Exercise interventions for people diagnosed with cancer: a systematic review of implementation outcomes

BMC Cancer

Justin Richards¹  Louise Czosnek²  Eva Zopf²  Prue Cormie³  Simon Rosenbaum⁴  Nicole M. Rankin⁵ 

[1] Faculty of Health, Victoria University of Wellington, Wellington, New Zealand;School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, Australia;Mary MacKillop Institute for Health Research, Australian Catholic University, 3000, Melbourne, Victoria, Australia;Mary MacKillop Institute for Health Research, Australian Catholic University, 3000, Melbourne, Victoria, Australia;Peter MacCallum Cancer Centre, 3000, Melbourne, Victoria, Australia;Sir Peter MacCallum Department of Oncology, The University of Melbourne, 3010, Melbourne, Victoria, Australia;School of Psychiatry, University of New South Wales, Sydney, Australia;Black Dog Institute, University of New South Wales, Sydney, Australia;School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, Australia;

关键词: Exercise;    Implementation outcomes;    Cancer;    Physical activity;    Systematic review;   

DOI  :  10.1186/s12885-021-08196-7

来源: Springer

【 摘 要 】

PurposeExercise is efficacious for people living after a cancer diagnosis. However, implementation of exercise interventions in real-world settings is challenging. Implementation outcomes are defined as ‘the effects of deliberate and purposive actions to implement new treatments, practices, and services’. Measuring implementation outcomes is a practical way of evaluating implementation success. This systematic review explores the implementation outcomes of exercise interventions evaluated under real-world conditions for cancer care.MethodsUsing PRISMA guidelines, an electronic database search of Medline, PsycInfo, CINAHL, Web of Science, SportsDiscus, Scopus and Cochrane Central Registry of Controlled Trials was conducted for studies published between January 2000 and February 2020. The Moving through Cancer registry was hand searched. The Implementation Outcomes Framework guided data extraction. Inclusion criteria were adult populations with a cancer diagnosis. Efficacy studies were excluded.ResultsThirty-seven articles that described 31 unique programs met the inclusion criteria. Implementation outcomes commonly evaluated were feasibility (unique programs n = 17, 54.8%) and adoption (unique programs n = 14, 45.2%). Interventions were typically delivered in the community (unique programs n = 17, 58.6%), in groups (unique programs n = 14, 48.3%) and supervised by a qualified health professional (unique programs n = 14, 48.3%). Implementation outcomes infrequently evaluated were penetration (unique programs n = 1, 3.2%) and sustainability (unique programs n = 1, 3.2%).ConclusionsExercise studies need to measure and evaluate implementation outcomes under real-world conditions. Robust measurement and reporting of implementation outcomes can help to identify what strategies are essential for successful implementation of exercise interventions.Implications for cancer survivorsUnderstanding how exercise interventions can be successful implemented is important so that people living after a cancer diagnosis can derive the benefits of exercise.

【 授权许可】

CC BY