{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T00:03:10Z","timestamp":1780617790418,"version":"3.54.1"},"reference-count":56,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T00:00:00Z","timestamp":1776729600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T00:00:00Z","timestamp":1780617600000},"content-version":"vor","delay-in-days":45,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"name":"Cedars-Sinai Cancer"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Sports Sci Med Rehabil"],"DOI":"10.1186\/s13102-026-01671-3","type":"journal-article","created":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T13:05:30Z","timestamp":1776776730000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Strategies for promoting exercise adherence within a cancer exercise recovery program: a qualitative case study"],"prefix":"10.1186","volume":"18","author":[{"given":"Nadia","family":"Huynh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Novalyn","family":"Cruz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ciera","family":"Torney","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Ruggieri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1194-5440","authenticated-orcid":false,"given":"Philip","family":"Chang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7080-611X","authenticated-orcid":false,"given":"Arash","family":"Asher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0286-1579","authenticated-orcid":false,"given":"Celina H.","family":"Shirazipour","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,21]]},"reference":[{"issue":"5","key":"1671_CR1","doi-asserted-by":"publisher","first-page":"432","DOI":"10.1097\/00130404-200609000-00012","volume":"12","author":"CM Alfano","year":"2006","unstructured":"Alfano CM, Rowland JH. Recovery issues in cancer survivorship: a new challenge for supportive care. Cancer J. 2006;12(5):432\u201343. https:\/\/doi.org\/10.1097\/00130404-200609000-00012.","journal-title":"Cancer J"},{"key":"1671_CR2","doi-asserted-by":"publisher","unstructured":"Siegel RL, Miller KD, Fuchs HE, Jemal A, Cancer statistics. 2022. CA: A Cancer Journal for Clinicians. 2022;72(1):7\u201333. https:\/\/doi.org\/10.3322\/caac.21708","DOI":"10.3322\/caac.21708"},{"issue":"13","key":"1671_CR3","doi-asserted-by":"publisher","first-page":"2198","DOI":"10.1200\/jco.2007.14.6217","volume":"26","author":"CM Blanchard","year":"2008","unstructured":"Blanchard CM, Courneya KS, Stein K. Cancer survivors\u2019 adherence to lifestyle behavior recommendations and associations with health-related quality of life: results from the American Cancer Society\u2019s SCS-II. J Clin Oncol. 2008;26(13):2198\u2013204. https:\/\/doi.org\/10.1200\/jco.2007.14.6217.","journal-title":"J Clin Oncol"},{"issue":"34","key":"1671_CR4","doi-asserted-by":"publisher","first-page":"8884","DOI":"10.1200\/jco.2005.02.2343","volume":"23","author":"KM Bellizzi","year":"2005","unstructured":"Bellizzi KM, Rowland JH, Jeffery DD, McNeel T. Health behaviors of cancer survivors: examining opportunities for cancer control intervention. J Clin Oncol. 2005;23(34):8884\u201393. https:\/\/doi.org\/10.1200\/jco.2005.02.2343.","journal-title":"J Clin Oncol"},{"issue":"4","key":"1671_CR5","doi-asserted-by":"publisher","first-page":"891","DOI":"10.1007\/s00520-013-2045-7","volume":"22","author":"CC Forbes","year":"2014","unstructured":"Forbes CC, Blanchard CM, Mummery WK, Courneya KS. A comparison of physical activity correlates across breast, prostate and colorectal cancer survivors in Nova Scotia, Canada. Support Care Cancer. 