bluuebunny/crossref_metadata_2025_split huggingface dataset:
EFFECTS OF A PRESCRIBED, SUPERVISED EXERCISE PROGRAMME ON HEALTH-RELATED QUALITY OF LIFE IN ONCOLOGY PATIENTS: A RETROSPECTIVE OBSERVATIONAL COHORT STUDY
Authors: Evans Dr Holly , Sharrad Mr Jack , Diebert Ms Crystal , Black-Tiong Dr Sean , Whitting Mrs Lauren 
Published: May 2024

INTRODUCTION & AIMS
Individuals diagnosed with cancer experience significant physical and psychosocial consequences from oncological treatment. Based on current research, exercise therapy may be a valuable non-pharmacological approach to improve health-related quality of life (HRQoL). However, the effectiveness of individually tailored exercise programs to improve quality of life in real-world settings is understudied. The current study aims to analyse preliminary clinical data regarding the impact of tailored exercise supervised within an Australian private day hospital (LIFT) on HRQoL in individuals diagnosed with cancer.

METHODS
A retrospective longitudinal cohort study was conducted on adults diagnosed with cancer who attended the LIFT clinical service for at least 12 months between 2020 and 2023. QoL and symptoms were assessed using the Functional Assessment of Cancer Treatment – General Questionnaire (FACT-G). Data collected included diagnosis (type and stage), medical treatment, session frequency, and demographic data.

RESULTS
Overall, 40 patients (age=67.0±16.8 years) met the inclusion criteria. A within-group analysis demonstrated significant findings in the subscales of emotional wellbeing (p = 0.008) and functional wellbeing (p = 0.003), and significance was also found in the total FACT-G score (p = 0.0019). Interestingly, while not statistically significant, a clinically significant difference in HRQoL was found between individuals completing ≤1 or ≥ 2 supervised exercise sessions per week at LIFT cancer care centre, favouring those completing ≥ 2 sessions.

CONCLUSION
Preliminary analysis indicated that a “real-world” individualised supervised moderate-vigorous exercise within a day hospital has the potential to significantly improve HRQoL outcomes in individuals diagnosed with cancer.
EXERCISE AND CANCER PROGRAM: A PRESCRIPTIVE EXERCISE PROGRAM IN A NON-CLINICAL SETTING
Authors: Quinn Miss Jaclyn 
Published: May 2024

INTRODUCTION & AIMS
This study aimed to establish a low-cost, sustainable exercise program for cancer patients in Gippsland, Australia, where access to such programs was previously limited. By developing and implementing a collaborative program, the program aimed to improve the physical and psycho-social well-being of cancer patients while reducing burden on healthcare services.

METHODS
Collaboration between Latrobe Community Health Service, Morwell Leisure Centre, and Gippsland Integrated Cancer Service led to the development of a prescriptive exercise program to provide cancer survivors a sustainable cost-effective exercise and cancer program in a community leisure centre. Exercise physiologists provided initial assessments, in which clients allocated to group-based, one-on-one, or home-based exercise sessions.

RESULTS
After 12 weeks in the program, 100% of participants that had a reassessment improved on at least one physical test and all improved on a subjective measure like fatigue, depression, or self-worth. On average, they saw a 14.88% increase in leg strength, a 12.70% increase in grip strength, and a 16.65% increase in aerobic fitness. Additionally, they reported an average decrease in anxiety (10.96%), depression (1.59%), fatigue (6.09%), and reported illness symptoms (5.24%). Overall, participant feedback was overwhelmingly positive, highlighting the benefits of the program’s psycho-social support and the opportunity to exercise outside a healthcare setting.

CONCLUSION
Collaboration between healthcare and leisure centres can provide sustainable and cost-effective exercise programs for cancer patients, improving physical and psycho-social well-being while reducing healthcare burden. Participants valued the support, social interaction, and sense of belonging provided by the program.
EXERCISE & CANCER PROGRAM: A COLLABORATIVE APPROACH TO PROVIDE PRESCRIPTIVE EXERCISE OUTSIDE OF THE CLINICAL HEALTHCARE SETTING
Authors: McMillan Jordan 
Published: May 2024

CASE SETTING
This study implemented a standardized exercise program for oncology patients in the Latrobe Valley region of Gippsland, Australia, aiming to assess its potential transferability to other regions. This was undertaken due to a lack of structured services available in Gippsland, limiting patient access to these programs, in which patients having to travel up to 2 hours for treatment in Melbourne.

