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