Evidence map›Paper›PMID 38349581›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2024

A strategy to implement the American College of Sports Medicine's Exercise is Medicine® (EIM) initiative in a community oncology clinic.

Eunjung Kim, Catherine Duggan, Christian Helfrich, Hyesang Yoon, Ben Chue, Anna Yeojin Moon, Easter Ho

Abstract read
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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Facilitators to the implementation of exercise into cancer care: a systematic review.Journal of cancer survivorship : research and practice · 2026
    Review
  2. Effects of a clinic-referred telemedical intervention to improve exercise uptake during chemotherapy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  3. Article
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

7 authors.

Eunjung Kim *Child, Family and Population Health Nursing, University of Washington, Box 357262, Seattle, WA, 98195, USA. eunjungk@uw.edu.ORCID http://orcid.org/0000-0002-4664-9847
Catherine Duggan *Public Health Sciences, Fred Hutchinson Cancer Center, Seattle, WA, USA.ORCID http://orcid.org/0000-0001-7369-4021
Christian HelfrichHealth System and Population Health, University of Washington, Seattle, WA, USA.ORCID http://orcid.org/0000-0002-9827-4768
Hyesang YoonChild, Family and Population Health Nursing, University of Washington, Box 357262, Seattle, WA, 98195, USA.
Ben ChueLifespring Cancer Treatment Center, Seattle, WA, USA.
Anna Yeojin MoonLifespring Cancer Treatment Center, Seattle, WA, USA.
Easter HoLifespring Cancer Treatment Center, Seattle, WA, USA.

Funding

Department of Global Health and Health Services No ID
6 · The paper itself

Abstract

purposeDespite proven benefits, few cancer patients exercise during chemotherapy. The American College of Sports Medicine's Exercise is Medicine® (EIM) initiative describes a model to integrate exercise into oncology care, based upon assessing patients' ability to exercise safely, advising on exercise benefits, and referring patients to exercise. We developed and tested a strategy to implement EIM in a community-based oncology clinic, to assess-advise-refer 20 patients undergoing chemotherapy to a 3-month online exercise class, and measured implementation outcomes.

methodsUsing a community-based provider participation in research (CBPPR) model, researchers and staff co-designed and tested a 4-level implementation strategy, with a goal of assessing-advising-referring 20 cancer patients to exercise. Surveys and interviews were conducted with 12 (100%) staff at baseline and post-implementation on acceptability/appropriateness/feasibility, perceptions of individual implementation roles, and organizational strengths/conditions. Data were analyzed using correlations, t-tests, and content analysis.

resultsThe proposed strategy was revised in collaboration with staff who requested assistance for recruitment and data collection. EIM was successfully implemented with 41 (92%) patients assessed, 37 (90%) advised, and 22 (60%) referred to exercise classes. Barriers to implementation were staff shortages and time constraints; facilitators included research team supports. Staff's perceived organizational strengths were positively correlated with exercise promotion acceptability, appropriateness, and feasibility. There were no statistically significant changes in implementation outcomes (acceptability/appropriateness/feasibility) post-implementation.

conclusionsUsing a collaborative model, EIM was successfully implemented in a community oncology clinic; however, the clinic required significant support from the research team. Adaptations to the EIM process may be required to improve implementation outcomes.

Indexed as

NeoplasmsSportsSports MedicineExerciseHumansMedical OncologyBarriersExercise is Medicine (EIM) in oncologyFacilitatorsFeasibilityImplementationOrganizational contextPhysical activity

Identifiers

PMID38349581

What OpenQuestion holds

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Registered trials

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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.