TREATMENT
Implementation of a standardized exercise program for oncology patients, developed by a multidisciplinary team of exercise physiologists, oncology health professionals, and leisure centre fitness professionals. Exercise Physiologists conducted initial assessments and patients were placed in either individual, group exercise sessions and/or home-based programs.

RESULTS
The program demonstrated significant improvements in both physical and psychological well-being. The program has received 73 referrals, of which 48 participants completed initial assessments with an Exercise Physiologist. Of the remaining 25 participants, 2 were discharged to other services due to their location outside the program’s jurisdiction, 18 withdrew or did not attend their appointments, and 5 are currently on the waitlist for assessment. At the time of data collection, 17 participants had completed their reassessments.100% of participants improved on at least one physical test, and all participants improved on one of their subjective measures (fatigue, depression, anxiety, self-worth). Additionally, participant feedback was overwhelmingly positive, highlighting the program’s psycho-social support and the benefits of exercising outside a healthcare setting.

REFLECTIONS/LEARNINGS
This program successfully demonstrated the effectiveness of collaboration between healthcare services and leisure centres in delivering sustainable exercise programs for oncology patients outside of the healthcare setting. It also highlighted the value of providing both physical and psycho-social support, with the inclusion of care coordinators significantly reducing burdens on health services. The program’s success suggests strong potential for transferability to other regions.
EXERCISE PRESCRIPTION TO SUPPORT THE MANAGEMENT OF OSTEOPOROSIS: AN EXPERT STATEMENT FOR EXERCISE PHYSIOLOGISTS
Authors: Beck Prof Belinda , Lord Prof Stephen , Daly Robin M , Weeks AProf Benjamin , Watson Dr Steven , Chen Dr Weiwen 
Published: May 2024

INTRODUCTION & AIMS
Low bone density, which includes osteopenia and osteoporosis, leads to roughly 183,000 fractures annually in Australia, with associated direct costs of $2.59B. Osteoporosis is underdiagnosed. Exercise is effective therapy but is underutilised due to a lack of knowledge and unfounded concerns about risk of injury. The aim of the newly developed Exercise Prescription for the Prevention of Osteoporosis Fracture National Statement is to provide clear, actionable, evidence-based exercise advice to improve the bone health of people living with osteopenia and osteoporosis. The project was led and supported by Healthy Bones Australia with funding awarded by the Australian Government Department of Health, Public Health and Chronic Disease Program Osteoporosis – Education and Prevention.

METHODS
An expert working group (scientists, AEP, physiotherapist, endocrinologist and orthopaedic resident) and advisory committee (practising AEPs and physiotherapists) reviewed current evidence and existing guidelines to formulate recommendations for a national statement in the Australian context. A National Exercise Roundtable was convened, including consumers and stakeholders across multiple disciplines, to adapt the recommendations for clinical practice and consumer acceptability.

RESULTS
The final statement is presented as an evidence-based document, and a 2-page user summary. The Statement outlines the general principles of osteogenic loading and falls prevention, then presents a comprehensive exercise prescription based on those principles, along with special considerations for comorbid conditions. Level A consensus was achieved on five summary statements.

CONCLUSION
Bone health is an essential part of general health. While exercise prescription for other chronic diseases, such as, heart health and diabetes, is quite well established, there is a care gap for bone which we have addressed. Our National Statement, informed by high level evidence and expert insight, delivers best practice for prescribing exercise for osteoporosis to achieve best patient outcomes. We will present the document to the intended end users – exercise physiologists.
ENHANCING REFLECTIVE CAPACITIES IN EXERCISE PHYSIOLOGY: BRIDGING EDUCATION AND LIFELONG PROFESSIONAL LEARNING
Authors: Vecchio Dr Luke Del , Irwin Associate Professor Pauletta , Coutts Associate Professor Rosanne 
Published: May 2024

INTRODUCTION & OBJECTIVES
Essential to both students and experienced exercise physiology practitioners, reflective practice is a cornerstone of lifelong learning and improved client care. In clinical settings reflection, characterised by awareness, is the critical analysis of experience and requires integration into higher education curriculum.

