Implementation of the 3-steps Assess-Advise-Refer Exercise (FitARise) Protocol as a Standard Practice in Cancer Care

Официальное название

Implementation of the 3-steps Assess-Advise-Refer Exercise (FitARise) Protocol as a Standard Practice in Cancer Care: A Stepped-wedge Cluster Randomized Trial

Обзор

This study proposes to evaluate the process and outcome of an implementation program designed to implement the American College of Sports Medicine (ACMS)-recommended exercise assessment, advice, and referral instruction as standard practices in routine cancer care.

Подробное описание

This study aims to test whether using implementing strategies (audit, feedback, facilitation, and adaptable workflow) to adopt the systematic FitARise protocol increases the proportion of eligible patients assessed, advised, and referred compared to control with the availability of the protocol, but without implementation strategies. This study hypothesizes that implementing strategies to promote the protocol's adoption will increase the proportion of eligible patients assessed and advised by oncologists and the proportion of patients referred to the JCICC exercise-based weight management program. For process evaluation, this study aims to use qualitative methods to assess the experience and response to the implementation program. The primary outcome (the reach measurement) is the percentage of eligible patients assessed, advised, and referred based on predefined BMI scores.

Вмешательства

• Поведенческое 3-step Assess-Advice-Refer
  Four implementation strategies will be conducted individually for each of the study unit at the timepoint when the study unit is being randomly allocated to the implementation condition. For each study unit, all site facilitators will first receive a half-day training. Each study unit under the implementation condition will receive weekly audit and feedback reports to summarize the proportion of eligible patients, proportion of eligible patients being screened, proportion of patients appropriate

Первичные конечные точки

• Percentage of eligible patients [Срок оценки: Pre- and post-implementation phase, up to 24 months]

Вторичные конечные точки (1)

• Change in referral uptake [Срок оценки: Pre- and post-implementation phase, up to 24 months]

Критерии участия

Inclusion Criteria (Cancer patients):

• All cancer patients with BMI score>=23;
• Have completed cancer treatment within the past five years;
• At least 18 years old;
• Are literate in Chinese or English;
• Are eligible to attend the intervention program.

Exclusion Criteria (Cancer patients):

• Patients who have completed cancer treatments for more than five years;
• Non-Cantonese, non-Mandarin, non-English speakers.

Inclusion Criteria (Clinical staff):

\- All clinical, medical or surgical oncologists at the study units during the study period.

Exclusion Criteria (Clinical staff):

\- No exclusion criterial for staff.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Перекрёстный дизайн

Маскирование

Открытое

Основная цель

Организация здравоохранения

Центры проведения

Гонконг · 8 центров

• KWH Department of Surgery — Гонконг
• PMH Department of Oncology — Гонконг
• PYEH Department of Clinical Oncology — Гонконг
• QMH Department of Clinical Oncology — Гонконг
• QMH Department of Obstetrics and Gynaecology — Гонконг
• QMH Department of Surgery — Гонконг
• TMH Department of clinical oncology — Гонконг
• YCH Surgery Department — Гонконг

Идентификаторы

NCT: NCT07210905 · UW 24-572

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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