If you build it, will they come? Evaluation of a co-located exercise clinic and cancer treatment centre using the RE-AIM framework

Journal article


Kennedy, Mary A., Bayes, Sara, Galvão, Daniel A., Singh, Favil, Spry, Nigel A., Davis, Michael, Chee, Raphael, Zissiadis, Yvonne, Hart, Nicolas H., Taaffe, Dennis R. and Newton, Robert U.. (2020). If you build it, will they come? Evaluation of a co-located exercise clinic and cancer treatment centre using the RE-AIM framework. European Journal of Cancer Care. 29(4), pp. 1-12. https://doi.org/10.1111/ecc.13251
AuthorsKennedy, Mary A., Bayes, Sara, Galvão, Daniel A., Singh, Favil, Spry, Nigel A., Davis, Michael, Chee, Raphael, Zissiadis, Yvonne, Hart, Nicolas H., Taaffe, Dennis R. and Newton, Robert U.
Abstract

Objective
Employ the Reach, Effectiveness, Adoption, Implementation, Maintenance framework to evaluate the effectiveness of a co‐located exercise clinic model in increasing access to exercise for people undergoing cancer treatment in a private clinic in Western Australia.

Methods
This retrospective evaluation utilised a mixed‐method approach to gather feedback from key stakeholder groups involved with the exercise clinic. Questionnaires and workout summary sheets were gathered from 237 exercise clinic participants over the 50‐month evaluation period. These were supplemented by survey results from 119 patients who received cancer treatment at the facility, and semi‐structured interviews from seven radiation oncologists, eight nurses, and three accredited exercise physiologists involved with the exercise clinic.

Results
The co‐located clinic demonstrated positive outcomes related to effectiveness and adoption. Participant feedback indicated satisfaction with the exercise programming (effectiveness), and clinicians were receptive to referring patients to the clinic (adoption). However, no clear implementation or maintenance plan was employed and overall reach (12%) remained suboptimal throughout the evaluation period.

Conclusion
Co‐locating an exercise clinic into a treatment facility does not in itself overcome the logistical challenges of providing integrated exercise services to people during cancer treatment. To enhance its utilisation, an implementation plan needs to accompany the intervention.

Keywordschemotherapy; exercise; implementation; oncology; radiotherapy; translation
Year2020
JournalEuropean Journal of Cancer Care
Journal citation29 (4), pp. 1-12
PublisherBlackwell Publishing Ltd
ISSN0961-5423
Digital Object Identifier (DOI)https://doi.org/10.1111/ecc.13251
Scopus EID2-s2.0-85085888158
Research or scholarlyResearch
Page range1-12
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online03 Jun 2020
Publication process dates
Accepted16 Apr 2020
Deposited27 Apr 2021
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