Project 458523

Background: Approximately 300,000 children are diagnosed with cancer annually. Treatments result in significant negative side effects. Physical activity (PA) is safe, beneficial, and feasible for children with cancer to help mitigate these side effects, yet most remain inactive. The international Pediatric Oncology Exercise Guidelines (iPOEG) were created to provide guidelines and recommendations for movement in this population. iPOEG Toolkits, to support guideline implementation, are being co-created with end-user groups (children and adolescents affected by cancer, families/caregivers, healthcare providers, qualified exercise professionals, community-based organizations) for dissemination. Research Questions: 1) Track the dissemination and reach specifically of the iPOEG Toolkit resources across Canada; 2) Work with the iPOEG Core team (n=9 international experts from 6 countries) to develop and translate iPOEG Toolkit resources to their local setting; and 3) Assess the impact of implementation efforts, nationally and internationally, on user physical activity levels and patient-reported outcomes. Methods: The iPOEG Toolkit will be distributed to key stakeholders, and tracked using the RE-AIM framework. Reach is the number of individuals who receive and download the iPOEG Toolkit; adoption is the number of organizations who implement/use the Toolkit in care; implementation includes documenting modifications made to the iPOEG Toolkit based on local needs (e.g., language); and maintenance is tracking reach and effectiveness markers over time. Effectiveness includes impact on PA levels and patient-reported outcomes over time. Conclusion: This project will bring the iPOEG Toolkit resources to practice, nationally in Canada and internationally through the iPOEG network. Ultimately, the iPOEG Toolkit will be used to foster development of tailored exercise oncology programs, in-hospital and community-based, enhancing the well-being of children and adolescents with cancer.