Beta-testing Of A Synchronous, Virtually-delivered Group-based Exercise Program For Cancer Survivors

Abstract

PURPOSE: The COVID-19 pandemic forced many face-to-face exercise programs for cancer survivors to shut down or transition to online delivery. Supervision from a qualified instructor and social support from other participants are integral components for successful exercise program adherence, but it is challenging to create opportunities for tangible social connection when delivering exercise programs asynchronously (i.e., online without real-time interaction). A group-based exercise program delivered online, in real-time, is an innovative way to help cancer survivors increase physical activity (PA), improve health outcomes, and connect with other participants. This study examined the preliminary feasibility of an 8-week synchronous, group-based exercise program for cancer survivors. METHODS: The Fitness Therapy for Cancer (Fit Cancer) program has been operating since 2017, and was adapted for virtual delivery in August 2020. All program content remained the same, including group-based exercise and PA behavior change discussion sessions, and individual pre-and post-program assessments of PA, QOL, strength, and balance. The virtual program was delivered via Zoom, and participants were provided with a set of resistance bands. Preliminary feasibility was assessed by adherence, attrition, safety, and acceptability. RESULTS: Participants (n = 3 female, n = 1 male), were M = 54.3 ± 15.6 years old, diagnosed with breast, endometrial and head and neck cancer. Three participants completed treatment before program start (range 4.4 months to 3 years), and one was undergoing chemotherapy. Adherence was 100% for exercise and discussion sessions. All participants completed the post-program assessment, and no adverse events were reported. All participants responded “yes” to enjoying the program, feeling stronger, looking forward to exercise sessions, a sense of community and support from participants and staff, and would recommend the program to others. CONCLUSIONS: Preliminary results suggest a synchronous, virtual, group-based exercise program for cancer survivors is feasible. A larger pilot study (N = 40) is underway, with feasibility and effectiveness results expected by summer 2021. This work will contribute to advancements in remote delivery of group-based exercise programs for cancer survivors.