1. Impact of an allied health prehabilitation service for haematologic patients receiving high-dose chemotherapy in a large cancer centre
- Author
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Trish Joyce, Jenelle Loeliger, Jessica Crowe, Amit Khot, Lara Edbrooke, Linda Denehy, Christina Prickett, Alicia Martin, and Jill J Francis
- Subjects
medicine.medical_specialty ,Referral ,Prehabilitation ,medicine.medical_treatment ,Comparative effectiveness research ,Psychological intervention ,Allied health ,Neoplasms ,Preoperative Care ,medicine ,High-dose chemotherapy ,Humans ,Exercise ,Retrospective Studies ,Rehabilitation ,business.industry ,Nursing research ,Australia ,Preoperative Exercise ,Transplantation ,Autologous stem cell transplant ,Oncology ,Implementation ,Physical therapy ,Original Article ,Exercise prescription ,business - Abstract
Purpose Evaluate the impact of a new multidisciplinary allied health prehabilitation service in haematologic cancer patients receiving high-dose chemotherapy with autologous stem cell transplant (AuSCT). Methods In a tertiary cancer centre, 12 months of prospectively collected data was retrospectively analysed. Patients were referred to an allied health service for individualised exercise prescription, nutrition intervention and, if indicated through screening, psychological intervention. Impact and operational success were investigated using the RE-AIM framework: patient uptake of the service and sample representativeness (reach); effectiveness in terms of changes in outcomes from initial to pre-transplant assessment; adoption of the service by key stakeholders; fidelity of the prescribed exercise program (implementation); and the extent to which the new service had become routine practice (maintenance). Results One hundred and eighty-three patients were referred to the AuSCT service over 12 months, of whom 133 (73%) were referred into the prehabilitation service, 128 (96%) were eligible and 116 (91%) participated. Patients were representative of Australian AuSCT patients. Eighty-nine patients reached pre-transplant assessment by data censoring; 6-min walk distance (n = 45/89, 51%) improved a mean (95% CI) of 39.9 m (18.8 to 61.0, p =
- Published
- 2021