METHODOLOGY
Final-year exercise physiology students (N = 21) and 5 clinical exercise physiology supervisors completed a reflective practice learning activity. The stepped process of SPROUT was utilised, via classroom teaching and 14 weeks of clinical practicum. SPROUT represents the Situation, Past experiences, Read and refer, Other influences, Understanding, and Taking it forward. Teaching modes included group discussion, clinical situations, and student-led practice along with the completion of written reflections. Each student responded to the Reflection in Learning Scale (RLS) and further questions about their confidence. Written scripts were analysed for meaning and each ranked. Supervisors responded to open-ended questions during a focus group.

FINDINGS
Student scores for the RLS revealed higher scores for planning, knowledge integration and mental processing and lower for interactions with knowledge, mindful summarising and coping with negative emotions. 75% of students indicated that they were confident with reflective practice and that SPROUT, however time-consuming, had been helpful. Written scripts showed a range of developing abilities, from novice requiring more depth to those more advanced who demonstrated meaningful engagement and solution-orientated reflective ability. Clinical supervisors supported the importance of reflective practice and were positive about the application of the stepped approach of SPROUT.

CONCLUSIONS
The SPROUT framework supported reflective practice learning, benefiting both students and qualified practitioners, facilitating not only increased confidence but also a more profound understanding of clinical encounters. The structured approach of SPROUT proved beneficial in guiding reflective thinking. This research underscores the importance of reflective practice in exercise physiology, endorsing its role in ongoing professional development.
CONSUMER EXPERIENCE OF AN AUSTRALIAN MULTIDISCIPLINARY LONG COVID CLINIC THAT INCORPORATES PERSONALISED EXERCISE PRESCRIPTION: A QUALITATIVE ANALYSIS
Authors: Buettikofer Ms Tanya , Maher Ms Allison , Rainbird Ms Veronica , Bennett Ms Michelle , Freene Associate Professor Nicole , Mitchell Professor Imogen , Huang Dr Hsin-Chia Carol , Gaughwin Dr Phil , Johnson Mary , Paratz Jenny , Bissett Bernie 
Published: May 2024

INTRODUCTION & AIMS
Little is known about the Australian experience of Long COVID recovery, particularly with respect to exercise prescription. The aim of this study was to understand the consumer experience and acceptability of a novel Australian Long COVID Recovery Clinic that incorporates personalised exercise prescription, including respiratory and peripheral strengthening and carefully monitored cardiovascular training.

METHODS
Qualitative study; semi-structured interviews with a convenience sample of participants who have completed a multidisciplinary, individually-tailored and supervised programme at our Long COVID Recovery Clinic. Interviews were conducted by a researcher external to the clinic delivery. Major themes were identified by inductive thematic analysis.

RESULTS
15 participants were interviewed. 14/15 (93%) participants described the clinic model as acceptable or highly acceptable. Five core themes were identified, including (1) encouraging staff and light-filled facilities are key to support recovery; (2) individually tailored, supervised exercise and pacing helped to improve confidence in building exercise capacity; (3) peer support and group therapy augments recovery; (4) recovery from Long COVID is incomplete, and other services augment the Long COVID Recovery Clinic model; and (5) importance of GP involvement in connection with clinic participation. Suggestions for improvement included extending the duration of the clinic programme beyond 2 months, reducing wait times by increasing staffing levels and adjusting the clinic schedule to broaden access options.

