PROGRAM FOR ONCOLOGY WELLNESS AND EXERCISE REHABILITATION (POWER): A FEASIBILITY STUDY OF ONCOLOGY REHABILITATION IN THE COMMUNITY
Background Multi-disciplinary, exercise-based, oncology rehabilitation improves outcomes for cancer survivors. However, most programs currently exist in hospital settings and there is limited access to rehabilitation in the community. Community-based programs may improve access and outcomes but...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Edisciences
2020-11-01
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| Series: | Journal of Cancer Rehabilitation |
| Subjects: | |
| Online Access: | https://www.edisciences.org/scheda-j018 |
| _version_ | 1818607974233407488 |
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| author | Germaine A Tan Amy M Dennett Dharani Nagarajan Jessica Freeman Casey L Peiris |
| author_facet | Germaine A Tan Amy M Dennett Dharani Nagarajan Jessica Freeman Casey L Peiris |
| author_sort | Germaine A Tan |
| collection | DOAJ |
| description | Background
Multi-disciplinary, exercise-based, oncology rehabilitation improves outcomes for cancer
survivors. However, most programs currently exist in hospital settings and there is limited
access to rehabilitation in the community. Community-based programs may improve access
and outcomes but the feasibility of implementing multi-disciplinary rehabilitation in this
setting is unknown.
Aim
To assess the feasibility of implementing an innovative, multi-disciplinary, multi-site
exercise-based oncology rehabilitation program in the community.
Method
A prospective feasibility study focussed on demand, implementation, acceptability, and limited
efficacy was conducted. The Program for Oncology Wellness and Exercise Rehabilitation
(POWER) comprised twice-weekly group exercise, fortnightly education and individual
counselling for cancer survivors over 12-weeks. Limited efficacy testing was completed by
calculating mean differences (MD) and 95% confidence intervals (CI) for outcomes including
the Self-Efficacy to Manage Chronic Disease Scale, EORTC-QLQ30, Brief Fatigue
Inventory, 6-minute walk test (6MWT) and 5 times sit-to-stand test (5STS).
Results
Over 10 months, 65 referrals were received. Twenty-four participants [mean age 62 (SD
12) years, median 9 (range 2 to 120) months post-cancer diagnosis] completed the program.
Overall, 73% of scheduled exercise sessions were attended. Participants improved physical
function (6MWT MD 98.5m, 95%CI 64m to 134m, 5STS MD -4.5s, 95%CI -7.8s
to -1.1s), self-efficacy (MD 1.1 points, 95%CI 0.2 to 2.4) and fatigue (MD -1.1 points,
95%CI -2.2 to 0.0). No adverse events were reported. Challenges faced in this setting
included funding sustainability and cost. Enabling factors included in-kind support from the
organisation and convenience of location.
Conclusion
Community-based oncology rehabilitation programs are safe and feasible and may facilitate
ongoing positive behaviour change and self-management in cancer survivors beyond hospital-
based rehabilitation. |
| first_indexed | 2024-12-16T14:35:16Z |
| format | Article |
| id | doaj.art-8984c78a363d416787085ace45a143fa |
| institution | Directory Open Access Journal |
| issn | 2704-6494 |
| language | English |
| last_indexed | 2024-12-16T14:35:16Z |
| publishDate | 2020-11-01 |
| publisher | Edisciences |
| record_format | Article |
| series | Journal of Cancer Rehabilitation |
