{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:58:06Z","timestamp":1790643486683,"version":"4.1.0"},"reference-count":38,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["Canada Graduate Scholarship - Doctoral"],"award-info":[{"award-number":["Canada Graduate Scholarship - Doctoral"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000147","name":"Canadian Cancer Society","doi-asserted-by":"publisher","award":["Health Equity Research Grant LOI Funding"],"award-info":[{"award-number":["Health Equity Research Grant LOI Funding"]}],"id":[{"id":"10.13039\/501100000147","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Res Involv Engagem"],"DOI":"10.1186\/s40900-026-00976-4","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T07:47:34Z","timestamp":1790581654000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["EXCEL-Punjabi: the process of using a community based participatory research approach for a culturally-tailored exercise oncology intervention"],"prefix":"10.1186","volume":"12","author":[{"given":"Mannat","family":"Bansal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Imrose","family":"Bhullar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarbjit","family":"Jawandha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandan","family":"Sangha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jagbir","family":"Kaur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gurleen","family":"Brar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanvir C.","family":"Turin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meghan H.","family":"McDonough","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. Nicole","family":"Culos-Reed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"976_CR1","doi-asserted-by":"publisher","unstructured":"Capozzi LC, Daun JT, Ester M, Mosca S, Langelier D, Francis GJ, et al. editors. Physical activity for individuals living with advanced cancer: evidence and recommendations. Semin Oncol Nurs. Elsevier; 2021;37(4). https:\/\/doi.org\/10.1016\/j.soncn.2021.151170.","DOI":"10.1016\/j.soncn.2021.151170"},{"issue":"19","key":"976_CR2","doi-asserted-by":"publisher","first-page":"3714","DOI":"10.1002\/cam4.4746","volume":"11","author":"S Rodr\u00edguez-Ca\u00f1amero","year":"2022","unstructured":"Rodr\u00edguez-Ca\u00f1amero S, Cobo\u2010Cuenca AI, Carmona\u2010Torres JM, Pozuelo\u2010Carrascosa DP, Santacruz\u2010Salas E, Rabanales\u2010Sotos JA, et al. Impact of physical exercise in advanced\u2010stage cancer patients: Systematic review and meta\u2010analysis. Cancer Med. 2022;11(19):3714\u201327. https:\/\/doi.org\/10.1002\/cam4.4746.","journal-title":"Cancer Med"},{"issue":"2","key":"976_CR3","doi-asserted-by":"publisher","first-page":"149","DOI":"10.3322\/caac.21639","volume":"71","author":"NL Stout","year":"2021","unstructured":"Stout NL, Santa Mina D, Lyons KD, Robb K, Silver JK. A systematic review of rehabilitation and exercise recommendations in oncology guidelines. Cancer J Clin. 2021;71(2):149\u201375. https:\/\/doi.org\/10.3322\/caac.21639.","journal-title":"Cancer J Clin"},{"key":"976_CR4","unstructured":"Statistics Canada. The Canadian census: a rich portrait of the country\u2019s religious and ethnocultural diversity. 2022. Available from: https:\/\/www150.statcan.gc.ca\/n1\/daily-quotidien\/221026\/dq221026b-eng.htm."},{"issue":"8","key":"976_CR5","first-page":"3","volume":"32","author":"J Hwee","year":"2021","unstructured":"Hwee J, Bougie E. Do cancer incidence and mortality rates differ among ethnicities in Canada? Health Rep. 2021;32(8):3\u201317.","journal-title":"Health Rep"},{"issue":"11","key":"976_CR6","doi-asserted-by":"publisher","first-page":"2117","DOI":"10.3390\/cancers16112117","volume":"16","author":"K Mahboubi","year":"2024","unstructured":"Mahboubi K, Nakoneshny SC, Sauro K, Roberts S, Hart R, Matthews TW, et al. The association of ethnicity and oncologic outcomes for oral cavity squamous cell carcinoma (OSCC). Cancers. 2024;16(11):2117. https:\/\/doi.org\/10.3390\/cancers16112117.","journal-title":"Cancers"},{"issue":"2","key":"976_CR7","doi-asserted-by":"publisher","first-page":"97","DOI":"10.3747\/co.22.2359","volume":"22","author":"O Ginsburg","year":"2015","unstructured":"Ginsburg O, Fischer H, Shah B, Lipscombe L, Fu L, Anderson G, et al. A population-based study of ethnicity and breast cancer stage at diagnosis in Ontario. Curr Oncol. 