Undergraduate Curriculum Designed to Facilitate a Cancer Exercise Rehabilitation Program.

Abstract

In 2030, more than 22.1 million cancer survivors are expected to reside in the USA. A workforce knowledgeable in the unique issues of oncologic exercise design and delivery will help to fulfill the need for services that improve survivor health, prognosis, and quality of life (QOL). The purpose of this project was to describe the application of a cancer exercise rehabilitation training program on student performance benchmarks and patient outcomes. Thirty-seven kinesiology students were taught how to design an exercise program for cancer patients through face-to-face instruction (10h) and online material. Students created and delivered exercise prescriptions to cancer patients (n = 111) over 12weeks. Surveys evaluating student performance, patient fitness, and patient psychosocial outcomes were used to assess students' skill proficiency, ability to apply newly acquired knowledge, and academic/professional growth. A 2-way ANOVA evaluating student performance scores revealed a significant main effect of time (F(1, 165) = 22.92, p < 0.001), indicating that student performance was improved. Post hoc tests showed the "skill proficiency, knowledge and exercise leadership" dimension was significantly improved (p < 0.0001). Cancer patients had significant improvements in body composition, muscular function, flexibility, and balance (p < 0.05). Students succeeded in tasks directly related to content learned in prerequisite kinesiology courses, while 3weeks was required for students to become proficient in clinic-related duties. Ninety percent of the students reported that the internship was an excellent learning experience. The curriculum was successful in teaching students how to design and implement exercise programs that improve cancer patient fitness and QOL.