The Impact of Livestrong® at the YMCA for Cancer Survivors

Schumacher, Molly M.; McNiel, Paula

doi:10.1188/18.onf.717-725

Cited by 10 publications

(17 citation statements)

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“…Examples of these programs include the ActivOnco Model in Montreal, Quebec [14], the Community-Level Cancer Rehabilitation Program in Copenhagen, Denmark [15], The Wellness and Exercise for Cancer Survivors Program in Ontario, Canada [5], the Livestrong at the YMCA program offered in communities across the USA [28], and the Strides to Strength Cancer Rehabilitation Program in Charlotte, North Carolina [4]. Our findings add to the current body of literature such that participation in exercise oncology programs is associated with promoting exercise engagement, attenuating cancer treatmentrelated side effect, and improving QoL [4,5,15,[28][29][30][31].…”

Section: Discussionmentioning

confidence: 73%

The impact of a hospital-based exercise oncology program on cancer treatment–related side effects among rural cancer survivors

Coletta

Johnson

Moxon

et al. 2021

Support Care Cancer

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Purpose To assess the impact of the Personal Optimism With Exercise Recovery (POWER) program on cancer treatment–related side effects among rural cancer survivors. Methods In this retrospective study of data collected between 2016 and 2019, we assessed change in cardiorespiratory fitness, whole-body muscular endurance, physical function and strength, anthropometrics, fatigue, and quality of life (QoL), after participation in POWER. Descriptive statistics were calculated for demographic and clinical variables. Univariate analysis of variance was carried out with age and BMI at initial assessment as covariates. Results A total of 239 survivors, 78% rural residents, completed a follow-up assessment. Among rural cancer survivors, the most prevalent cancer sites were breast (42.5%), prostate (12.4%), and lymphoma (5.9%). The majority of survivors were female (70%), non-Hispanic (94.6%), and white (93.5%), with average age and BMI of 62.1 ± 13.2 years and 28.4 ± 6.7 kg/m2, respectively. Rural cancer survivors with cancer stages I–III exhibited significant improvements in fitness (+ 3.07 ml/kg/min, 95% CI 1.93, 4.21; + 0.88 METS, 95% CI 0.55, 1.20), physical function (30-s chair stand: + 2.2 repetitions, 95% CI 1.3, 3.1), muscular endurance (10-repetition maximum: chest press + 4.1 kg, 95% CI 2.0, 6.3; lateral pulldown + 6.6 kg, 95% CI 4.4, 8.9), self-reported fatigue (FACIT-Fatigue score: + 4.9, 95% CI 1.6, 8.1), and QoL (FACT-G7 score + 2.1, 95% CI, 0.9, 3.4). Among stage IV rural and urban cancer survivors, significant improvements were observed in muscular endurance and physical function. Conclusion Participation in POWER was associated with attenuation of cancer treatment–related side effects and may serve as a model exercise oncology program for rural cancer survivors.

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Section: Discussionmentioning

confidence: 73%

The impact of a hospital-based exercise oncology program on cancer treatment–related side effects among rural cancer survivors

Coletta

Johnson

Moxon

et al. 2021

Support Care Cancer

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“…The main reason papers were excluded at full-text screening was due to interventions that did not align with the study criteria; see Figure 1 and the Supplemental Digital Content 1, http://links.lww.com/SRX/A36, for further details of papers excluded on full-text examination, and their reason for exclusion. Forty studies were included in the review 17–19,30–33,38–70 …”

Section: Resultsmentioning

confidence: 99%

“…Most included studies primarily examined breast cancer survivors (n=25) 17,30–33,40–52,55–57,60,67–69 . Nine studies included survivors of multiple cancer sites 17,18,38,41,53,61,66,67,70 . Two studies focused specifically on prostate cancer survivors 39,64 and two other studies on head and neck cancer survivors 19,62 .…”

Section: Resultsmentioning

confidence: 99%

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Psychosocial interventions that target adult cancer survivors’ reintegration into daily life after active cancer treatment: a scoping review

