Exercise as Medicine for People With Cancer Sweden

Regular exercise has been shown to have beneficial health effects in cancer survivors, including improving quality of life and other important health outcomes. However, providing people with cancer with easily accessible, high-quality exercise support and programs is a challenge. Therefore, there is a need to develop easily accessible exercise programs that draw upon the current evidence. Supervised, distance-based exercise programs have the benefit of reaching out to many people while providing the support of an exercise professional.
The aim of the EX-MED Cancer Sweden trial is to examine the effectiveness of a supervised, distance-based exercise program, in people previously treated for breast, prostate, or colorectal cancer, on health-related quality of life (HRQoL), as well as other physiological and patient-reported health outcomes. Participants will be randomized to a 3-month supervised, distance-based exercise program or to a usual care control group.
Testing timepoints are baseline, 3 months (end of intervention) and 6 months (3 month followup). At these timepoints, patients will be asked to fill in online questionaires, and and undergo physical tests. A selection of the particpants and personal trainers involved in the intervention will also be invited to participate in focus group discussion or interviews about the experiences of being involved in the EX-MED Cancer Sweden program.

已有研究证实，规律运动对癌症幸存者具有积极健康效应，可改善其生活质量及其他重要健康结局。然而，为癌症患者提供易于获取、高质量的运动支持与项目仍是一项挑战。因此，亟需开发基于现有循证依据的可及性运动项目。监督式远程运动项目既可覆盖大量目标人群，又能获得运动专业人员的指导支持。
本EX-MED Cancer Sweden试验旨在评估针对既往接受过乳腺癌、前列腺癌或结直肠癌治疗的患者，监督式远程运动项目对健康相关生活质量（health-related quality of life, HRQoL）及其他生理健康结局与患者报告健康结局的干预有效性。受试者将被随机分配至为期3个月的监督式远程运动干预组，或常规护理对照组。
本试验的评估时间点设为基线、干预结束时（干预开展3个月时）以及干预后6个月（即干预后3个月随访时点）。在此三个时间点，受试者需填写线上问卷并接受体能检测。此外，研究团队还将招募部分干预组受试者及参与项目的运动教练，邀请其参与焦点小组讨论或访谈，以分享参与EX-MED Cancer Sweden项目的相关体验。