ExOnc TC

⚡️ “The 2nd International Exercise Oncology Twitter Conference, #ExOncTC”. All 56 presentations from 2019. To see a presentation, click on the introductory tweet & the 6-10 tweet presentation appears. twitter.com/i/moments/1185… Curated by @KTB_PhD @_sarahweller & @CiaranFairman

@CiaranFairman Updated POLL: twitter.com/ExOncTc/status…

Let's try that again! 🚨FEEDBACK WANTED!🚨

Hey #ExOncTC community: We are gauging your interest in the next Exercise Oncology Twitter Conference (#ExOncTC). TELL US YOUR THOUGHTS - ARE YOU IN? #ExerciseOncology #ExOnc #CancerRehab

⚡️ “#ExOncTC 2019 Keynote Speaker Presentations” twitter.com/i/moments/1185… All 11 Keynote presentations from #ExOncTC 2019. To see the full 10-slides from each presenter, click on their introduction tweet and they will appear.

⚡️ “#ExOncTC 2019 ACSM Exercise & Cancer Guidelines Papers SUPER HOUR” by @ExOncTc twitter.com/i/moments/1185… A collection of all 10-tweets for each of the 3 new 2019 exercise guidelines papers, presented at #ExOncTC by @AlpaPatel1974 @winters_stone & @fitaftercancer

@ExOncTc @CamilleShort_au 6/6 Key findings: Need medical confirmation of met location/extent- men not always accurate in reporting. Education important (acute benefits, safety, ex prescription). Support needed- behav. change & inclusion of loved ones). Changes to eHealth tool currently being made.#ExOncTC

THANK YOU everyone for another amazing #ExOncTC conference & a great showcase of the #ExerciseOncology field. #ExOncTC will be back in 2020. Give us feedback and help us make it even better by filling out a really short anonymous survey bit.ly/2oHNxrk KTB, CF, SW

@ExOncTc @CamilleShort_au 5/6 Study 2: Lab-based usability/safety test (N=11). Men gave ExerciseGuide an above-average usability score (SUS) & found the tool acceptable. Algorithm-generated exercise prescription deemed safe based on f2f assess. Mean pain (VAS)=0.2(0.7) after exercise (not bone) #ExOncTC

@ExOncTc @CamilleShort_au 4/6 Study 2: Lab-based usability think aloud (N=11). Prescription & safety modules were most interesting. Men liked RT video demos. Wanted simplified terms, extra aerobic mode options & changes in frequency for men already ex. Men could not report met location accurately #ExOncTC

@ExOncTc @CamilleShort_au 3/6 Study 1: Interview N=18. Men showed enthusiasm for an e-health tool. Facilitators: accessibility, affordability, specificity of PCa info. Barriers: Computer literacy, motivation, ability to report mets. Needs: Education, support. Priorities: ADL's, loved ones #ExOncTC

@ExOncTc @CamilleShort_au 2/6 To create a user-centred eHealth tool research is needed to understand: 1. Population needs/preferences (Study 1) 2. What features/constructs influence uptake & adherence (Study 1) 3. Safety (Study 1+2) 4. Tool usability (Study 2) 5. Tool feasibility (Study 3) #ExOncTC

@ExOncTc 1/6 #Exercise has potential to moderate sequelae in men with #metastatic prostate cancer but myriad of barriers to supervised ex bit.ly/2VNDPzC. E-Health interventions offer another approach to address barriers. But they need to be user-centred #ExOncTC @camilleshort_au

🚨 #ExOncTC Presentation 55 🚨 Holly Evans (@HollyEvans32) "Informing the design of a individualized e-Health exercise tool for individuals living with metastatic prostate cancer"

@ExOncTc @GenesisCare @EMRI_ECU Development of an effective co-located ex onc clinic requires a plan: clear vision + understanding of barriers and facilitators specific to context. A program model should be designed with an ecological perspective, ensuring key stakeholder engagement throughout. #ExOncTC (6/6)

@ExOncTc @GenesisCare @EMRI_ECU An implementation-ready program model was developed by the SAG based on issues raised through the needs assessment. The development process took 6-months to complete. #ExOncTC (5/6)

@ExOncTc @GenesisCare @EMRI_ECU The needs assessment revealed patients experienced logistical issues accessing the clinic (e.g. inconvenient hours of operation); clinicians were unclear about referral procedures; systems did not promote effective communication among clinic stakeholders. #ExOncTC (4/6)

@ExOncTc @GenesisCare @EMRI_ECU A comprehensive needs assessment was designed to capture the current barriers and facilitators to program utilization. An social-ecological approach was employed to design the assessment. #ExOncTC (3/6)

@ExOncTc @GenesisCare @EMRI_ECU A variation of participatory action research methodology was used to understand factors impacting exercise referral and uptake and design solutions to improve both. A stakeholder advisory group (SAG) was convened to oversee development of an enhanced program model. #ExOncTC (2/6)

@ExOncTc Co-locating exercise w/ cancer treatment is a promising strategy to ↑ activity for people w/ cancer. Evaluation of an existing model @GenesisCare + @EMRI_ECU demonstrated feasibility, but revealed suboptimal clinician referrals and program uptake. #ExOncTC (1/6)