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. 2021 Dec 21;7(4):e33130. doi: 10.2196/33130

Table 1.

Intervention description using the Template for Description and Replication Checklist (TIDieR) compared with the traditional program model.


Telerehabiliation intervention Traditional face-to-face model
Brief name
  • Cancer telerehabilitation

  • Cancer rehabilitation

Why
  • Telehealth replaced the traditional face-to-face model of care during COVID-19 restrictions for safety

  • Face-to-face exercise is the traditional modality of delivering cancer rehabilitation

What: materials
  • Health coaching (videoconference or telephone)

  • Optional online group exercise (live videoconference via WebEx)

  • Optional online group multidisciplinary education (live videoconference via WebEx)

  • Written or app-based (Physitrack), individualized home exercise program and exercise band

  • Online information portal (iLearn) with recordings of multidisciplinary education, information handouts, and weblinks or written information handouts

  • Participants were offered a referral to a community exercise program on completion

  • Face-to-face group exercise with tailored exercise advice within group

  • Optional face-to-face group multidisciplinary education

  • Written individualized home exercise program

  • Participants were offered a referral to a community exercise program on completion

What procedures

Provider
  • Two midlevel physiotherapists and one senior physiotherapista with oncology experience employed by the hospital

  • One senior oncology nurse employed by the hospital

  • One allied health assistant provided by the hospital

  • One administration assistant

  • Two midlevel physiotherapists with oncology experience employed by the hospital

  • One senior oncology nurse employed by the hospital

  • One allied health assistant provided by the hospital

  • One administration assistant


How
  • Supervised sessions via telephone or videoconference

  • Face-to-face supervision


Where
  • Clinicians: hospital based; patients: home based

  • Clinicians and patients: hospital based

When/how much

Type
  • Aerobic: walking, aerobics, step-ups

  • Resistance: exercise bands, body weight exercise, free weightsb

  • Flexibility: included as required based on individual needs

  • Aerobic: treadmill walking, stationary cycle, step-ups

  • Resistance: exercise bands body weight exercise, free weights, cable weights machine

  • Flexibility: included as required based on individual needs


Intensity
  • Aerobic: moderate (BORG 3-4)

  • Resistance: 2-3 sets 10-12 repetitions

  • Aerobic: moderate (BORG 3-4)

  • Resistance: 2-3 sets 10-12 repetitions


Frequency
  • 1x weekly health coaching

  • 1x weekly online group supervised training

  • 1x weekly group education

  • 2x weekly face-to-face group exercise

  • 1x weekly face-to-face group education


Session time
  • 30-minute 1:1 health coaching reviews

  • 45-minute online exercise group (live)

  • 45-minute online education group (live)

  • 60-minute face-to-face group exercise

  • 45- to 60-minute face-to-face group education

Overall duration
  • 8 weeksc

  • 7 weeks

Tailoring
  • Individualized exercise program based on initial consultation and goals

  • Individualized exercise program based on initial consultation and goals

Trial fidelity
  • Staff with a background in oncology physiotherapy and nursing who had prior formal training were employed by the hospital to provide the intervention

  • Motivational interviewing training (9 hours) and telehealth information session (1 hour) for clinical staff

  • Electronic exercise log via Physitrack app

  • Electronic records of the number and duration of completed sessions

  • Clinical supervision as per standard hospital policy

  • Staff with a background in oncology physiotherapy and nursing who had prior formal training were employed by the hospital to provide the intervention

  • Paper-based exercise logs to record number and duration of completed sessions

  • Clinical supervision as per standard hospital policy

aSenior physiotherapist completed some similar duties to senior nurse (eg, patient intake) as hours of the nurse were reduced during the COVID-19 period.

bExercise type may have differed depending on patient’s own equipment availability.

cDuration of program increased to better align with current evidence and other cancer rehabilitation programs.