2014;22(4):891\u2013903. https:\/\/doi.org\/10.1007\/s00520-013-2045-7.","journal-title":"Support Care Cancer"},{"key":"1671_CR6","doi-asserted-by":"publisher","first-page":"E156","DOI":"10.5888\/pcd11.140067","volume":"11","author":"P Nayak","year":"2014","unstructured":"Nayak P, Holmes HM, Nguyen HT, Elting LS. Self-Reported Physical Activity Among Middle-Aged Cancer Survivors in the United States: Behavioral Risk Factor Surveillance System Survey, 2009. Prev Chronic Dis. 2014;11:E156. https:\/\/doi.org\/10.5888\/pcd11.140067.","journal-title":"Prev Chronic Dis"},{"key":"1671_CR7","doi-asserted-by":"publisher","first-page":"369","DOI":"10.1002\/pon.1465","volume":"18","author":"BM Pinto","year":"2009","unstructured":"Pinto BM, Rabin C, Dunsiger S. Home-based exercise among cancer survivors: adherence and its predictors. Psychooncology. 2009;18:369\u201376. https:\/\/doi.org\/10.1002\/pon.1465.","journal-title":"Psychooncology"},{"issue":"2","key":"1671_CR8","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1111\/j.1365-2354.2011.01290.x","volume":"21","author":"AE Speed-Andrews","year":"2012","unstructured":"Speed-Andrews AE, Rhodes RE, Blanchard CM, Culos-Reed SN, Friedenreich CM, Belanger LJ, et al. Medical, demographic and social cognitive correlates of physical activity in a population-based sample of colorectal cancer survivors. Eur J Cancer Care (Engl). 2012;21(2):187\u201396. https:\/\/doi.org\/10.1111\/j.1365-2354.2011.01290.x.","journal-title":"Eur J Cancer Care (Engl)"},{"issue":"1","key":"1671_CR9","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1186\/s12966-021-01116-9","volume":"18","author":"S Elshahat","year":"2021","unstructured":"Elshahat S, Treanor C, Donnelly M. Factors influencing physical activity participation among people living with or beyond cancer: a systematic scoping review. Int J Behav Nutr Phys Act. 2021;18(1):50. https:\/\/doi.org\/10.1186\/s12966-021-01116-9.","journal-title":"Int J Behav Nutr Phys Act"},{"issue":"4","key":"1671_CR10","doi-asserted-by":"publisher","first-page":"383","DOI":"10.3138\/ptc.2015-84","volume":"68","author":"J Smith-Turchyn","year":"2016","unstructured":"Smith-Turchyn J, Richardson J, Tozer R, McNeely M, Thabane L. Physical Activity and Breast Cancer: A Qualitative Study on the Barriers to and Facilitators of Exercise Promotion from the Perspective of Health Care Professionals. Physiother Can. 2016;68(4):383\u201390. https:\/\/doi.org\/10.3138\/ptc.2015-84.","journal-title":"Physiother Can"},{"issue":"6","key":"1671_CR11","doi-asserted-by":"publisher","first-page":"E71","DOI":"10.1188\/13.cjon.e71-e76","volume":"17","author":"KH Karvinen","year":"2013","unstructured":"Karvinen KH, Carr LJ, Stevinson C. Resources for physical activity in cancer centers in the United States. Clin J Oncol Nurs. 2013;17(6):E71\u20136. https:\/\/doi.org\/10.1188\/13.cjon.e71-e76.","journal-title":"Clin J Oncol Nurs"},{"key":"1671_CR12","doi-asserted-by":"publisher","first-page":"100088","DOI":"10.1016\/j.pecinn.2022.100088","volume":"1","author":"M Ranes","year":"2022","unstructured":"Ranes M, Wiestad TH, Thormodsen I, Arving C. Determinants of exercise adherence and maintenance for cancer survivors: Implementation of a community-based group exercise program. A qualitative feasibility study. PEC Innov. 2022;1:100088. https:\/\/doi.org\/10.1016\/j.pecinn.2022.100088.","journal-title":"PEC Innov"},{"issue":"3","key":"1671_CR13","doi-asserted-by":"publisher","first-page":"713","DOI":"10.1002\/pon.4612","volume":"27","author":"HL Ormel","year":"2018","unstructured":"Ormel HL, van der Schoot GGF, Sluiter WJ, Jalving M, Gietema JA, Walenkamp AME. Predictors of adherence to exercise interventions during and after cancer treatment: A systematic review. Psychooncology. 2018;27(3):713\u201324. https:\/\/doi.org\/10.1002\/pon.4612.","journal-title":"Psychooncology"},{"issue":"7","key":"1671_CR14","doi-asserted-by":"publisher","first-page":"e972","DOI":"10.1200\/op.20.00625","volume":"17","author":"AH Ng","year":"2021","unstructured":"Ng AH, Ngo-Huang A, Vidal M, Reyes-Garcia A, Liu DD, Williams JL, et al. Exercise Barriers and Adherence to Recommendations in Patients With Cancer. JCO Oncol Pract. 