🚨 #ExOncTC Presentation 55 🚨 Mary Kennedy (Mary A Kennedy ) "A modified participatory action research process to enhance utilization of a co-located exercise oncology clinic"

ExOnc TC Co-locating exercise w/ cancer treatment is a promising strategy to ↑ activity for people w/ cancer. Evaluation of an existing model GenesisCareUK + Exercise Medicine Research Institute demonstrated feasibility, but revealed suboptimal clinician referrals and program uptake. #ExOncTC (1/6)

ExOnc TC GenesisCareUK Exercise Medicine Research Institute A variation of participatory action research methodology was used to understand factors impacting exercise referral and uptake and design solutions to improve both. A stakeholder advisory group (SAG) was convened to oversee development of an enhanced program model. #ExOncTC (2/6)

ExOnc TC GenesisCareUK Exercise Medicine Research Institute A comprehensive needs assessment was designed to capture the current barriers and facilitators to program utilization. An social-ecological approach was employed to design the assessment. #ExOncTC (3/6)

ExOnc TC GenesisCareUK Exercise Medicine Research Institute The needs assessment revealed patients experienced logistical issues accessing the clinic (e.g. inconvenient hours of operation); clinicians were unclear about referral procedures; systems did not promote effective communication among clinic stakeholders. #ExOncTC (4/6)

ExOnc TC GenesisCareUK Exercise Medicine Research Institute An implementation-ready program model was developed by the SAG based on issues raised through the needs assessment. The development process took 6-months to complete. #ExOncTC (5/6)

ExOnc TC GenesisCareUK Exercise Medicine Research Institute Development of an effective co-located ex onc clinic requires a plan: clear vision + understanding of barriers and facilitators specific to context. A program model should be designed with an ecological perspective, ensuring key stakeholder engagement throughout. #ExOncTC (6/6)

🚨 #ExOncTC Presentation 55 🚨 Holly Evans (Holly Evans) "Informing the design of a individualized e-Health exercise tool for individuals living with metastatic prostate cancer"

ExOnc TC 1/6 #Exercise has potential to moderate sequelae in men with #metastatic prostate cancer but myriad of barriers to supervised ex bit.ly/2VNDPzC. E-Health interventions offer another approach to address barriers. But they need to be user-centred #ExOncTC Camille Short

ExOnc TC Camille Short 2/6 To create a user-centred eHealth tool research is needed to understand: 1. Population needs/preferences (Study 1) 2. What features/constructs influence uptake & adherence (Study 1) 3. Safety (Study 1+2) 4. Tool usability (Study 2) 5. Tool feasibility (Study 3) #ExOncTC

ExOnc TC Camille Short 3/6 Study 1: Interview N=18. Men showed enthusiasm for an e-health tool. Facilitators: accessibility, affordability, specificity of PCa info. Barriers: Computer literacy, motivation, ability to report mets. Needs: Education, support. Priorities: ADL's, loved ones #ExOncTC

ExOnc TC Camille Short 4/6 Study 2: Lab-based usability think aloud (N=11). Prescription & safety modules were most interesting. Men liked RT video demos. Wanted simplified terms, extra aerobic mode options & changes in frequency for men already ex. Men could not report met location accurately #ExOncTC

ExOnc TC Camille Short 5/6 Study 2: Lab-based usability/safety test (N=11). Men gave ExerciseGuide an above-average usability score (SUS) & found the tool acceptable. Algorithm-generated exercise prescription deemed safe based on f2f assess. Mean pain (VAS)=0.2(0.7) after exercise (not bone) #ExOncTC

THANK YOU everyone for another amazing #ExOncTC conference & a great showcase of the #ExerciseOncology field. #ExOncTC will be back in 2020. Give us feedback and help us make it even better by filling out a really short anonymous survey bit.ly/2oHNxrk KTB, CF, SW

ExOnc TC Camille Short 6/6 Key findings: Need medical confirmation of met location/extent- men not always accurate in reporting. Education important (acute benefits, safety, ex prescription). Support needed- behav. change & inclusion of loved ones). Changes to eHealth tool currently being made.#ExOncTC

⚡️ “#ExOncTC 2019 ACSM Exercise & Cancer Guidelines Papers SUPER HOUR” by ExOnc TC x.com/i/moments/1185… A collection of all 10-tweets for each of the 3 new 2019 exercise guidelines papers, presented at #ExOncTC by @AlpaPatel1974 Kerri Winters-Stone & Dr Kathryn Schmitz

⚡️ “#ExOncTC 2019 Keynote Speaker Presentations” x.com/i/moments/1185… All 11 Keynote presentations from #ExOncTC 2019. To see the full 10-slides from each presenter, click on their introduction tweet and they will appear.

Hey #ExOncTC community: We are gauging your interest in the next Exercise Oncology Twitter Conference (#ExOncTC). TELL US YOUR THOUGHTS - ARE YOU IN? #ExerciseOncology #ExOnc #CancerRehab

Let's try that again! 🚨FEEDBACK WANTED!🚨