ArticleBMC nursing2025
A Delphi consensus for a nurse-led personalized exercise intervention in breast cancer patients during chemotherapy.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Development of a physical activity promotion intervention for colorectal cancer survivors who are physically inactive: A Delphi study integrating the analytic hierarchy process.Asia-Pacific journal of oncology nursing · 2026Article
- Development of an expert patient program for improving self-efficacy in surgical patients with advanced gastric cancer in China: a COREQ-guided qualitative expert panel discussion study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
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2 authors.
Funding
Abstract
backgroundChemotherapy-induced peripheral neuropathy (CIPN) and cancer-related fatigue (CRF) are prevalent and debilitating side effects in breast cancer patients, adversely affecting treatment adherence and quality of life. Although exercise is beneficial, a standardized, practical protocol for integrating nurse-led exercise interventions into clinical pathways during chemotherapy is not yet established.
methodsA three-round modified Delphi study was conducted between February and May 2025 among a multidisciplinary panel of 22 experts, including oncology nurses, breast oncologists, rehabilitation therapists, and patient advocates. Anonymized, structured questionnaires were administered electronically. Consensus was predefined as a mean score ≥ 4.0 (on a 5-point Likert scale), agreement by ≥ 75% of respondents, and standard deviation ≤ 1.0. Kendall's coefficient of concordance (W) was used to assess stability of rankings across rounds.
resultsHigh response rates were maintained across all rounds (100%, 95%, 100%). A strong consensus was achieved regarding 42 discrete items. Key agreements included: (1) initiating assessment and exercise prescription at the first chemotherapy cycle; (2) implementing a multi-component regimen combining aerobic, resistance, and balance training; (3) clearly defining nurses' roles in assessment, education, and monitoring; (4) personalizing exercise intensity based on daily patient-reported symptoms (e.g., fatigue); and (5) integrating digital tools for adherence support and documentation.
conclusionsThis study establishes a robust expert consensus on a structured, nurse-led, personalized exercise intervention package for integration into the clinical pathway of breast cancer patients undergoing chemotherapy. The framework offers practical guidance for mitigating treatment-related side effects and improving patient outcomes. Future research should focus on evaluating its feasibility and effectiveness in diverse clinical settings.
trial registrationNot applicable.
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