2021;17(7):e972\u201381. https:\/\/doi.org\/10.1200\/op.20.00625.","journal-title":"JCO Oncol Pract"},{"key":"1671_CR15","doi-asserted-by":"publisher","unstructured":"Collado-Mateo D, Lav\u00edn-P\u00e9rez AM, Pe\u00f1acoba C, Del Coso J, Leyton-Rom\u00e1n M, Luque-Casado A, et al. Key Factors Associated with Adherence to Physical Exercise in Patients with Chronic Diseases and Older Adults: An Umbrella Review. Int J Environ Res Public Health. 2021;18(4). https:\/\/doi.org\/10.3390\/ijerph18042023.","DOI":"10.3390\/ijerph18042023"},{"key":"1671_CR16","doi-asserted-by":"publisher","unstructured":"Imms C, Granlund M. Participation: Are we there yet\u2026 Australian Occupational Therapy Journal. 2014;61(5):291-2. https:\/\/doi.org\/10.1111\/1440-1630.12166.","DOI":"10.1111\/1440-1630.12166."},{"key":"1671_CR17","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1016\/j.psychsport.2018.04.009","volume":"37","author":"MB Evans","year":"2018","unstructured":"Evans MB, Shirazipour CH, Allan V, Zanhour M, Sweet SN, Martin Ginis KA, et al. Integrating insights from the parasport community to understand optimal Experiences: The Quality Parasport Participation Framework. Psychol Sport Exerc. 2018;37:79\u201390. https:\/\/doi.org\/10.1016\/j.psychsport.2018.04.009.","journal-title":"Psychol Sport Exerc"},{"issue":"21","key":"1671_CR18","doi-asserted-by":"publisher","first-page":"3078","DOI":"10.1080\/09638288.2020.1733676","volume":"43","author":"AJ Fong","year":"2021","unstructured":"Fong AJ, Saxton HR, Kauffeldt KD, Sabiston CM, Tomasone JR. We\u2019re all in the same boat together: exploring quality participation strategies in dragon boat teams for breast cancer survivors. Disabil Rehabil. 2021;43(21):3078\u201389. https:\/\/doi.org\/10.1080\/09638288.2020.1733676.","journal-title":"Disabil Rehabil"},{"issue":"3","key":"1671_CR19","doi-asserted-by":"publisher","first-page":"2183","DOI":"10.1007\/s00520-021-06591-1","volume":"30","author":"KD Kauffeldt","year":"2022","unstructured":"Kauffeldt KD, Sabiston CM, Santa Mina D, Tomasone JR. An organizational approach to exploring the determinants of community-based exercise program implementation for breast cancer survivors. Support Care Cancer. 2022;30(3):2183\u201396. https:\/\/doi.org\/10.1007\/s00520-021-06591-1.","journal-title":"Support Care Cancer"},{"issue":"12","key":"1671_CR20","doi-asserted-by":"publisher","first-page":"635","DOI":"10.1007\/s00520-023-08089-4","volume":"31","author":"KD Kauffeldt","year":"2023","unstructured":"Kauffeldt KD, Sabiston CM, Latimer-Cheung AE, Tomasone JR. It has to be more than exercise: exploring multiple perspectives to community-based exercise program design for persons with breast cancer. Support Care Cancer. 2023;31(12):635. https:\/\/doi.org\/10.1007\/s00520-023-08089-4.","journal-title":"Support Care Cancer"},{"issue":"1","key":"1671_CR21","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1002\/cncr.28978","volume":"121","author":"RN Adams","year":"2014","unstructured":"Adams RN, Mosher CE, Blair CK, Snyder DC, Sloane R, Demark-Wahnefried W. Cancer survivors\u2019 uptake and adherence in diet and exercise intervention trials: An integrative data analysis. Cancer. 2014;121(1):77\u201383.","journal-title":"Cancer"},{"issue":"15","key":"1671_CR22","doi-asserted-by":"publisher","first-page":"141303","DOI":"10.3389\/fphys.2024.1413038","volume":"19","author":"T Han","year":"2024","unstructured":"Han T, Xi R, Wang J, Yan H, Li L. Adherence to ACSM exercise guidelines and its influence on Fibromyalgia treatment outcomes: a meta-analysis of randomized controlled trials. Front Physiol. 