Precautionary measures before tailoring and commencing a tele-supervised home-based exercise oncology program for older patients with cancer and post-treatment cancer survivors in the COVID-19 era

Okechukwu, Chidiebere Emmanuel; Okechukwu, Chidubem Ekpereamaka; Deb, Abdalla Ali; Agag, Ayman; Naushad, Naufal; Abbas, Sami A

doi:10.1016/j.jgo.2021.08.001

Cited by 7 publications

(4 citation statements)

References 28 publications

(30 reference statements)

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“…Recent work and reviews evaluating the challenges facing implementing telehealth technology have highlighted recommendations for future researchers to enhance safety and effectiveness through various strategies. Recommendations have included using pre-class questionnaires to identify daily symptoms and challenges for each participant, providing participants with adequate instructions on how to use the web-based platform of choice, creating group-based environments to foster social support, considering privacy and protection considerations while conducting classes using an online platform, and fostering a rapport with participants via getting to know participants individually early on in the programme and tailoring feedback on an individual level, among others [ 39 , 61 , 62 ]. In our current exercise online delivery study for rural and remote individuals living with and beyond cancer [ 63 , 64 ], these factors, as well as ensuring participants exercise with their cameras on, documenting each participant’s address where they are exercising in case of a need to direct emergency services to them, and adding a moderator for each class, who acts as a support person for the instructor to further ensure the safety of all participants, are being implemented to enhance both safety and potential effectiveness of online exercise delivery.…”

Section: Discussionmentioning

confidence: 99%

Understanding In-Person and Online Exercise Oncology Programme Delivery: A Mixed-Methods Approach to Participant Perspectives

et al. 2023

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Alberta Cancer Exercise (ACE) is an exercise oncology programme that transitioned from in-person to online delivery during COVID-19. The purpose of this work was to understand participants’ experiences in both delivery modes. Specifically, survivors’ exercise facilitators and barriers, delivery mode preference, and experience with programme elements targeting behaviour change were gathered. A retrospective cohort design using explanatory sequential mixed methods was used. Briefly, 57 participants completed a survey, and 19 subsequent, optional interviews were conducted. Most participants indicated preferring in-person programmes (58%), followed by online (32%), and no preference (10%). There were significantly fewer barriers to (i.e., commute time) (p < 0.01), but also fewer facilitators of (i.e., social support) (p < 0.01), exercising using the online programme. Four themes were generated from the qualitative data surrounding participant experiences in both delivery modes. Key differences in barriers and facilitators highlighted a more convenient experience online relative to a more socially supportive environment in-person. For future work that includes solely online delivery, focusing on building social support and a sense of community will be critical to optimising programme benefits. Beyond the COVID-19 pandemic, results of this research will remain relevant as we aim to increase the reach of online exercise oncology programming to more underserved populations of individuals living with cancer.

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Section: Discussionmentioning

confidence: 99%

Understanding In-Person and Online Exercise Oncology Programme Delivery: A Mixed-Methods Approach to Participant Perspectives

et al. 2023

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“…During the COVID-19 pandemic, Okechukwu et al. suggested that cancer patients should exercise at home on a tele-supervised home-based exercise oncology platform tailored by a physician and certified clinical exercise physiologist based on their preferences, contraindications, exercise tolerance, current clinical status, medical history, and cardiorespiratory fitness/functional capacity, instead of exercising within an indoor public fitness facility or outdoor spaces to curb the risk of COVID-19 infection and cardiovascular events ( 47 ).…”

Section: Discussionmentioning

confidence: 99%

Research trends and hotspots of breast cancer management during the COVID-19 pandemic: A bibliometric analysis

Lyu

Tang

et al. 2022

Front. Oncol.

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BackgroundThe coronavirus disease 2019 (COVID-19) pandemic is disrupting routine medical care of cancer patients, including those who have cancer or are undergoing cancer screening. In this study, breast cancer management during the COVID-19 pandemic (BCMP) is reviewed, and the research trends of BCMP are evaluated by quantitative and qualitative evaluation.MethodsIn this study, published studies relating to BCMP from 1 January 2020 to 1 April 2022 were searched from the Web of Science database (WoS). Bibliometric indicators consisted of publications, research hotspots, keywords, authors, journals, institutions, nations, and h-index.ResultsA total of 182 articles investigating BCMP were searched. The United States of America and the University of Rome Tor Vergata were the nation and the institution with the most publications on BCMP. The first three periodicals with leading published BCMP studies were Breast Cancer Research and Treatment, Breast, and In Vivo. Buonomo OC was the most prolific author in this field, publishing nine articles (9/182, 4.94%). The co-keywords analysis of BCMP suggests that the top hotspots and trends in research are screening, surgery, rehabilitation, emotion, diagnosis, treatment, and vaccine management of breast cancer during the pandemic. The hotspot words were divided into six clusters, namely, screening for breast cancer patients in the pandemic, breast cancer surgery in the pandemic, recovery of breast cancer patients in the pandemic, motion effect of the outbreak on breast cancer patients, diagnosis and treatment of breast cancer patients in the pandemic, and vaccination management for breast cancer patients during a pandemic.ConclusionBCMP has received attention from scholars in many nations over the last 3 years. This study revealed significant contributions to BCMP research by nations, institutions, scholars, and journals. The stratified clustering study provided the current status and future trends of BCMP to help physicians with the diagnosis and treatment of breast cancer through the pandemic, and provide a reference for in-depth clinical studies on BCMP.

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“…Telehealth physical therapy interventions have been shown to be useful in a variety of patient populations, including evidence of positive effects in patients with cancer. Studies during the COVID-19 era have shown the effective use of physical therapy services for lymphedema assessment and management [26], enhancement of physical activity for geriatric patients with gastrointestinal and lung cancers [27], and patients' ability to exercise correctly at home [28]. Similar to physiatry telehealth practices, barriers to adequate physical therapy have also been noted, including the inability to objectively measure range of motion, strength, and restrictions due to pain or tissue characteristics [29].…”

Section: Physical Therapymentioning

confidence: 99%

Updates in Cancer Rehabilitation Telehealth

Chang

Zheng

2022

Curr Phys Med Rehabil Rep

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Purpose of ReviewTo describe the various uses of telehealth as it applies to cancer rehabilitation and to review recent findings since the onset of the COVID-19 pandemic.Recent Findings Telehealth has numerous applications in cancer rehabilitation including physiatry services, skilled therapies, exercise interventions, symptom management, and support groups. Numerous studies have shown that regular physician and skilled therapy services can be provided through telehealth platforms, though certain clinical situations may require in-person visits. Telehealth exercise-based interventions are feasible, safe, and can improve quality of life. Telehealth also may be an effective tool in symtom management and as a medium for support groups. Summary Telemedicine and telehealth platforms are effective tools in the field of cancer rehabilitation that not only provide increased safety and convenience for a burdened patient population but may also hold the potential to elevate beyond the current standard of care.

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Precautionary measures before tailoring and commencing a tele-supervised home-based exercise oncology program for older patients with cancer and post-treatment cancer survivors in the COVID-19 era

Cited by 7 publications

References 28 publications

Understanding In-Person and Online Exercise Oncology Programme Delivery: A Mixed-Methods Approach to Participant Perspectives

Understanding In-Person and Online Exercise Oncology Programme Delivery: A Mixed-Methods Approach to Participant Perspectives

Research trends and hotspots of breast cancer management during the COVID-19 pandemic: A bibliometric analysis

Updates in Cancer Rehabilitation Telehealth

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