CONCLUSION
The majority of participants found the Long COVID Recovery Clinic, which incorporates both supervised exercise and pacing, acceptable and would recommend it to others. From the consumer perspective, the Long COVID Recovery Clinic aids recovery alongside GP management through a combination of peer support and an individually tailored program.
MEANINGFUL MULTIDISCIPLINARY REHABILITATION FOR HEART AND LUNG CONDITIONS: A COLLABORATION BETWEEN ORGANISATIONS AND SECTORS TOWARDS SELF-MANAGEMENT
Authors: Ghidella Mrs Katrina 
Published: May 2024

It is well documented that mainstream services are not always well attended by Aboriginal and Torres Strait Islander people due to a range of issues including transport and culturally safe practice. Establishing these services within the community-controlled sector is one way to increase access and culturally responsive care.
This initiative involved a new model of service delivery, whereby a partnership between Hospital Health Services and community-controlled Aboriginal and Torres Strait Islander primary healthcare organisations enabled the establishment of new Cardiac and Pulmonary Rehabilitation Programs within the Institute for Urban Indigenous Health (IUIH) Network for First Nations people. This Network is comprised of the five Aboriginal and Torres Strait Islander Community Controlled Health Organisations (ATSICCHO’s) who operate as a regional collective with IUIH providing leading strategic direction and coordination.
Through a multidisciplinary team, specialised cardiac and pulmonary rehabilitation is provided to First Nations people as a culturally capable alternative to hospital cardiac and pulmonary rehabilitation, particularly for those not currently accessing treatment.
The specialised rehabilitation programs are supported by the IUIH System of Care that supports clients to access a wide array of holistic health services and programs designed to meet community needs and strengthen pathways for clients to self-manage their health needs in a self-led manner.
The Rehabilitation Programs are a multidisciplinary exercise and education program delivered by a range of health professionals including Accredited Exercise Physiologist’s, Physiotherapists, Nurses and Aboriginal and Torres Strait Islander Allied Health Assistants. Clients also have access to a range of other Allied Health Professionals, including Dieticians Occupational Therapists, Pharmacists, Social Health, Podiatrists, Optometrists, Speech Therapists and Audiologists.
Referrals are received from ATSICCHOS, Queensland Health and Primary Health General Practitioners and Specialists. The client journeys through a multidisciplinary assessment to then determine their goals and health needs. This presentation will provide insights into the First Nations-led partnership, challenges and solutions to working across the whole health sector and outcomes for clients.
ESSA ADVOCACY NETWORK
Authors: Hocking Elyse , Powell Judy 
Published: May 2024

INTRODUCTION AND AIMS
Advocacy is an important and effective way to influence policy changes to improve outcomes. Best practice advocacy is when efforts are coordinated, multifaceted, structured, and collective.
The ESSA Advocacy Network was piloted in 2021, to improve engagement with members, and strengthen ESSA advocacy efforts, whilst simultaneously building members capacity and confidence, to engage in activities for positive change.

METHOD
ESSA advocacy priorities are broad and diverse, aiming to enhance workforce opportunities to benefit all member groups. These areas include chronic conditions, mental health, rural and remote health, disability, aged care, physical activity, primary healthcare, public health, sport, and, workplace and personal injury. These priorities are affected by enablers including technology and innovation, data and evidence and funding mechanisms such as GST and fee schedules in compensable scheme. All advocacy efforts aim to reduce barriers, enhance enablers and increase access to the exercise and sports science workforce. The advocacy network self-identify interest in priorities and are engaged when opportunities arise to share knowledge, experience and their expertise to inform and shape advocacy.

RESULTS
In 2023, members were engaged in the development of over 300 submissions and letters. Advocacy efforts resulted in member engagement in meetings with Members of Parliament, Senators, Parliamentary advisors, and senior government officials plus representation on advisory groups for the development of clinical guidelines, strategic plans and resources for allied health.