2024;19(15):141303. https:\/\/doi.org\/10.3389\/fphys.2024.1413038.","journal-title":"Front Physiol"},{"issue":"4","key":"1671_CR23","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1249\/FIT.0b013e31825a6db6","volume":"16","author":"D Pekmezi","year":"2012","unstructured":"Pekmezi D, Martin MY, Kvale E, Meneses K, Demark-Wahnefried W. Enhancing exercise adherence for breast cancer survivors. ACSMs Health Fit J. 2012;16(4):8\u201313. https:\/\/doi.org\/10.1249\/FIT.0b013e31825a6db6.","journal-title":"ACSMs Health Fit J"},{"key":"1671_CR24","unstructured":"Stake RE. The art of case study research. Thousand Oaks: SAGE; 1995."},{"key":"1671_CR25","unstructured":"Stake RE. Multiple case study analysis. New York: Guilford Press; 2006."},{"key":"1671_CR26","doi-asserted-by":"publisher","unstructured":"Flyvberg B. Five misunderstandings about case-study research. Qualitative Inq. 2006;12(2). https:\/\/doi.org\/10.1177\/1077800405284363.","DOI":"10.1177\/1077800405284363"},{"key":"1671_CR27","doi-asserted-by":"publisher","unstructured":"Braun V, Clarke V. To saturate or not to saturate? Questioning data saturation as a useful concept for thematic analysis and sample-size rationales. Qualitative Res Sport Exerc Health. 2021;13(2). https:\/\/doi.org\/10.1080\/2159676X.2019.1704846.","DOI":"10.1080\/2159676X.2019.1704846"},{"key":"1671_CR28","doi-asserted-by":"publisher","unstructured":"Malterud K, Siersma VD, Guassora AD. Sample size in qualitative interview studies: Guided by information power. Qual Health Res. 2015;26(13). https:\/\/doi.org\/10.1177\/1049732315617444.","DOI":"10.1177\/1049732315617444"},{"key":"1671_CR29","first-page":"338","volume-title":"Thematic analysis: a practical guide","author":"V Braun","year":"2022","unstructured":"Braun V, Clarke V. Thematic analysis: a practical guide. Thousand Oaks, California: SAGE Publications LTD; 2022. p. 338."},{"issue":"3","key":"1671_CR30","doi-asserted-by":"publisher","first-page":"328","DOI":"10.1080\/14780887.2020.1769238","volume":"18","author":"V Braun","year":"2021","unstructured":"Braun V, Clarke V. One size fits all? What counts as quality practice in (reflexive) thematic analysis? Qualitative. Res Psychol. 2021;18(3):328\u201352. https:\/\/doi.org\/10.1080\/14780887.2020.1769238.","journal-title":"Res Psychol"},{"issue":"40","key":"1671_CR31","doi-asserted-by":"publisher","first-page":"e4629","DOI":"10.1097\/md.0000000000004629","volume":"95","author":"P Fassier","year":"2016","unstructured":"Fassier P, Zelek L, Partula V, Srour B, Bachmann P, Touillaud M, et al. Variations of physical activity and sedentary behavior between before and after cancer diagnosis: Results from the prospective population-based NutriNet-Sant\u00e9 cohort. Med (Baltim). 2016;95(40):e4629. https:\/\/doi.org\/10.1097\/md.0000000000004629.","journal-title":"Med (Baltim)"},{"issue":"7","key":"1671_CR32","doi-asserted-by":"publisher","first-page":"1220","DOI":"10.1016\/j.pec.2016.01.019","volume":"99","author":"A Henriksson","year":"2016","unstructured":"Henriksson A, Arving C, Johansson B, Igelstr\u00f6m H, Nordin K. Perceived barriers to and facilitators of being physically active during adjuvant cancer treatment. Patient Educ Couns. 2016;99(7):1220\u20136. https:\/\/doi.org\/10.1016\/j.pec.2016.01.019.","journal-title":"Patient Educ Couns"},{"issue":"5","key":"1671_CR33","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1046\/j.1523-5394.2000.85004.x","volume":"8","author":"BJ Zebrack","year":"2000","unstructured":"Zebrack BJ. Cancer survivor identity and quality of life. Cancer Pract. 2000;8(5):238\u201342. https:\/\/doi.org\/10.1046\/j.1523-5394.2000.85004.x.","journal-title":"Cancer Pract"},{"issue":"Suppl 2","key":"1671_CR34","doi-asserted-by":"publisher","first-page":"S430","DOI":"10.1007\/s11606-009-0993-x","volume":"24","author":"CL Park","year":"2009","unstructured":"Park CL, Zlateva I, Blank TO. Self-identity after cancer: survivor, victim, patient, and person with cancer. J Gen Intern Med. 2009;24(Suppl 2):S430\u20135. https:\/\/doi.org\/10.1007\/s11606-009-0993-x.","journal-title":"J Gen Intern Med"},{"key":"1671_CR35","unstructured":"FongAJ. Mind the (Knowledge-to-Action) Gap: Exploring Factors that Affect Physical Activity in Breast Cancer Survivors. 