Developing practice guidelines to integrate physical activity promotion as part of routine cancer care: A knowledge-to-action protocol

Abstract

Background Cancer is a leading cause of disease burden worldwide and the first cause of mortality in Canada with 30.2% of deaths attributable to cancer. Given aging of the population and the improvement of prevention and treatment protocols, the number of cancer survivors is steadily increasing. These individuals have unique physical and mental health needs some of which can be addressed by integrating physical activity promotion into ongoing and long-term care. Despite the benefits of being active, delivery of PA programs for cancer patients in both clinical and community settings remains challenging. This knowledge-to-action protocol–called Kiné-Onco–aims to develop a practice guideline for the delivery, implementation, and scaling-up of cancer-specific physical activity promotion programs and services in clinical and community settings located in Québec, Canada. Method The Kiné-Onco project involves knowledge synthesis of scientific and grey literature to establish the benefits and added value of physical activity for cancer patients and survivors, describes current practices in delivering physical activity programs, analyses quantitative data from electronic health records (EHR) of patients participating in a novel hospital-based physical activity program, collects and analyses qualitative data from patients and healthcare providers interviews about lived experience, facilitators, and barriers to physical activity promotion, outlines deliberative workshops among multidisciplinary team members to develop implementation guidelines for physical activity promotion, and summarizes a variety of knowledge transfer and exchange activities to disseminate the practice guidelines. Discussion This paper describes the protocol for a knowledge-to-action project aimed at producing and sharing actionable evidence. Our aim is that physical activity promotion programs and services be scaled up in such a way as to successfully integrate physical activity promotion throughout cancer treatment and survivorship in order to improve the physical and mental health of the growing population of individuals having received a cancer diagnosis.

Elaboration of a bundle for pain relief in arterial puncture guided by Knowledge Translation

“…Using KTA during the bundle elaboration process made it possible to identify, together with the team, the weaknesses present during the assistance, how we could think of strategies to correct such difficulties, especially the absence of pain management during arterial blood collection, and collaboratively outline how to apply the bundle within the unit. Studies carried out with application of the model, in a context of people living in long-stay institutions 15 , for monitoring and treatment of cancer patients 16 and here in Brazil to reduce pain in infants up to 12 months old during immunization 12 , also showed positive results.…”

What information can we gain from the quality appraisal of guidelines with physical activity recommendations for cancer patients?A systematic review using the AGREE II and AGREE-REX tools

“…It’s important to improve knowledge of PA guidelines in for narrowing the knowledge-to-practice gap. According to the AGREE-REX tool and relevant guidelines implementation projects [ 73 , 74 ], we suggest that the PA guidelines promoting-strategies include the following: (1) Present information from the PA guidelines in an easy-to-understand format, such as developing PA guidelines for patients; (2) The PA guidelines for cancer patients should be sent to hospital decision-makers, managers, practitioners, and explained to them by the researchers; (3) provide routine training sessions and manual for healthcare professionals, education, and handbook for patients and their caregivers of PA guidelines; and (4) disseminate PA guidelines by holding public outreach events (public forums, reports, conferences, etc.).…”

Construção de um bundle para alívio da dor na punção arterial norteado pela Tradução do Conhecimento

“…A utilização do CPA durante o processo de construção do bundle permitiu identificar juntamente com a equipe quais fragilidades existiam durante a assistência, de que forma poderíamos pensar em estratégias para corrigir tais dificuldades, em especial a falta de manejo da dor durante a coleta de sangue arterial e traçar em conjunto, a forma de aplicação do bundle dentro da unidade. Estudos realizados com a aplicação do modelo, em um contexto de pessoas que residem em instituições de longa permanência 15 , para acompanhamento e tratamento de pacientes com câncer 16 e aqui no Brasil para diminuir a dor em bebê até 12 meses durante a imunização 12 , também demonstraram resultados positivos.…”