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If you build it, will they come? Evaluation of a co-located exercise clinic and cancer treatment centre using the RE-AIM framework
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.
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.
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.
Keywords
chemotherapy, exercise, implementation, oncology, radiotherapy, translation
Date
2020
Type
Journal article
Journal
European Journal of Cancer Care
Book
Volume
29
Issue
4
Page Range
1-12
Article Number
ACU Department
Faculty of Health Sciences
Relation URI
Source URL
Event URL
Open Access Status
License
All rights reserved
File Access
Controlled