2017. https:\/\/utoronto.scholaris.ca\/server\/api\/core\/bitstreams\/920e60e5-99d6-4755-9c5d-436af05c2ee2\/content."},{"issue":"1","key":"1671_CR36","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1186\/s12966-016-0425-3","volume":"13","author":"CS Kampshoff","year":"2016","unstructured":"Kampshoff CS, van Mechelen W, Schep G, Nijziel MR, Witlox L, Bosman L, et al. Participation in and adherence to physical exercise after completion of primary cancer treatment. Int J Behav Nutr Phys Act. 2016;13(1):100. https:\/\/doi.org\/10.1186\/s12966-016-0425-3.","journal-title":"Int J Behav Nutr Phys Act"},{"issue":"1","key":"1671_CR37","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1002\/pon.3380","volume":"23","author":"MH McDonough","year":"2014","unstructured":"McDonough MH, Sabiston CM, Wrosch C. Predicting changes in posttraumatic growth and subjective well-being among breast cancer survivors: the role of social support and stress. Psychooncology. 2014;23(1):114\u201320. https:\/\/doi.org\/10.1002\/pon.3380.","journal-title":"Psychooncology"},{"issue":"4","key":"1671_CR38","doi-asserted-by":"publisher","first-page":"607","DOI":"10.1093\/geront\/gnz051","volume":"60","author":"JL Guida","year":"2020","unstructured":"Guida JL, Holt CL, Dallal CM, He X, Gold R, Liu H. Social Relationships and Functional Impairment in Aging Cancer Survivors: A Longitudinal Social Network Study. Gerontologist. 2020;60(4):607\u201316. https:\/\/doi.org\/10.1093\/geront\/gnz051.","journal-title":"Gerontologist"},{"issue":"5","key":"1671_CR39","doi-asserted-by":"publisher","first-page":"272","DOI":"10.1007\/s00520-023-07710-w","volume":"31","author":"JE Fardell","year":"2023","unstructured":"Fardell JE, Irwin CM, Vardy JL, Bell ML. Anxiety, depression, and concentration in cancer survivors: National Health and Nutrition Examination Survey results. Support Care Cancer. 2023;31(5):272. https:\/\/doi.org\/10.1007\/s00520-023-07710-w.","journal-title":"Support Care Cancer"},{"issue":"4","key":"1671_CR40","doi-asserted-by":"publisher","first-page":"286","DOI":"10.1177\/0193945919856575","volume":"42","author":"SA Rowland","year":"2020","unstructured":"Rowland SA, Cohen MZ, Pullen CH, Schulz PS, Berg KE, Kupzyk KA, et al. Vicarious Experience to Affect Physical Activity in Women: A Randomized Control Trial. West J Nurs Res. 2020;42(4):286\u201392. https:\/\/doi.org\/10.1177\/0193945919856575.","journal-title":"West J Nurs Res"},{"issue":"5","key":"1671_CR41","doi-asserted-by":"publisher","first-page":"765","DOI":"10.1123\/japa.2022-0140","volume":"31","author":"L Morrison","year":"2023","unstructured":"Morrison L, McDonough MH, Zimmer C, Din C, Hewson J, Toohey A, et al. Instructor Social Support in the Group Physical Activity Context: Older Participants\u2019 Perspectives. J Aging Phys Act. 2023;31(5):765\u201375. https:\/\/doi.org\/10.1123\/japa.2022-0140.","journal-title":"J Aging Phys Act"},{"issue":"4","key":"1671_CR42","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1046\/j.1523-5394.2002.104003.x","volume":"10","author":"LW Jones","year":"2002","unstructured":"Jones LW, Courneya KS. Exercise counseling and programming preferences of cancer survivors. Cancer Pract. 2002;10(4):208\u2013. https:\/\/doi.org\/10.1046\/j.1523-5394.2002.104003.x. \u200915.","journal-title":"Cancer Pract"},{"issue":"5","key":"1671_CR43","doi-asserted-by":"publisher","first-page":"1222","DOI":"10.1016\/j.pec.2020.09.003","volume":"104","author":"J Greene","year":"2021","unstructured":"Greene J, Ramos C. A Mixed Methods Examination of Health Care Provider Behaviors That Build Patients\u2019 Trust. Patient Educ Couns. 