We have the program, what now? Development of an implementation plan to bridge the research-practice gap prevalent in exercise oncology

Journal article


Kennedy, Mary A., Bayes, Sara, Newton, Robert U., Zissiadis, Yvonne, Spry, Nigel A., Taaffe, Dennis R., Hart, Nicolas H., Davis, Michael, Eiszele, Aileen and Galvão, Daniel A.. (2020). We have the program, what now? Development of an implementation plan to bridge the research-practice gap prevalent in exercise oncology. International Journal of Behavioral Nutrition and Physical Activity. 17(1), p. 128. https://doi.org/10.1186/s12966-020-01032-4
AuthorsKennedy, Mary A., Bayes, Sara, Newton, Robert U., Zissiadis, Yvonne, Spry, Nigel A., Taaffe, Dennis R., Hart, Nicolas H., Davis, Michael, Eiszele, Aileen and Galvão, Daniel A.
Abstract

Background
Exercise has emerged as a promising therapy for people with cancer. Novel programs have been developed to translate research into practice; however, implementation barriers have limited their success in part because successful translation of exercise oncology research into practice requires context-specific implementation plans. The aim of this study was to employ the implementation mapping protocol to develop an implementation plan to support programming of a co-located exercise clinic and cancer treatment center.

Methods
The Implementation Mapping protocol, which consists of five specific iterative tasks, was used. A stakeholder advisory group advised throughout the process.

Results
A comprehensive needs assessment was used to identify the organization’s general manager as the program adopter; oncologists, center leaders, and various administrative staff as program implementers; and the operations manager as the program maintainer. Twenty performance objectives were identified. The theoretical domains framework was used to identify likely determinants of change, which informed the selection of eight individual implementation strategies across the individual and organizational levels. Finally, an evaluation plan was developed which will be used to measure the success of the implementation plan in the project’s next phase.

Conclusion
The Implementation Mapping protocol provided a roadmap to guide development of a comprehensive implementation plan that considered all ecological domains, was informed by theory, and demonstrated an extensive understanding of the implementation context. Strong research-practitioner partnerships and effective stakeholder engagement were critical to development of the plan.

Keywordscancer; physical activity; knowledge translation; organizational change; chemotherapy; radiotherapy
Year2020
JournalInternational Journal of Behavioral Nutrition and Physical Activity
Journal citation17 (1), p. 128
PublisherBiomed Central Ltd
ISSN1479-5868
Digital Object Identifier (DOI)https://doi.org/10.1186/s12966-020-01032-4
Scopus EID2-s2.0-85092526046
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range1-11
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online09 Oct 2020
Publication process dates
Accepted30 Sep 2020
Deposited15 Jul 2021
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