scholarly journals Addendum: MacDonald, A.M., et al. CaRE @ Home: Pilot Study of an Online Multidimensional Cancer Rehabilitation and Exercise Program for Cancer Survivors. J. Clin. Med. 2020, 9, 3092

2020 ◽  
Vol 9 (11) ◽  
pp. 3440
Author(s):  
Anne Marie MacDonald ◽  
Aleksandra Chafranskaia ◽  
Christian J. Lopez ◽  
Manjula Maganti ◽  
Lori J. Bernstein ◽  
...  
Keyword(s):  
Pilot Study ◽  
Cancer Survivors ◽  
Care Home ◽  
Exercise Program ◽  
Cancer Rehabilitation

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scholarly journals CaRE @ Home: Pilot Study of an Online Multidimensional Cancer Rehabilitation and Exercise Program for Cancer Survivors

2020 ◽  
Vol 9 (10) ◽  
pp. 3092 ◽  
Author(s):  
Anne Marie MacDonald ◽  
Aleksandra Chafranskaia ◽  
Christian J. Lopez ◽  
Manjula Maganti ◽  
Lori J. Bernstein ◽  
...  
Keyword(s):  
Pilot Study ◽  
Cancer Survivors ◽  
Controlled Trial ◽  
Qualitative Interviews ◽  
Care Home ◽  
Exercise Program ◽  
Rehabilitation Program ◽  
Cancer Rehabilitation ◽  
Post Intervention ◽  
Patient Reported

Background: Although facility-based cancer rehabilitation and exercise programs exist, patients are often unable to attend due to distance, cost, and other competing obligations. There is a need for scalable remote interventions that can reach and serve a larger population. Methods: We conducted a mixed methods pilot study to assess the feasibility, acceptability and impact of CaRE@Home: an 8-week online multidimensional cancer rehabilitation and exercise program. Feasibility and acceptability data were captured by attendance and adherence metrics and through qualitative interviews. Preliminary estimates of the effects of CaRE@Home on patient-reported and physically measured outcomes were calculated. Results: A total of n = 35 participated in the study. Recruitment (64%), retention (83%), and adherence (80%) rates, along with qualitative findings, support the feasibility of the CaRE@Home intervention. Acceptability was also high, and participants provided useful feedback for program improvements. Disability (WHODAS 2.0) scores significantly decreased from baseline (T1) to immediately post-intervention (T2) and three months post-intervention (T3) (p = 0.03 and p = 0.008). Physical activity (GSLTPAQ) levels significantly increased for both Total LSI (p = 0.007 and p = 0.0002) and moderate to strenuous LSI (p = 0.003 and p = 0.002) from baseline to T2 and T3. Work productivity (iPCQ) increased from T1 to T3 (p = 0.026). There was a significant increase in six minute walk distance from baseline to T2 and T3 (p < 0.001 and p = 0.010) and in grip strength from baseline to T2 and T3 (p = 0.003 and p < 0.001). Conclusions: Results indicate that the CaRE@Home program is a feasible and acceptable cancer rehabilitation program that may help cancer survivors regain functional ability and decrease disability. In order to confirm these findings, a controlled trial is required.

Impact of a brief exercise program on the physical and psychosocial health of prostate cancer survivors: A pilot study

2016 ◽  
Vol 12 (3) ◽  
pp. 225-234 ◽  
Author(s):  
Tina L Skinner ◽  
GMME Geeske Peeters ◽  
Ilaria Croci ◽  
Katherine R Bell ◽  
Nicola W Burton ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Pilot Study ◽  
Cancer Survivors ◽  
Exercise Program ◽  
Psychosocial Health ◽  
Prostate Cancer Survivors

Feasibility and preliminary efficacy of a hypopressive exercise program on postmenopausal cancer survivors: A pilot study

2020 ◽  
Vol 24 (4) ◽  
pp. 484-489
Author(s):  
Iván Chulvi-Medrano ◽  
Tamara Rial Rebullido ◽  
Cinta Gómez-Tomás ◽  
Avery D. Faigenbaum
Keyword(s):  
Pilot Study ◽  
Cancer Survivors ◽  
Exercise Program

