The Development of a Multi-Modal Cancer Rehabilitation (Including Prehabilitation) Service in Sheffield, UK: Designing the Active Together Service

Author:

Humphreys Liam12ORCID,Myers Anna12,Frith Gabriella12,Thelwell Michael12ORCID,Pickering Katie12,Mills Gary H.3,Kerr Karen3,Fisher Patricia4,Kidder John2,Keen Carol5ORCID,Hodson Suzanne5,Phillips Gail2,Smith Rachel5,Evans Laura5,Thornton Sarah6,Dale Emma7,Maxwell Louise8,Greenfield Diana M.49,Copeland Robert2ORCID

Affiliation:

1. Academy of Sport and Physical Activity, Sheffield Hallam University, Sheffield S1 1WB, UK

2. Advanced Well-Being Research Centre, Sheffield Hallam University, Sheffield S1 1WB, UK

3. Critical Care Directorate, Sheffield Teaching Hospitals NHS Foundation Trust, University of Sheffield, Sheffield S1 1WB, UK

4. Specialised Cancer Services, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S10 2JF, UK

5. Therapeutics and Palliative Care Directorate, Combined Community and Acute Care Group, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S10 2JF, UK

6. Dietetic Service, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S10 2JF, UK

7. Department of Psychological Services, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S10 2JF, UK

8. Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S10 2JF, UK

9. Department of Oncology and Metabolism, University of Sheffield, Medical School Beech Hill Road, Sheffield S10 2RX, UK

Abstract

Cancer patients undergoing major interventions face numerous challenges, including the adverse effects of cancer and the side effects of treatment. Cancer rehabilitation is vital in ensuring cancer patients have the support they need to maximise treatment outcomes and minimise treatment-related side effects and symptoms. The Active Together service is a multi-modal rehabilitation service designed to address critical support gaps for cancer patients. The service is located and provided in Sheffield, UK, an area with higher cancer incidence and mortality rates than the national average. The service aligns with local and regional cancer care objectives and aims to improve the clinical and quality-of-life outcomes of cancer patients by using lifestyle behaviour-change techniques to address their physical, nutritional, and psychological needs. This paper describes the design and initial implementation of the Active Together service, highlighting its potential to support and benefit cancer patients.

Funder

Macmillan Cancer Support

Yorkshire Cancer Research

SHU Open Access Fund

Publisher

MDPI AG

Reference53 articles.

1. (2024, February 16). Integrated Care System Guidance for Cancer Rehabilitation A Guide to Reducing Variation and Improving Outcomes in Cancer Rehabilitation in London. Available online: https://www.transformationpartners.nhs.uk/wp-content/uploads/2019/07/A-guide-to-reducing-variation-and-improving-outcomes-in-cancer-rehabilitation-in-London.pdf.

2. (2023, July 01). Rehabilitation. Updated 2021. Available online: https://www.who.int/news-room/fact-sheets/detail/rehabilitation.

3. From life-threatening to chronic disease: Is this the case of cancers? A systematic review;Pizzoli;Cogent Psychol.,2019

4. Integrating Rehabilitation Into the Cancer Care Continuum;Silver;PM & R,2017

5. The Impact of Exercise on Cancer Mortality, Recurrence, and Treatment-Related Adverse Effects;Cormie;Epidemiol. Rev.,2017

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