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Insights and recommendations into service model structure staff roles and qualifications in a UK cancer specific clinical exercise service a multi-method case study

Crozier, A, Watson, PM, Graves, LEF, George, KP, Richardson, D, Naylor, L, Green, DJ, Rosenberg, M and Jones, H (2023) Insights and recommendations into service model structure staff roles and qualifications in a UK cancer specific clinical exercise service a multi-method case study. Disability and Rehabilitation. ISSN 0963-8288

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Abstract

Purpose: Clinical exercise delivery in the United Kingdom is disparate in terms of service structure, staff roles and qualifications, therefore it is difficult to evaluate and compare across services. Our aim was to explore, in a purposely selected cancer exercise service that was recognised as effective; (i) how staff knowledge, skills and competencies contribute to the provision of the service, (ii) how these components assist in creating effective services, and (iii) to identify existing challenges from staff and service user perspectives.
Methods: The Consolidated Framework for Implementation Research was used as an overarching guide to review the Prehab4Cancer service. Exercise specialists and service user perspectives were explored using a multi-method approach (online semi-structured interviews, online focus group and in-person observation) and data triangulation.
Results: Exercise specialists were educated to a minimum of undergraduate degree level with extensive cancer-specific knowledge and skills, equivalent to that of a Registration Council for Exercise Physiologist (RCCP) Clinical Exercise Physiologist. Workplace experience was essential for exercise specialist development in behaviour change and communications skills.
Conclusions: Staff should be educated to a level comparable with the standards for registered RCCP Clinical Exercise Physiologists, which includes workplace experience to develop knowledge, skills and competencies in real-world settings.

Item Type: Article
Uncontrolled Keywords: Exercise knowledge; Skills and competencies; Cancer prehab; Cancer rehab; 11 Medical and Health Sciences; Rehabilitation
Subjects: R Medicine > RC Internal medicine > RC1200 Sports Medicine
Divisions: Sport & Exercise Sciences
Publisher: Taylor and Francis Group
SWORD Depositor: A Symplectic
Date Deposited: 22 Jun 2023 09:36
Last Modified: 22 Jun 2023 09:45
DOI or ID number: 10.1080/09638288.2023.2225879
URI: https://researchonline.ljmu.ac.uk/id/eprint/20002
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