Comparison of exercise-based cancer rehabilitation delivered in-person or via telehealth (TeleCaRe): a randomised controlled trial protocol (Preprint)

2021 ◽  
Author(s):  
Amy M Dennett ◽  
Katherine E Harding ◽  
Casey L Peiris ◽  
Nora Shields ◽  
Christian Barton ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Primary Outcome ◽  
Controlled Trial ◽  
Exercise Program ◽  
Exercise Group ◽  
Cancer Rehabilitation ◽  
Home Exercise ◽  
Home Exercise Program ◽  
Randomised Controlled

BACKGROUND Access to rehabilitation to support cancer survivors to exercise is poor. Exercise-based rehabilitation may be delivered remotely but it is unknown how it compares to in-person cancer rehabilitation. OBJECTIVE To evaluate the effectiveness of an exercise-based cancer rehabilitation program delivered via telehealth compared to a traditional in-person model for improving quality of life of cancer survivors. METHODS A parallel, assessor-blinded, pragmatic, non-inferiority randomised controlled trial with embedded cost-effectiveness and qualitative analysis will be completed. One-hundred and twenty-four cancer survivors will be recruited from a metropolitan health network in Melbourne, Australia. The experimental group will attend an 8-week, twice weekly, 60-minute, exercise group supervised via videoconferencing supplemented by an online home exercise program and information portal. The comparison group will attend an 8-week, twice weekly, 60-minute, supervised exercise group in person, supplemented by a written home exercise program and information booklets. Assessments will be completed at week 0 (baseline), week 9 (post-intervention) and week 26 (follow-up). The primary outcome will be health related quality of life measured by the EORTC QLQ-C30 at week 9. Secondary measures include walking capacity (6-minute walk test), physical activity (activPAL accelerometer), self-efficacy (Health Action Process Approach Questionnaire) and recording of adverse events. Health service data including hospital length of stay, hospital readmissions, and emergency department presentations will be recorded. Semi-structured interviews will be completed and analysed using a framework approach to determine the impact of delivery mode on patient experience. The primary outcome will be analysed using linear mixed effects models. RESULTS Trial not yet recruiting. Anticipated commencement January 2022. CONCLUSIONS This trial will inform the future implementation of cancer rehabilitation by providing important data about safety, effectiveness, cost and patient experience. CLINICALTRIAL The TeleCaRe Trial has been approved by the Eastern Health Human Research Ethics Committee (E21-012-74698) and is funded by the Victorian Cancer Agency. This trial is prospectively registered with the Australian New Zealand Clinical Trials Registry ACTRN12621001417875. Registered 21st October, 2021.

scholarly journals Implementation of an Exercise Program in Breast Cancer Rehabilitation to Improve Shoulder Outcomes: A Pilot Study

2015 ◽  
Author(s):  
Dragana Ceprnja ◽  
Katherine Maka
Keyword(s):  
Breast Cancer ◽  
Pilot Study ◽  
Range Of Motion ◽  
Shoulder Pain ◽  
Exercise Program ◽  
Exercise Group ◽  
Cancer Rehabilitation ◽  
Group Exercise ◽  
Shoulder Range Of Motion ◽  
Shoulder Range

Purpose: To examine the effects of a group exercise program on shoulder pain, disability, range of motion, and strength. Method: This was an observational study of twenty-six patients who had undergone breast cancer surgery and were receiving physiotherapy intervention. The intervention was a supervised 8-week exercise group program. The primary outcome measure was shoulder pain and disability index (SPADI). Secondary outcome measures were shoulder range of motion of flexion and abduction and strength of shoulder flexion and abduction. Results: The average age of patients referred to the group was 56-years (range of 29 to 71 years). The average time since surgery was 6-9 months (range of 2 to 16 months). The exercise group intervention resulted in small reductions in SPADI scores (pConclusion: An 8-week group exercise program can be effectively implemented in the clinic without any seen side effects. There were improvements in shoulder range of motion and strength, and a reduction in pain and disability although not clinically significant. This pilot study assists clinicians with incorporating an exercise program for patients in breast cancer rehabilitation.

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