Cited by 36Cancer survivorship and careHealth Policy Implementation SciencePhysical Activity and Health

Searching for maintenance in exercise interventions for cancer survivors

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Jankowski, Catherine M., Ory, Marcia G., Friedman, Daniela B., Dwyer, Andrea, Birken, Sarah A., Risendal, Betsy·2014·Journal of Cancer Survivorship

Abstract

Purpose Translating evidence-based exercise interventions into practice is important for expanding the capacity to support cancer survivors. Using the reach, efficacy/effectiveness, adoption, implementation, and maintenance (RE-AIM) framework and scoping study methodology, we addressed the research question, "What is known about the maintenance of exercise interventions for cancer survivors that would inform translation from research to practice and community settings?" Maintenance was investigated at the individual and setting level.Methods Literature searches were performed in the PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Sport Discus databases for articles published from January 2009 to June 2012. Abstracts were judged using a priori criteria for the survivor population, exercise intervention, and maintenance on the individual or setting level. We included completed and planned randomized controlled trials (RCTs) and other study designs. Publications meeting the criteria were reviewed and coded.Results Of the 211 abstracts meeting patient and exercise criteria, 24 (19 RCTs) met the maintenance criteria. Nine of the 12 completed RCTs demonstrated maintenance of intervention outcomes after 3 to 14 months of follow-up. The planned RCTs described interventions lasting 2 to 4.5 months and maintenance intervals lasting 3 to 12 months following the active intervention. Maintenance at the setting level was reported in one publication.Conclusions On the individual level, intervention outcomes were maintained in most studies, in a variety of settings and survivor subpopulations. Maintenance on the setting level was scarcely addressed. This scoping study suggests several strategies that could be taken by agencies, clinicians, and researchers to develop more effective and sustainable exercise programs for cancer survivors.Implications for cancer survivors Many benefits of exercise training are maintained for months after cancer survivors complete controlled research studies but relatively little is known about how to translate research to sustainable community-based exercise programs. A better understanding of how programs can be sustained in practice beyond short-term research or grant funding is needed to support a growing number of survivors.

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Authors
Jankowski, C. M., Ory, M. G., Friedman, D. B., Dwyer, A., Birken, S. A., & Risendal, B.
Affiliations
  • University of Colorado Denver (US)
  • Texas A&M Health Science Center (US)
  • University of South Carolina (US)
  • University of North Carolina at Chapel Hill (US)
Corresponding author
Jankowski, Catherine M.
Venue
Journal of Cancer Survivorship
Published
2014-08-08
Volume
8
Issue
4
Pages
697-706
ISSN
  • 1932-2259 (ISSN-L)
  • 1932-2267
OpenAlex
W1970523433
Cited by
36
References
45
Citations by year
2026: 1 · 2025: 1 · 2024: 5 · 2023: 4 · 2022: 2 · 2021: 8 · 2019: 8 · 2018: 1 · 2017: 2 · 2016: 2 · 2015: 2
FWCI
0.23
Type
journal article
Language
en
Open access
Locations
  • Journal of Cancer Survivorship (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • World Health Organization
  • National Center for Chronic Disease Prevention and Health Promotion (U-48-DP-001938, 1U48DP001924, 5U48DP001938, U48DP001924)
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
Keywords
cancer survivors, exercise intervention, intervention maintenance, RE-AIM framework, research-to-practice translation, community-based exercise, survivorship care
MeSH terms
Humans, Neoplasms, Quality of Life, Exercise, Survivors

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