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• W4294844321 abstract "Exercise is safe and effective for individuals living with and beyond cancer. However, disparities in access to exercise services remain, including for those in underserved areas. To address this inequity, the EXercise for Cancer to Enhance Living Well (EXCEL) implementation-effectiveness study was designed to better reach these individuals through virtual exercise delivery. PURPOSE: Describe the virtual implementation and feasibility of the EXCEL program after one year. To support sustainable implementation, EXCEL is building networks of healthcare providers (HCP), qualified exercise professionals (QEP) supported with training, and individuals living with cancer. METHODS: Participants, up to 3 years post treatment, may self-refer or HCP may refer. QEPs, aided by a moderator, lead fitness assessments (FxAx) and group-based exercise sessions for the 12-week, 2 time/week exercise intervention, via Zoom. QEPs demonstrate exercises, providing modifications to tailor to participant needs. Training for QEPs and moderators includes online cancer exercise education, a live-virtual EXCEL training day, and online moderating hours within the program. Program feasibility (FxAx completion rates, program adherence) and adverse events are tracked. RESULTS: In year one, 3 program waves enrolled 155 participants, and 17 HCPs partnered with EXCEL to refer participants across 6 provinces. Twelve QEPs were fully trained (education + moderating hours), and 9 have actively delivered online exercise classes. Over the first year, adherence to the exercise program was >83% and only one adverse event (minor) was reported. FxAx pre and post completion rates were > 98% and 89%, respectively. CONCLUSIONS: Virtual implementation of EXCEL has been both feasible and safe in year one. Network building includes educational outreach to HCPs, supporting referrals from clinic to community-based exercise programs. EXCEL provides sustainable cancer and exercise educational training for QEPs, and the online exercise oncology program assessment and delivery is feasible for participants. As in-person programs resume post-pandemic, practical virtual exercise options will remain vital for improving access to exercise oncology services, further supporting exercise as part of standard care. Supported by the CIHR-CCS and ACF." @default.
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• W4294844321 date "2022-09-01" @default.
• W4294844321 modified "2023-09-24" @default.
• W4294844321 title "Virtual Implementation And Feasibility Of EXCEL: Exercise For Underserved Individuals Living With Cancer" @default.
• W4294844321 doi "https://doi.org/10.1249/01.mss.0000876036.73136.bd" @default.
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