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. 2026 Sep 28;12:157. doi: 10.1186/s40900-026-00976-4

Table 4.

Key changes made between the original EXCEL intervention and EXCEL-Punjabi based on Punjabi Advisory Board input

Category Original EXCEL Study EXCEL-Punjabi
Language of Delivery English only Punjabi only
Instructor Characteristics Qualified exercise professional; English speaking Qualified exercise professional; Punjabi speaking
Participant Eligibility Over the age of 18, diagnosed with cancer at any stage of the cancer journey, English-speaking Over the age of 18, diagnosed with cancer at any stage of the cancer journey (or a support-person), Punjabi-speaking
Session Format Online or in-person, one-hour classes, twice weekly for 12 weeks

Online or in-person, one-hour classes, twice weekly for 12 weeks.

In-person classes must be held at a location convenient for most Punjabi-speaking individuals

Program Content Circuit-based workouts with aerobic, resistance, and flexibility exercises Circuit-based workouts with aerobic, resistance, and flexibility exercises
Behaviour Change Support Educational webinars covering topics of (1) how to start moving; (2) cancer related fatigue; (3) long term physical activity maintenance; (4) goal setting Educational handouts in Punjabi covering topics of (1) principles of exercise and cancer; (2) goal setting; (3) behaviour change, relapse prevention, and motivation; (4) stress management and cancer-related fatigue; (5) social support and long-term physical activity maintenance
Recruitment Strategies Recruitment through clinics and cancer centres Recruitment through places of worship, Punjabi radio station, word-of-mouth, and other community sites
Community Involvement Co-created with patient partners, healthcare providers, qualified exercise professionals, and researchers Co-created with patient partners, healthcare providers, qualified exercise professionals, and researchers
Data Collection Instruments Questionnaires and interviews in English Videos provided to translate questionnaires. A Punjabi team member available to follow a standardized script to translate questionnaires one-on-one. Interviews conducted in Punjabi.
Setting Canada-wide online and in-person. Canada-wide online. In-person in Calgary, AB.