Translating Evidence from Dutch Exercise Oncology Trials in Patients with Breast Cancer into Clinical Practice Using the RE-AIM Framework.
Purpose. We aimed to evaluate the potential for implementing exercise interventions for patients with breast cancer in the Netherlands, based on findings of the Dutch randomized controlled trials in this population. Methods. We evaluated the implementation of four Dutch exercise trials retrospective...
| Publicado en: | European Journal of Cancer Care pp. 1 - 19 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
11/10/2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=173924541&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 173924541 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09615423 80B jtl: European Journal of Cancer Care issn: 09615423 maglogo: Y pubinfo: dt: 11/10/2023 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 173924541 173924541 173924541 10.1155/2023/2296881 173924541 ppf: 1 ppct: 18 formats: tig: atl: Translating Evidence from Dutch Exercise Oncology Trials in Patients with Breast Cancer into Clinical Practice Using the RE-AIM Framework. aug: au: Ten Tusscher, Marieke R. Stuiver, Martijn M. Kampshoff, Caroline S. Huijsmans, Rosalie J. Aaronson, Neil K. Velthuis, Miranda Gal, Roxanne Van Waart, Hanna May, Anne M. Buffart, Laurien M. affil: Radboud University Medical Center, Department of Medical BioSciences, Nijmegen, Netherlands sug: subj: Breast Neoplasms Therapy Therapeutic Exercise Netherlands Implementation Science Conceptual Framework Medical Practice Netherlands Aerobic Capacity Cancer Fatigue Quality of Life Patient Satisfaction Cost Effectiveness Analysis Descriptive Statistics Effect Size Patient Participation Treatment Outcomes Dose-Response Relationship Patient Compliance Insurance, Health, Reimbursement Physical Therapists ab: Purpose. We aimed to evaluate the potential for implementing exercise interventions for patients with breast cancer in the Netherlands, based on findings of the Dutch randomized controlled trials in this population. Methods. We evaluated the implementation of four Dutch exercise trials retrospectively, using the five dimensions of the RE-AIM framework: Reach (exercise participation rate), Effectiveness for physical fitness, fatigue, quality of life, and physical function, Adoption (e.g., satisfaction of physical therapists guiding the exercise intervention), Implementation (cost-effectiveness and exercise adherence correlates thereof), and Maintenance (maintenance of exercise levels by individual patients and sustainability of exercise delivery at organization level). Thereby, we reflect on these results using (international) literature to gain better insight in overall barriers, facilitators, and opportunities for further implementation of exercise interventions. Results. Participation rates of 44–52% not only indicated acceptable Reach in the context of a trial but also indicated room for improvement. Effectiveness of exercise during and after treatment was demonstrated in most trials showing benefits for aerobic fitness, physical fatigue, quality of life and physical function, and high patient satisfaction. Adoption of the exercise interventions by physical therapists was adequate (satisfaction score: 7.5 out of 10). Evaluation of Implementation indicated adequate adherence to supervised exercise, inconsistent findings on potential correlates of adherence, and promising results on cost-effectiveness. Currently, reimbursement for exercise programs is lacking. Maintenance of intervention effects at the patient level was limited and inconsistent. Maintenance of intervention availability at the organizational level was facilitated by an extensive network of specially trained physical therapists, but better communication and collaboration between different healthcare professionals are desired. Conclusions. Improved implementation could particularly be achieved by increasing reach and improved focus on exercise maintenance on both the patient and organizational level. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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