BACKGROUND Breast cancer survivors (BCS) face several symptoms and are at higher risk of weight gain following diagnosis. Current literature shows that both exercise and diet play a key role in recovery of BCS. However, there is a gap between current guidelines and the real-world context. The aim of this article is to describe the process behind a free, not-for-profit community-based therapeutic exercise and education programme (TEEP) for BCS in the clinical setting. METHODS The "Onco-Health Club" (OHC) consists of therapeutic exercise (TE) intervention aimed at ameliorating cancer-related fatigue (CRF) and improving QoL and physical function. TE is supplemented with nutritional education, providing information about the Mediterranean diet. To this end, patients are recruited from an oncologist and are referred to a physiotherapist and a nutritionist for baseline assessment. TEEP consists of a 3-month intervention, delivered twice a week in a group format with 1 h of TE and 30 min of nutritional education. BCS then have a final assessment and are advised to continue with a healthy lifestyle. Data about referral, compliance and assessment were collected. RESULTS From May 2017 to February of 2020, a total of 158 patients were recruited from 8 cohorts and 142 initially started the OHC. From 119 that joined the program, 96 patients were considered to have finished it with good adherence (assistance > 80%). BCS significantly improved their QoL, as well as upper and lower limb's function, and increased their level of physical activity. CRF tended to decrease (p = 0.005). CONCLUSIONS This study obtained data on recruitment, compliance, and possible limitations of these kinds of programmes in a real-world context. Further research is needed in order to optimize patient engagement and compliance, as well as to determine the transferability of these programmes in the clinical setting. TRIAL REGISTRATION NCT03879096, Registered 18th March 2019. Retrospectively registered.

中文翻译：

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为乳腺癌幸存者设计和实施治疗性运动和教育的标准护理计划。

背景 乳腺癌幸存者 (BCS) 面临多种症状，并且在诊断后体重增加的风险更高。目前的文献表明，运动和饮食在 BCS 的恢复中起着关键作用。然而，当前的指导方针与现实世界的环境之间存在差距。本文的目的是描述在临床环境中为 BCS 提供免费、非营利的基于社区的治疗运动和教育计划 (TEEP) 背后的过程。方法 “Onco-Health Club” (OHC) 包括治疗性运动 (TE) 干预，旨在改善癌症相关疲劳 (CRF) 并改善生活质量和身体机能。TE 辅以营养教育，提供有关地中海饮食的信息。为此，患者从肿瘤学家那里招募，并被转介给物理治疗师和营养师进行基线评估。TEEP 包括为期 3 个月的干预，每周两次以小组形式进行，其中包括 1 小时的 TE 和 30 分钟的营养教育。BCS 然后进行最终评估，并建议继续保持健康的生活方式。收集了关于转诊、合规和评估的数据。结果从 2017 年 5 月到 2020 年 2 月，共从 8 个队列中招募了 158 名患者，其中 142 名最初开始了 OHC。在加入该计划的 119 名患者中，96 名患者被认为以良好的依从性完成了该计划（帮助 > 80%）。BCS 显着改善了他们的生活质量，以及上肢和下肢的功能，并提高了他们的体力活动水平。CRF 趋于降低 (p = 0.005)。结论 本研究获得了有关招聘、合规性和此类项目在现实环境中可能存在的局限性的数据。需要进一步研究以优化患者的参与度和依从性，并确定这些项目在临床环境中的可转移性。试用注册 NCT03879096，2019 年 3 月 18 日注册。追溯注册。