| spelling | doaj.art-8984c78a363d416787085ace45a143fa2022-12-21T22:28:06ZengEdisciencesJournal of Cancer Rehabilitation2704-64942020-11-01313039https://doi.org/10.48252/JCR1PROGRAM FOR ONCOLOGY WELLNESS AND EXERCISE REHABILITATION (POWER): A FEASIBILITY STUDY OF ONCOLOGY REHABILITATION IN THE COMMUNITYGermaine A Tan0Amy M Dennett1Dharani Nagarajan2Jessica Freeman3Casey L Peiris4BPhysio MannaCare, Melbourne, Victoria, AustraliaPhD Eastern Health, Allied Health Clinical Research Office, Box Hill, Victoria, Australia La Trobe University, School of Allied Health, Human Services and Sport, Melbourne, Victoria, AustraliaAppSc(Physio), GradCertHlthServMt, MPH MannaCare, Melbourne, Victoria, AustraliaMClinExPhys MannaCare, Melbourne, Victoria, AustraliaPhD La Trobe University, School of Allied Health, Human Services and Sport, Melbourne, Victoria, AustraliaBackground Multi-disciplinary, exercise-based, oncology rehabilitation improves outcomes for cancer survivors. However, most programs currently exist in hospital settings and there is limited access to rehabilitation in the community. Community-based programs may improve access and outcomes but the feasibility of implementing multi-disciplinary rehabilitation in this setting is unknown. Aim To assess the feasibility of implementing an innovative, multi-disciplinary, multi-site exercise-based oncology rehabilitation program in the community. Method A prospective feasibility study focussed on demand, implementation, acceptability, and limited efficacy was conducted. The Program for Oncology Wellness and Exercise Rehabilitation (POWER) comprised twice-weekly group exercise, fortnightly education and individual counselling for cancer survivors over 12-weeks. Limited efficacy testing was completed by calculating mean differences (MD) and 95% confidence intervals (CI) for outcomes including the Self-Efficacy to Manage Chronic Disease Scale, EORTC-QLQ30, Brief Fatigue Inventory, 6-minute walk test (6MWT) and 5 times sit-to-stand test (5STS). Results Over 10 months, 65 referrals were received. Twenty-four participants [mean age 62 (SD 12) years, median 9 (range 2 to 120) months post-cancer diagnosis] completed the program. Overall, 73% of scheduled exercise sessions were attended. Participants improved physical function (6MWT MD 98.5m, 95%CI 64m to 134m, 5STS MD -4.5s, 95%CI -7.8s to -1.1s), self-efficacy (MD 1.1 points, 95%CI 0.2 to 2.4) and fatigue (MD -1.1 points, 95%CI -2.2 to 0.0). No adverse events were reported. Challenges faced in this setting included funding sustainability and cost. Enabling factors included in-kind support from the organisation and convenience of location. Conclusion Community-based oncology rehabilitation programs are safe and feasible and may facilitate ongoing positive behaviour change and self-management in cancer survivors beyond hospital- based rehabilitation.https://www.edisciences.org/scheda-j018cancerrehabilitationexercisecommunitysurvivorshipimplementation |
| spellingShingle | Germaine A Tan Amy M Dennett Dharani Nagarajan Jessica Freeman Casey L Peiris PROGRAM FOR ONCOLOGY WELLNESS AND EXERCISE REHABILITATION (POWER): A FEASIBILITY STUDY OF ONCOLOGY REHABILITATION IN THE COMMUNITY Journal of Cancer Rehabilitation cancer rehabilitation exercise community survivorship implementation |
| title | PROGRAM FOR ONCOLOGY WELLNESS AND EXERCISE REHABILITATION (POWER): A FEASIBILITY STUDY OF ONCOLOGY REHABILITATION IN THE COMMUNITY |
| title_full | PROGRAM FOR ONCOLOGY WELLNESS AND EXERCISE REHABILITATION (POWER): A FEASIBILITY STUDY OF ONCOLOGY REHABILITATION IN THE COMMUNITY |
| title_fullStr | PROGRAM FOR ONCOLOGY WELLNESS AND EXERCISE REHABILITATION (POWER): A FEASIBILITY STUDY OF ONCOLOGY REHABILITATION IN THE COMMUNITY |
| title_full_unstemmed | PROGRAM FOR ONCOLOGY WELLNESS AND EXERCISE REHABILITATION (POWER): A FEASIBILITY STUDY OF ONCOLOGY REHABILITATION IN THE COMMUNITY |
| title_short | PROGRAM FOR ONCOLOGY WELLNESS AND EXERCISE REHABILITATION (POWER): A FEASIBILITY STUDY OF ONCOLOGY REHABILITATION IN THE COMMUNITY |
| title_sort | program for oncology wellness and exercise rehabilitation power a feasibility study of oncology rehabilitation in the community |
| topic | cancer rehabilitation exercise community survivorship implementation |
| url | https://www.edisciences.org/scheda-j018 |
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