Murnaghan,

Scruton,

Urquhart

2023

JBI Evidence Synthesis

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Objective: This review explored psychosocial interventions (including the types of interventions tested and the tools used to measure reintegration) targeting adult cancer survivors’ reintegration following active cancer treatment. Introduction: Cancer survivors face lingering health issues following the completion of cancer treatment. Many cancer survivors still experience unmet psychosocial care needs despite receiving follow-up care. Further, many survivorship interventions do not specifically address outcomes important to survivors. A number of primary studies have identified reintegration as an outcome important to cancer survivors. Reintegration is a concept that focuses on returning to normal activities, routines, and social roles after cancer treatment; however, it is emerging and abstract. Inclusion Criteria: Studies involving adult cancer survivors (18 years and older at diagnosis) of any cancer type or stage were included in this review. Studies with psychosocial interventions targeted at reintegrating the person into daily life after cancer treatment were included. Interventions addressing clinical depression or anxiety and interventions treating solely physical needs that were largely medically focused were excluded. Methods: A literature search was conducted in MEDLINE (Ovid), CINAHL (EBSCO), and Embase. Gray literature was searched using ProQuest Dissertations and Theses (ProQuest). Reference lists of included studies were searched. Studies were screened at the title/abstract and full-text levels, and 2 independent reviewers extracted data. Manuscripts in languages other than English were excluded due to feasibility (eg, cost, time of translations). Findings were summarized narratively and reported in tabular and diagrammatic format. Results: The 3-step search strategy yielded 5617 citations. After duplicates were removed, the remaining 4378 citations were screened at the title and abstract level, then the remaining 306 citations were evaluated at the full-text level by 2 independent reviewers. Forty studies that evaluated psychosocial interventions among adult cancer survivors trying to reintegrate after active cancer treatment (qualitative n=23, mixed methods n=8, quantitative n=8, systematic review n=1) were included. Included articles spanned 10 different countries/regions. Over half of all included articles (n=25) focused primarily on breast cancer survivors. Many studies (n=17) were conducted in primary care or community-based settings. The most common types of interventions found were peer-support groups (n=14), follow-up education and support (n=14), exercise programs (n=6), and multidisciplinary/multi-component programs (n=6). While the majority of included studies characterized the outcome qualitatively, 9 quantitative tools were also employed. Conclusions: This study identified 6 types of interventions tested to reintegrate survivors back into their daily lives following cancer treatment. An important thread across intervention types was a focus on personalization in the form of problem/goal identification. Given the number of qualitative studies, future research could include a qualitative systematic review and meta-aggregation. Quantitative tools may not be as effective in evaluating reintegration. More primary studies, including mixed methods studies, utilizing consistent measurement tools are required. Furthermore, this work provides a basis for future research to continue examining the complexity of implementing such interventions to successfully achieve reintegration. To do so, primary studies evaluating interventions from an implementation science and complex systems perspective would be useful. Review Registration: Open Science Framework osf.io/r6bmx

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“…Our findings support high completion and medium-to-large positive effects for outcomes of functional aerobic capacity, upper and lower body muscular strength, and cancer symptoms. Thus, this study adds to the growing body of evidence supporting the benefit of supervised community-based programs for key physical fitness outcomes [ 17 , 44 , 56 , 57 , 58 , 59 ]. Moreover, community-based programs offer the opportunity to bring individuals with cancer together to create their own supportive environment and can help build social networks that encourage positive behavior change [ 60 ].…”

Section: Discussionmentioning

confidence: 99%

Feasibility of Implementing Cancer-Specific Community-Based Exercise Programming: A Multi-Centre Randomized Trial

McNeely

Suderman

Yurick

et al. 2022

Cancers

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Background: There is growing recognition of the importance of reporting preliminary work on the feasibility of a trial. The present study aimed to assess the feasibility of (1) a proposed fitness testing battery, and (2) processes related to the implementation of cancer-specific exercise programming in a community setting. Methods/Design: A randomized controlled implementation feasibility trial was performed in advance of a large-scale implementation study. Eligible participants within 18 months of a cancer diagnosis were randomized to immediate or delayed community-based exercise at YMCA locations in Calgary and Edmonton, Canada for an 8-week period. The primary outcome for the trial was the feasibility of the physical fitness testing battery, defined as a 70% or greater completion rate across the 24-week study period. The Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework was used to evaluate processes related to implementation of the exercise program across the two sites. Results: Eighty participants were recruited, 73 (91%) completed the 8-week trial, and 68 (85%) completed the 16- and 24-week follow-ups. Sixty participants (75%) completed the full physical fitness test battery at each time point, and 59 (74%) completed the patient-reported outcome measures. Statistically significant between-group differences were found in favor of the exercise group for functional aerobic capacity, upper and lower extremity strength, and symptoms. Differences were found between the sites, however, in completion rates and processes related to program implementation. Discussion: Findings suggest the need for minor adaptations to the physical fitness battery and outcome measures to better fit the community context. While findings support feasibility, context-specific challenges related to implementation processes were identified.

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The Impact of Livestrong® at the YMCA for Cancer Survivors

Cited by 10 publications

References 0 publications

The impact of a hospital-based exercise oncology program on cancer treatment–related side effects among rural cancer survivors

The impact of a hospital-based exercise oncology program on cancer treatment–related side effects among rural cancer survivors

Psychosocial interventions that target adult cancer survivors’ reintegration into daily life after active cancer treatment: a scoping review

Feasibility of Implementing Cancer-Specific Community-Based Exercise Programming: A Multi-Centre Randomized Trial

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