EXCEL: Exercise for Cancer to Enhance Living Well
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Group Exercise Classes.
- Кому может быть актуально
- Состояния в реестре: Cancer, Head and Neck Cancer, Colon Cancer, Breast Cancer. Базовые параметры: 18 лет — 100 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Канада
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Project EXCEL: Dissemination, Implementation, and Effectiveness of the Exercise Oncology Survivorship Partnership Model - Reaching Rural Cancer Survivors to Enhance Quality of Life
Обзор
Project EXCEL will provide community or online exercise programs to rural and remote and under-served cancer survivors, as well as encourage participants to become life-long exercisers. Exercise is an evidence-based self-management strategy that benefits all cancer survivors. However, most cancer survivors who live in remote or rural places don't have adequate opportunities to be involved in exercise programs that are tailored to their needs.
Подробное описание
As cancer survivorship numbers grow, a focus on positive health in survivorship is essential. Exercise is an evidence-based effective self-management strategy that benefits all cancer survivors (CS). However, the majority of research and the limited development of evidence-based clinical or community programs in exercise and cancer has been conducted almost exclusively in urban academic and clinical settings, with very limited implementation outreach to "hard to reach" CS.
In this proposed cancer exercise hybrid implementation effectiveness research, over 5 years we will use an integrated knowledge translation approach to move the current evidence-base that clearly supports the role of exercise in cancer survivorship, into sustainable and effective community-based or online settings that will optimize the delivery of exercise to rural/remote and underserved CS (RCS). Implementing and evaluating the proposed Exercise Oncology Survivorship (EOS) partnership model will result in a sustainable resource to support the implementation and delivery of exercise oncology programs in rural Canadian communities.
Investigators will work to develop lasting referral pathways between cancer care clinics and local fitness professionals. These fitness professionals will have additional cancer specific training to ensure they can effectively and safely deliver the program. Eligible and consenting participants will be screened for exercise safety, and following fitness testing will be triaged to appropriate exercise programming. If, due to COVID-19 public health restrictions, community based programming cannot occur, the exercise sessions will be delivered online by fitness professionals.
Вмешательства
- Поведенческое Group Exercise Classes
The exercise program to be implemented for rural cancer survivors will combine aerobic, resistance, balance, and flexibility exercises delivered in a circuit-type class setting or group personal training format, twice weekly for a 12-week period. If public health restrictions require closure of fitness facilities due to COVID-19, the program will be delivered online. If facilities are open, the sessions will be integrated in the community, delivered in-person. Whether delivered in-class or remot
Первичные конечные точки
- Physical Activity Minutes Per Week [Срок оценки: Baseline to one-year]
Вторичные конечные точки (12)
- Body Composition [Срок оценки: Baseline to post 12-week exercise intervention]
- Aerobic Endurance [Срок оценки: Baseline to post 12-week exercise intervention]
- Upper extremity grip strength [Срок оценки: Baseline to post 12-week exercise intervention]
- Functional performance test [Срок оценки: Baseline to post 12-week exercise intervention]
- Upper extremity flexibility [Срок оценки: Baseline to post 12-week exercise intervention]
- Lower extremity flexibility [Срок оценки: Baseline to post 12-week exercise intervention]
- Balance [Срок оценки: Baseline to post 12-week exercise intervention]
- Symptom tracking [Срок оценки: Baseline to one year]
- Cancer related symptoms [Срок оценки: Baseline to one year]
- Subjective reporting of average weekly physical activity [Срок оценки: Baseline to one year]
- General Health-related Quality of Life [Срок оценки: Baseline to one year]
- Fatigue [Срок оценки: Baseline to one year]
Критерии участия
Критерии включения
- have a diagnosis of cancer
- are over the age of 18 years
- are able to participate in mild levels of activity
- are about to have treatment, are currently having treatment, or have had cancer treatment within the last 5 years
- can read/write in English
- can access online programs, if necessary, to participate in the exercise programs.
Критерии исключения
- unable to read/write in English
- are unable to participate in exercise
- for online programs, do not have internet or computer access
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Да
Дизайн исследования
- Распределение
- Не применимо
- Модель
- Одна группа
- Маскирование
- Открытое
- Основная цель
- Поддерживающая терапия
Центры проведения
Канада · 3 центра
- Health and Wellness Lab, University of Calgary — Calgary
- University of Alberta — Edmonton
- Dalhousie University — Halifax
Публикации
- Culos-Reed N, Wagoner CW, Dreger J, McNeely ML, Keats M, Santa Mina D, Cuthbert C, Capozzi LC, Francis GJ, Chen G, Ester M, McLaughlin E, Eisele M, Sibley D, Langley J, Chiekwe J, Christensen T; EXCEL Project Team. Implementing an exercise oncology model to reach rural and remote individuals living with and beyond cancer: a hybrid effectiveness-implementation protocol for project EXCEL (EXercise f PMID 36581419
Идентификаторы
NCT: NCT04478851 · HREBA.CC-20-0098