EXCEL Exercise Oncology Program Supporting People Living With and Beyond Cancer Across Canada Through In-Person and Online Group Exercise Classes

What this Trial Is About

Researchers are evaluating the EXCEL exercise program designed for people living with and beyond cancer across Canada. This program aims to improve access to tailored exercise prescriptions that support physical activity and fitness, addressing the challenges cancer and its treatments pose. The study builds on previous EXCEL research and the Alberta Cancer Exercise Program to streamline screening, simplify assessments, and increase reach, especially in urban areas, while promoting a patient-centered care approach. The intervention involves group exercise classes conducted twice weekly for 8 to 12 weeks, delivered either in-person or online. These sessions include aerobic, resistance, balance, and flexibility exercises in a circuit-style format with up to 15 participants per instructor. The program adapts exercise intensity and progression to individual needs to support fitness and wellness benefits. Participants will undergo essential baseline screening and testing to ensure safe and effective exercise delivery. Assessments will track physical activity levels, cancer-related symptoms, fatigue, quality of life, body composition, aerobic capacity, strength, flexibility, balance, and exercise adherence from baseline through one year. The study will also evaluate cost-effectiveness and program implementation with reduced participant burden and fewer follow-ups, enabling focus on sustainability and long-term impact.

Sustainable Implementation of the EXCEL Exercise Oncology Program Across Canada