2021;104(5):1222\u20138. https:\/\/doi.org\/10.1016\/j.pec.2020.09.003.","journal-title":"Patient Educ Couns"},{"issue":"1","key":"1671_CR44","doi-asserted-by":"publisher","first-page":"131","DOI":"10.5301\/tj.5000230","volume":"101","author":"G Morasso","year":"2015","unstructured":"Morasso G, Caruso A, Belbusti V, Carucci T, Chiorri C, Clavarezza V, et al. Improving physicians\u2019 communication skills and reducing cancer patients\u2019 anxiety: a quasi-experimental study. Tumori. 2015;101(1):131\u20137. https:\/\/doi.org\/10.5301\/tj.5000230.","journal-title":"Tumori"},{"issue":"5","key":"1671_CR45","doi-asserted-by":"publisher","first-page":"657","DOI":"10.1016\/s0277-9536(00)00014-9","volume":"51","author":"D Mechanic","year":"2000","unstructured":"Mechanic D, Meyer S. Concepts of trust among patients with serious illness. Soc Sci Med. 2000;51(5):657\u201368. https:\/\/doi.org\/10.1016\/s0277-9536(00)00014-9.","journal-title":"Soc Sci Med"},{"issue":"11","key":"1671_CR46","doi-asserted-by":"publisher","first-page":"2375","DOI":"10.1249\/mss.0000000000002116","volume":"51","author":"KL Campbell","year":"2019","unstructured":"Campbell KL, Winters-Stone KM, Wiskemann J, May AM, Schwartz AL, Courneya KS, et al. Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable. Med Sci Sports Exerc. 2019;51(11):2375\u201390. https:\/\/doi.org\/10.1249\/mss.0000000000002116.","journal-title":"Med Sci Sports Exerc"},{"issue":"1","key":"1671_CR47","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1123\/jsep.30.1.23","volume":"30","author":"HM Milne","year":"2008","unstructured":"Milne HM, Wallman KE, Guilfoyle A, Gordon S, Corneya KS. Self-determination theory and physical activity among breast cancer survivors. J Sport Exerc Psychol. 2008;30(1):23\u201338. https:\/\/doi.org\/10.1123\/jsep.30.1.23.","journal-title":"J Sport Exerc Psychol"},{"issue":"5","key":"1671_CR48","doi-asserted-by":"publisher","first-page":"703","DOI":"10.1007\/s11764-019-00789-3","volume":"13","author":"IJ C","year":"2019","unstructured":"C IJ, Hermens R, Boerboom LWM, Gerritsen WR, van Harten WH, Ottevanger PB. Implementing physical activity programs for patients with cancer in current practice: patients\u2019 experienced barriers and facilitators. J Cancer Surviv. 2019;13(5):703\u201312. https:\/\/doi.org\/10.1007\/s11764-019-00789-3.","journal-title":"J Cancer Surviv"},{"key":"1671_CR49","doi-asserted-by":"publisher","unstructured":"Thom B, Benedict C. The Impact of Financial Toxicity on Psychological Well-Being, Coping Self-Efficacy, and Cost-Coping Behaviors in Young Adults with Cancer. J Adolesc Young Adult Oncol. 2019;8(3):236\u201342. https:\/\/doi.org\/10.1089\/jayao.2018.0143.","DOI":"10.1089\/jayao.2018.0143"},{"issue":"1","key":"1671_CR50","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1186\/s12904-020-00542-z","volume":"19","author":"J Frikkel","year":"2020","unstructured":"Frikkel J, G\u00f6tte M, Beckmann M, Kasper S, Hense J, Teufel M, et al. Fatigue, barriers to physical activity and predictors for motivation to exercise in advanced Cancer patients. BMC Palliat Care. 2020;19(1):43. https:\/\/doi.org\/10.1186\/s12904-020-00542-z.","journal-title":"BMC Palliat Care"},{"issue":"4","key":"1671_CR51","doi-asserted-by":"publisher","first-page":"1289","DOI":"10.1007\/s00520-017-3952-9","volume":"26","author":"SJ Hardcastle","year":"2018","unstructured":"Hardcastle SJ, Maxwell-Smith C, Kamarova S, Lamb S, Millar L, Cohen PA. Factors influencing non-participation in an exercise program and attitudes towards physical activity amongst cancer survivors. Support Care Cancer. 