{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T12:21:03Z","timestamp":1789042863000,"version":"build-2803163510"},"reference-count":28,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["5T32CA122061"],"award-info":[{"award-number":["5T32CA122061"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["P30CA012197"],"award-info":[{"award-number":["P30CA012197"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["UM1TR004929"],"award-info":[{"award-number":["UM1TR004929"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000048","name":"American Cancer Society","doi-asserted-by":"publisher","award":["MSRG-18-136-01-CPPB"],"award-info":[{"award-number":["MSRG-18-136-01-CPPB"]}],"id":[{"id":"10.13039\/100000048","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Appl Gerontol"],"abstract":"<jats:p>\n                    Implementation fidelity (IF), the extent to which interventions are delivered as intended, is essential for assessing program integrity and informing future dissemination\/scalability. The REJOIN pilot trial adapted Fit &amp; Strong! (\n                    <jats:italic toggle=\"yes\">F&amp;S!<\/jats:italic>\n                    ) to deliver an education\/exercise intervention targeting aromatase inhibitor-associated joint pain among older breast cancer survivors (BCS) at two institutions. An independent reviewer analyzed video-recorded sessions to assess IF domains (content, dose\/exposure, delivery quality, participant responsiveness, contextual factors) using a 5-point Likert scale (1-low, 5-high). Overall, IF was high (mean 4.5\/5.0), indicating successful implementation of the adapted\n                    <jats:italic toggle=\"yes\">F&amp;S!<\/jats:italic>\n                    curriculum. Content (mean = 4.4) showed minor curriculum deviations, dose\/exposure (mean = 3.6) varied by session lengths, delivery quality (mean = 5.0) reflected enthusiastic ACSM and\n                    <jats:italic toggle=\"yes\">F&amp;S!<\/jats:italic>\n                    certified instructors, participant responsiveness (mean = 4.4) was evident through compliance\/engagement, contextual factors (mean = 4.8) included additions of breast cancer specific content and adaptations and mitigating technical issues of remote delivery. Monitoring IF ensures program integrity and informs future intervention design\/dissemination.\n                  <\/jats:p>","DOI":"10.1177\/07334648261472544","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T07:36:21Z","timestamp":1788766581000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluating the Implementation Fidelity of the REJOIN (Using Exercise to Relieve Joint Pain and Improve Aromatase Inhibitor Adherence in Older Breast Cancer Survivors) Pilot Trial"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1488-2898","authenticated-orcid":false,"given":"Erin M.","family":"Coffman","sequence":"first","affiliation":[{"name":"Wake Forest University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah G.","family":"Zakrzewski","sequence":"additional","affiliation":[{"name":"Wake Forest University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0406-0118","authenticated-orcid":false,"given":"Brianna N.","family":"Leitzelar","sequence":"additional","affiliation":[{"name":"University of Minnesota-Twin Cities"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0942-6001","authenticated-orcid":false,"given":"Case H.","family":"Peters","sequence":"additional","affiliation":[{"name":"Atrium Health Wake Forest Baptist Occupational Therapy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel P.","family":"Zimmer","sequence":"additional","affiliation":[{"name":"Wake Forest University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1769-3600","authenticated-orcid":false,"given":"Shirley M.","family":"Bluethmann","sequence":"additional","affiliation":[{"name":"Wake Forest University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"e_1_3_5_2_1","volume-title":"Breast cancer statistics | how common is breast cancer?","author":"American Cancer Society","year":"2026","unstructured":"American Cancer Society. (2026). Breast cancer statistics | how common is breast cancer? American Cancer Society. https:\/\/www.cancer.org\/cancer\/types\/breast-cancer\/about\/how-common-is-breast-cancer.html"},{"key":"e_1_3_5_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000005131"},{"key":"e_1_3_5_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.23.5.443"},{"key":"e_1_3_5_5_1","doi-asserted-by":"publisher","DOI":"10.1123\/japa.2022-0013"},{"key":"e_1_3_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jgo.2021.05.011"},{"key":"e_1_3_5_7_1","doi-asserted-by":"publisher","DOI":"10.1201\/9780849375477.ch178"},{"key":"e_1_3_5_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.2011.00233.x"},{"key":"e_1_3_5_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-2-40"},{"key":"e_1_3_5_10_1","doi-asserted-by":"crossref","unstructured":"Chapman J. E. Alley Z. M. Schoenwald S. K. (2022). Improving the feasibility of fidelity measurement for community-based quality assurance: Partial-versus full-session observations of supervisor adherence and competence. Implementation Research and Practice 3 Article 263348952211352. https:\/\/doi.org\/10.1177\/26334895221135263","DOI":"10.1177\/26334895221135263"},{"key":"e_1_3_5_11_1","doi-asserted-by":"publisher","DOI":"10.1123\/japa.2016-0256"},{"key":"e_1_3_5_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2020.04.005"},{"key":"e_1_3_5_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/her\/18.2.237"},{"key":"e_1_3_5_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-1-1"},{"key":"e_1_3_5_15_1","volume-title":"Fit & Strong!","author":"Fit & Strong","unstructured":"Fit & Strong. (n.d.). Fit & Strong!. University of Illinois Chicago. Retrieved February 18, 2026, from. https:\/\/fitandstrong.uic.edu\/"},{"key":"e_1_3_5_16_1","doi-asserted-by":"crossref","unstructured":"Grigorian N. Baumrucker S. J. 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