Evidence map›Paper›PMID 34854817›Full record

ArticleJMIR cancer2021

Telerehabilitation's Safety, Feasibility, and Exercise Uptake in Cancer Survivors: Process Evaluation.

Amy Dennett, Katherine E Harding, Jacoba Reimert, Rebecca Morris, Phillip Parente, Nicholas F Taylor

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in JMIR cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
3.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Guideline
  2. Pooled it
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  4. A qualitative study of cancer survivors' exercise behaviour 4 months after a telerehabilitation program.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Trial
  5. Trial
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  7. 'Making a connection': a qualitative study of experiences from a cancer telerehabilitation program.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Trial
  8. Trial
  9. Trial
  10. Article
  11. Facilitators to the implementation of exercise into cancer care: a systematic review.Journal of cancer survivorship : research and practice · 2026
    Review
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  19. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Amy DennettAllied Health Clinical Research Office, Eastern Health, Box Hill, Australia.ORCID https://orcid.org/0000-0002-4690-7949
Katherine E HardingAllied Health Clinical Research Office, Eastern Health, Box Hill, Australia.ORCID https://orcid.org/0000-0003-0207-7071
Jacoba ReimertAllied Health Clinical Research Office, Eastern Health, Box Hill, Australia.ORCID https://orcid.org/0000-0003-1004-7403
Rebecca MorrisAllied Health Clinical Research Office, Eastern Health, Box Hill, Australia.ORCID https://orcid.org/0000-0002-1401-8709
Phillip ParenteDepartment of Cancer Services, Eastern Health, Box Hill, Australia.ORCID https://orcid.org/0000-0003-0096-7601
Nicholas F TaylorAllied Health Clinical Research Office, Eastern Health, Box Hill, Australia.ORCID https://orcid.org/0000-0001-9474-2504
Eastern Health · AULa Trobe University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccess to exercise for cancer survivors is poor despite global recognition of its benefits. Telerehabilitation may overcome barriers to exercise for cancer survivors but is not routinely offered.

objectiveFollowing the rapid implementation of an exercise-based telerehabilitation program in response to COVID-19, a process evaluation was conducted to understand the impact on patients, staff, and the health service with the aim of informing future program development.

methodsA mixed methods evaluation was completed for a telerehabilitation program for cancer survivors admitted between March and December 2020. Interviews were conducted with patients and staff involved in implementation. Routinely collected hospital data (adverse events, referrals, admissions, wait time, attendance, physical activity, and quality of life) were also assessed. Patients received an 8-week telerehabilitation intervention including one-on-one health coaching via telehealth, online group exercise and education, information portal, and home exercise prescription. Quantitative data were reported descriptively, and qualitative interview data were coded and mapped to the Proctor model for implementation research.

resultsThe telerehabilitation program received 175 new referrals over 8 months. Of those eligible, 123 of 150 (82%) commenced the study. There were no major adverse events. Adherence to health coaching was high (674/843, 80% of scheduled sessions), but participation in online group exercise classes was low (n=36, 29%). Patients improved their self-reported physical activity levels by a median of 110 minutes per week (IQR 90-401) by program completion. Patients were satisfied with telerehabilitation, but clinicians reported a mixed experience of pride in rapid care delivery contrasting with loss of personal connections. The average health service cost per patient was Aus $1104 (US $790).

conclusionsTelerehabilitation is safe, feasible, and improved outcomes for cancer survivors. Learnings from this study may inform the ongoing implementation of cancer telerehabilitation.

Indexed as

cancercancer survivorCOVID-19developmentevaluationexercisefeasibilityimpactimplementationphysical activityrehabilitationsupportive caretelehealthtelerehabilitation

Identifiers

PMID34854817
PMCPMC8768007
OpenAlexW3214598469

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.