CONCLUSION
As the advocacy network emerges from its infancy into the next stage of maturity as an integral part of advocacy for exercise physiology, exercise science, and sport science, a professional and streamlined approach is required. ESSA will grow the network in terms of members engaged and the output.
EXERCISE PRESCRIPTION IN A MULTIDISCIPLINARY LONG COVID CLINIC: METHODOLOGY FROM AN AUSTRALIAN EXPERIENCE
Authors: Johnson Ms Mary , Maher Ms Allison , Bennett Ms Michelle , Buettikofer Ms Tanya , Huang Dr Hsin-Chia Carol , Gaughwin Associate Professor Phil , Rainbird Ms Veronica , Mitchell Professor Imogen , Bissett Professor Bernie 
Published: May 2024

INTRODUCTION & AIMS
The University of Canberra Hospital Post-COVID Recovery Clinic is one of Australia’s few multidisciplinary outpatient clinics. Our model includes personally-prescribed exercise of both inspiratory and peripheral muscles. We have treated &gt; 200 people with Long COVID with no serious adverse events, and our model is highly acceptable to consumers. This paper offers a detailed description of our methodology capturing how we achieve safe, tailored personal exercise, and carefully manage post-exertional symptom exacerbation (PESE).

METHODOLOGY
Initial screening appointments last 2 hours, and clients are referred for medical review if they have signs or symptoms of an acute or life-threatening complication (e.g. unexplained chest pain). Individualised exercise programs are prescribed, progressed, and monitored by an Exercise Physiologist or Physiotherapist initially on an individual basis, then in a supervised group setting. The group program consists of twice weekly sessions of 60 minutes duration. Clients attending group therapies are provided with a home exercise program to enable self-management. Clients are screened at baseline assessment for PESE triggered by participation in activities of daily living. All clients receive education about activity modification and pacing strategies. For clients experiencing PESE, activity is not progressed until they can tolerate 2 weeks of activity without PESE. For peripheral muscles, progressive resistance exercises are prescribed at a submaximal intensity (RPE 4-6/10), with 4-6 exercises completed 3 days/week. Once able to tolerate ADLs, low intensity cardiovascular exercise is gradually introduced with increased monitoring from a clinician. For patients with dyspnoea, high-intensity inspiratory muscle training is prescribed as 5 sets of 6 breaths at least 50% of their maximal inspiratory pressure (30 breaths total) 5 days per week.

CONCLUSION
Our experience indicates that it is possible to safely prescribe exercise in people with Long COVID, incorporating both peripheral and inspiratory muscle training, while carefully monitoring and managing PESE.
YOUNG STRONG AND DEADLY PROGRAM EVALUATION
Authors: Fraser Mr Andrew , D’Urso Mr Tano , Biles Dr Brett , Macniven Dr Rona , Fletcher-Lartety Dr Stephanie 
Published: May 2024

INTRODUCTION & AIMS
For Aboriginal young people, physical activity declines through puberty, adolescence, and early adulthood. Western Sydney Local Health District (WSLHD) departments, Aboriginal Health Hub and Youth Health, together with western Sydney Aboriginal communities co-designed the Young, Strong, and Deadly program. The program is an assertive intervention which aims to increase healthy behaviours and improve social and emotional wellbeing among young Aboriginal adolescents aged 12-16 years. The program is an Aboriginal researcher led, 14-week health education and physical exercise program that includes paid PCYC gym memberships, guided gym sessions, transport provision and nutrition education.

METHODS
The study used a mixed method pre-post design with a process evaluation. Participants were recruited through convenience and snowball sampling including engagement with schools and Aboriginal community-controlled organisations. Data were collected on participation and attendance, performance, satisfaction and intention to continue with activities.

RESULTS
For the first of three cohorts, 31 participants were recruited, of which 24 completed the 14week program. All participants demonstrated significant improvements in strength & conditioning. Five focus groups were conducted with 20 adolescents and seven parents, individually or in pairs. Adolescents enjoyed the program, particularly achieving gains in strength and fitness, learning and practicing new recipes and having an Aboriginal specific program. Parents spoke favourably of the program including improvements in their children’s health behaviours, focus on school and confidence, and appreciated the staff input and program operations.

CONCLUSION
Young Strong and Deadly has been implemented in community settings and has demonstrated feasibility and acceptability among Aboriginal adolescents and their families. Initial findings show that a culturally appropriate assertive intervention program can impact on social and emotional wellbeing as well as improving the health of young Aboriginal people.