gms | German Medical Science

19. Deutscher Kongress für Versorgungsforschung

Deutsches Netzwerk Versorgungsforschung e. V.

30.09. - 01.10.2020, digital

Community- based exercise programs in the Europeann cancer health care system: What works for whom under which circumstances?

Meeting Abstract

Suche in Medline nach

  • Annelie Voland - Nationales Centrum für Tumorerkrankungen – NCT, Heidelberg, Deutschland
  • Joachim Wiskemann - Nationales Centrum für Tumorerkrankungen – NCT, Heidelberg, Deutschland

19. Deutscher Kongress für Versorgungsforschung (DKVF). sine loco [digital], 30.09.-01.10.2020. Düsseldorf: German Medical Science GMS Publishing House; 2020. Doc20dkvf359

doi: 10.3205/20dkvf359, urn:nbn:de:0183-20dkvf3595

Veröffentlicht: 25. September 2020

© 2020 Voland et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.


Gliederung

Text

Background: More than 700 randomized, controlled trials (RCTs) have shown significant positive effects of exercise interventions for cancer patients and survivors. Further, in the 2019 guidelines the American College of Sports Medicine (ACSM) recommended to triage and referral oncological patients, depending on medical needs, into community- based exercise programs to promote physical activity and calls to action researchers to adapt effective interventions in community- based settings [1]. Highly established formative and summative program evaluations are found in the USA (programs: Livestrong [2]) and Canada. However, scientific evaluations of community- based exercise programs for cancer patients are rarely found in a European context.

Aim: The aim of this study is to analyze existing and ongoing community- based exercise programs in the cancer health care system in Europe, Great Britain and Switzerland. Following the leading question: What is it about the program, what works, for whom, in what circumstances and why, with special focus on the underlining mechanisms that supports lasting and sustainable program execution. Of high interest are extensive program information with special regard to pathways of access, program adoption, – implementation and -maintenance strategies, their enablers and facilitators, patient- screening methods, numbers and characteristics of patients served, as well as education of exercise professionals, funding systems, cost efficacy, effectiveness in terms of patient related outcomes (e.g. QoL, patients satisfaction, quality measurement), adverse events and program- specific experiences from executive health care providers.

Method: A systematic approach to collect explorative data of programs will be implemented through the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation, Maintenance) on the basement of the ACSM database “moving through cancer”. Exercise programs will get selected using inclusion and exclusion criteria complied with existing literature. Selected programs and institution will then get asked to fill out online-based questionnaires to gather detailed program information. Data will be analyzed in an explorative manner, respectively and then compared to find concordance in best practice experiences.

Expected results: This study provides the first structured and scientific guided analyzes of community- based exercise programs for cancer patients in a European context. It will provide detailed information about enabling factors for better adoption, implementation and maintenance of community- based exercise programs as well as existing difficulties under different conditions. Results will illustrate possibilities to advance translation of clinical knowledge into community and generate further research questions for future directions.


References

1.
Campbell KL, Winters-Stone KM, Wiskemann J, May AM, Schwartz AL, Courneya KS, Zucker DS, Matthews CE, Ligibel JA, Gerber LH, Morris GS, Patel AV, Hue TF, Perna FM, Schmitz KH. Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable. Med Sci Sports Exerc. 2019 Nov;51(11):2375-2390. DOI: 10.1249/MSS.0000000000002116 Externer Link
2.
Livestrong Foundation. LIVESTRONG at the YMCA. [zuletzt aufgerufen am 24.04.2019]. Verfügbar unter: https://www.livestrong.org/ Externer Link