2018;26(4):1289\u201395. https:\/\/doi.org\/10.1007\/s00520-017-3952-9.","journal-title":"Support Care Cancer"},{"issue":"3","key":"1671_CR52","doi-asserted-by":"publisher","first-page":"685","DOI":"10.1007\/s00520-017-3964-5","volume":"26","author":"BK Clifford","year":"2018","unstructured":"Clifford BK, Mizrahi D, Sandler CX, Barry BK, Simar D, Wakefield CE, et al. Barriers and facilitators of exercise experienced by cancer survivors: a mixed methods systematic review. Support Care Cancer. 2018;26(3):685\u2013700. https:\/\/doi.org\/10.1007\/s00520-017-3964-5.","journal-title":"Support Care Cancer"},{"key":"1671_CR53","doi-asserted-by":"publisher","unstructured":"Gildea GC, Spence RR, Jones TL, Turner JC, Macdonald ER, Hayes SC et al. Barriers, facilitators, perceptions and preferences influencing physical activity participation, and the similarities and differences between cancer types and treatment stages - A systematic rapid review. Prev Med Rep. https:\/\/doi.org\/10.1016\/j.pmedr.2023.102255","DOI":"10.1016\/j.pmedr.2023.102255"},{"issue":"5","key":"1671_CR54","doi-asserted-by":"publisher","first-page":"843","DOI":"10.1093\/her\/cyt083","volume":"28","author":"K Hefferon","year":"2013","unstructured":"Hefferon K, Murphy H, McLeod J, Mutrie N, Campbell A. Understanding barriers to exercise implementation 5-year post-breast cancer diagnosis: a large-scale qualitative study. Health Educ Res. 2013;28(5):843\u201356. https:\/\/doi.org\/10.1093\/her\/cyt083.","journal-title":"Health Educ Res"},{"key":"1671_CR55","doi-asserted-by":"publisher","first-page":"100244","DOI":"10.1016\/j.ctarc.2020.100244","volume":"25","author":"ND Dolgoy","year":"2020","unstructured":"Dolgoy ND, O\u2019Krafka P, McNeely ML. Cancer-related fatigue in head and neck cancer survivors: Energy and functional impacts. Cancer Treat Res Commun. 2020;25:100244. https:\/\/doi.org\/10.1016\/j.ctarc.2020.100244.","journal-title":"Cancer Treat Res Commun"},{"issue":"2","key":"1671_CR56","doi-asserted-by":"publisher","first-page":"219","DOI":"10.1080\/07347332.2020.1848967","volume":"39","author":"MI Fitch","year":"2021","unstructured":"Fitch MI, Nicoll I, Lockwood G. Exploring the impact of physical, emotional, and practical changes following treatment on the daily lives of cancer survivors. J Psychosocial Onc. 2021;39(2):219\u201334. https:\/\/doi.org\/10.1080\/07347332.2020.1848967.","journal-title":"J Psychosocial Onc"}],"container-title":["BMC Sports Science, Medicine and Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13102-026-01671-3","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13102-026-01671-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13102-026-01671-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T23:18:28Z","timestamp":1780615108000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s13102-026-01671-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,21]]},"references-count":56,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["1671"],"URL":"https:\/\/doi.org\/10.1186\/s13102-026-01671-3","relation":{},"ISSN":["2052-1847"],"issn-type":[{"value":"2052-1847","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,21]]},"assertion":[{"value":"3 November 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 March 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 April 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethics approval (STUDY00000627) was received from the Cedars-Sinai Medical Center Institutional Review Board, which operates in accordance with the Belmont principles and the Helsinki Declaration. All participants provided informed consent for participation in the study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"Three of the authors are affiliated with CERP (AA, PC, and NC). As such, data collection, analysis, and manuscript development were led by CHS, RR, and NH who are not engaged in the development or delivery of CERP and had no prior interactions with the trainers or participants.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"264"}}