Considerations for delivery of live-remote exercise for people with cancer in research and practice
Exercise is safe and beneficial for people diagnosed with cancer. The use of live-remote exercise approaches, where exercise trainers deliver exercise programs via a videoconferencing platform, has increased rapidly, greatly expanding the reach of exercise programs. This method retains key elements of supervised exercise, which provide greater benefits than unsupervised programs. However, challenges in adapting in-person supervised exercise programs to remote delivery exist. This article discusses the key considerations for the effective and safe delivery of live-remote exercise, such as technological requirements, exercise professional skills, safety aspects, exercise programming features, social interactions, costs, and legal and ethical considerations. Considerations relevant for the design and execution of exercise oncology clinical trials and for community practice are described. Remaining knowledge gaps are outlined and point to opportunities to further inform evidence-based practice and practice-based evidence.
Authors
- Mark Trevaskis (ORCID: https://orcid.org/0000-0002-9078-0180)
- Evelyn M. Monninkhof (ORCID: https://orcid.org/0000-0002-6641-7605)
- Martijn M. Stuiver (ORCID: https://orcid.org/0000-0002-7794-7767)
- David Binyam (ORCID: https://orcid.org/0000-0002-8708-9719)
- Anouk E. Hiensch (ORCID: https://orcid.org/0000-0002-6216-2609)
- Kelcey A. Bland (ORCID: https://orcid.org/0000-0002-2616-0286)
- Eva M. Zopf (ORCID: https://orcid.org/0000-0001-6250-0041)
- Nadira Gunasekara (ORCID: https://orcid.org/0009-0008-5847-7086)
- Anne M. May (ORCID: https://orcid.org/0000-0003-4857-8189)
- Anna Campbell (ORCID: https://orcid.org/0000-0003-3517-7335)
- Mary E. Crisafio (ORCID: https://orcid.org/0000-0003-2939-5707)
- Alberto J. Alves (ORCID: https://orcid.org/0000-0001-9484-7349)
- Martina E. Schmidt (ORCID: https://orcid.org/0000-0002-2095-2426)
- Kerri M. Winters‐Stone (ORCID: https://orcid.org/0000-0003-1706-8020)
- Yvonne Wengström (ORCID: https://orcid.org/0000-0001-8317-7829)
- Eva de Jongh (ORCID: https://orcid.org/0000-0001-7316-029X)
- Kristin L. Campbell (ORCID: https://orcid.org/0000-0002-2266-1382)
- Karen Steindorf (ORCID: https://orcid.org/0000-0001-5215-5651)
- Fabrice Olivier (ORCID: https://orcid.org/0000-0002-8935-917X)
- Michael Lorenz (ORCID: https://orcid.org/0000-0003-2774-6040)
- Jana Müller (ORCID: https://orcid.org/0000-0002-3225-6268)
- Dorothea Clauss (ORCID: https://orcid.org/0009-0003-0752-5301)
- Alina Kias (ORCID: https://orcid.org/0000-0002-6201-5131)
Institutions
- Leibniz University Hannover (DE)
- Karolinska University Hospital (SE)
- German Sport University Cologne (DE)
- University of British Columbia (CA)
- Oregon Health & Science University (US)
- German Cancer Research Center (DE)
- Utrecht University (NL)
- Heidelberg University (DE)
- Edinburgh Napier University (GB)
- University Hospital Heidelberg (DE)
- Karolinska Institutet (SE)
- The Netherlands Cancer Institute (NL)
- University Medical Center Utrecht (NL)
- Institute of Cancer Research (CA)
- Cabrini Hospital (AU)
- National Center for Tumor Diseases (DE)
- Gottfried-Wilhelm-Leibniz-Gesellschaft (DE)
- Escola de Negócios e Administração (PT)
- Canadian Centre for Applied Research in Cancer Control (CA)
- Instituto Superior da Maia (PT)
- Heidelberg University (US)
- Australian Catholic University (AU)
Publication Details
- Journal
- JNCI Monographs
- Published
- 2025-08-19
- DOI
- https://doi.org/10.1093/jncimonographs/lgaf029
- Citations
- 1
- Primary Topic
- Cancer survivorship and care
- Type
- article
- Field-Weighted Citation Impact
- 1.05
Funders
- Australian Government
- European Commission
- National Institutes of Health
- Medical Research Council
- National Health and Medical Research Council