Connecting people with cancer to physical activity and exercise programs: a pathway to create accessibility and engagement

  • D. Santa Mina University of Toronto; Princess Margaret Cancer Centre
  • C.M. Sabiston University of Toronto
  • D. Au University of Toronto; Princess Margaret Cancer Centre
  • A.J. Fong University of Toronto
  • L.C. Capozzi University of Calgary
  • D. Langelier University of Calgary
  • M. Chasen University of Toronto
  • J. Chiarotto Scarborough and Rouge Hospital
  • J.R. Tomasone Queen’s University
  • J.M. Jones University of Toronto; Princess Margaret Cancer Centre
  • E. Chang University of Toronto; Princess Margaret Cancer Centre; Toronto Rehabilitation Institute
  • S.N. Culos-Reed University of Calgary; Tom Baker Cancer Centre, Alberta Health Services
Keywords: Physical activity, exercise, rehabilitation, knowledge translation, care plans

Abstract

Recent guidelines concerning exercise for people with cancer provide evidence-based direction for exercise assessment and prescription for clinicians and their patients. Although the guidelines promote exercise integration into clinical care for people with cancer, they do not support strategies for bridging the guidelines with related resources or programs. Exercise program accessibility remains a challenge in implementing the guidelines, but that challenge might be mitigated with conceptual frameworks (“pathways”) that connect patients with exercise-related resources. In the present paper, we describe a pathway model and related resources that were developed by an expert panel of practitioners and researchers in the field of exercise and rehabilitation in oncology and that support the transition from health care practitioner to exercise programs or services for people with cancer. The model acknowledges the nuanced distinctions between research and exercise programming, as well as physical activity promotion, that, depending on the available programming in the local community or region, might influence practitioner use. Furthermore, the pathway identifies and provides examples of processes for referral, screening, medical clearance, and programming for people after a cancer diagnosis. The pathway supports the implementation of exercise guidelines and should serve as a model of enhanced care delivery to increase the health and well-being of people with cancer.

Author Biographies

D. Santa Mina, University of Toronto; Princess Margaret Cancer Centre
Faculty of Kinesiology and Physical Education; Faculty of Medicine; Cancer Rehabilitation and Survivorship
C.M. Sabiston, University of Toronto
Faculty of Kinesiology and Physical Education
D. Au, University of Toronto; Princess Margaret Cancer Centre
Faculty of Kinesiology and Physical Education; Cancer Rehabilitation and Survivorship
A.J. Fong, University of Toronto
Faculty of Kinesiology and Physical Education
L.C. Capozzi, University of Calgary
Cumming School of Medicine
D. Langelier, University of Calgary
Cumming School of Medicine
M. Chasen, University of Toronto
Faculty of Kinesiology and Physical Education
J. Chiarotto, Scarborough and Rouge Hospital
Department of Medicine
J.R. Tomasone, Queen’s University
School of Kinesiology and Health Studies
J.M. Jones, University of Toronto; Princess Margaret Cancer Centre
Faculty of Medicin; Cancer Rehabilitation and Survivorship
E. Chang, University of Toronto; Princess Margaret Cancer Centre; Toronto Rehabilitation Institute
Faculty of Medicine;  Cancer Rehabilitation and Survivorship;
S.N. Culos-Reed, University of Calgary; Tom Baker Cancer Centre, Alberta Health Services
Faculty of Kinesiology;  Department of Psychosocial Resources
Published
2018-04-30
How to Cite
Santa Mina, D., Sabiston, C., Au, D., Fong, A., Capozzi, L., Langelier, D., Chasen, M., Chiarotto, J., Tomasone, J., Jones, J., Chang, E., & Culos-Reed, S. (2018). Connecting people with cancer to physical activity and exercise programs: a pathway to create accessibility and engagement. Current Oncology, 25(2), 149-162. https://doi.org/10.3747/co.25.3977
Section
Practice Guideline