2015;22(2):97.","journal-title":"Curr Oncol"},{"issue":"4","key":"976_CR8","doi-asserted-by":"publisher","first-page":"169","DOI":"10.31128\/AJGP-08-19-5027","volume":"49","author":"P Cormie","year":"2020","unstructured":"Cormie P, Trevaskis M, Thornton-Benko E, Zopf EM. Exercise medicine in cancer care. Australian J Gen Pract. 2020;49(4):169\u201374.","journal-title":"Australian J Gen Pract"},{"issue":"1","key":"976_CR9","doi-asserted-by":"publisher","first-page":"pkz080","DOI":"10.1093\/jncics\/pkz080","volume":"4","author":"CM Friedenreich","year":"2020","unstructured":"Friedenreich CM, Stone CR, Cheung WY, Hayes SC. Physical activity and mortality in cancer survivors: a systematic review and meta-analysis. JNCI cancer Spectr. 2020;4(1):pkz080. https:\/\/doi.org\/10.1093\/jncics\/pkz080.","journal-title":"JNCI cancer Spectr"},{"issue":"3","key":"976_CR10","doi-asserted-by":"publisher","first-page":"5235","DOI":"10.1007\/s11357-025-01647-0","volume":"47","author":"Z Ungvari","year":"2025","unstructured":"Ungvari Z, Fekete M, Varga P, Munk\u00e1csy G, Fekete JT, Lehoczki A, et al. Exercise and survival benefit in cancer patients: evidence from a comprehensive meta-analysis. GeroScience. 2025;47(3):5235\u201355. https:\/\/doi.org\/10.1007\/s11357-025-01647-0.","journal-title":"GeroScience"},{"issue":"1","key":"976_CR11","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1056\/NEJMoa2502760","volume":"393","author":"KS Courneya","year":"2025","unstructured":"Courneya KS, Vardy JL, O\u2019Callaghan CJ, Gill S, Friedenreich CM, Wong RK, et al. Structured exercise after adjuvant chemotherapy for colon cancer. N Engl J Med. 2025;393(1):13\u201325.","journal-title":"N Engl J Med"},{"issue":"4","key":"976_CR12","doi-asserted-by":"publisher","first-page":"865","DOI":"10.1007\/s11764-021-01080-0","volume":"16","author":"MA Kennedy","year":"2022","unstructured":"Kennedy MA, Bayes S, Newton RU, Zissiadis Y, Spry NA, Taaffe DR, et al. Implementation barriers to integrating exercise as medicine in oncology: an ecological scoping review. J Cancer Surviv. 2022;16(4):865\u201381. https:\/\/doi.org\/10.1007\/s11764-021-01080-0.","journal-title":"J Cancer Surviv"},{"issue":"12","key":"976_CR13","doi-asserted-by":"publisher","first-page":"e063953","DOI":"10.1136\/bmjopen-2022-063953","volume":"12","author":"N Culos-Reed","year":"2022","unstructured":"Culos-Reed N, Wagoner CW, Dreger J, McNeely ML, Keats M, Santa Mina D, et al. Implementing an exercise oncology model to reach rural and remote individuals living with and beyond cancer: a hybrid effectiveness-implementation protocol for project EXCEL (EXercise for Cancer to Enhance Living Well). BMJ open. 2022;12(12):e063953.","journal-title":"BMJ open"},{"issue":"1","key":"976_CR14","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1093\/nop\/npae093","volume":"12","author":"JT Daun","year":"2024","unstructured":"Daun JT, Capozzi LC, Dhruva T, Roldan Urgoiti G, McDonough MH, McLaughlin E, et al. The feasibility of a multi-site, clinic-supported, and tailored neuro-oncology exercise program. Neuro-Oncology Pract. 2024;12(1):131\u201342. https:\/\/doi.org\/10.1093\/nop\/npae093.","journal-title":"Neuro-Oncology Pract"},{"issue":"3","key":"976_CR15","doi-asserted-by":"publisher","first-page":"1930","DOI":"10.3390\/ijerph20031930","volume":"20","author":"CW Wagoner","year":"2023","unstructured":"Wagoner CW, Dreger J, Keats MR, Santa Mina D, McNeely ML, Cuthbert C, et al. First-Year Implementation of the EXercise for Cancer to Enhance Living Well (EXCEL) Study: Building Networks to Support Rural and Remote Community Access to Exercise Oncology Resources. Int J Environ Res Public Health. 2023;20(3):1930. https:\/\/doi.org\/10.3390\/ijerph20031930.","journal-title":"Int J Environ Res Public Health"},{"issue":"1","key":"976_CR16","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1186\/s12885-021-07872-y","volume":"21","author":"M Ester","year":"2021","unstructured":"Ester M, Culos-Reed SN, Abdul-Razzak A, Daun JT, Duchek D, Francis G, et al. Feasibility of a multimodal exercise, nutrition, and palliative care intervention in advanced lung cancer. BMC Cancer. 2021;21(1):159. https:\/\/doi.org\/10.1186\/s12885-021-07872-y.","journal-title":"BMC Cancer"},{"issue":"3","key":"976_CR17","doi-asserted-by":"publisher","first-page":"e71629","DOI":"10.1002\/cam4.71629","volume":"15","author":"JL Low","year":"2026","unstructured":"Low JL, Dreger J, Wagoner CW, McLaughlin E, McNeely ML, Keats MR, et al. Baseline Characteristics of Participants in the Exercise for Cancer to Enhance Living Well (EXCEL) Study: A Canada-Wide Rural\u2013Urban Analysis. Cancer Med. 2026;15(3):e71629. https:\/\/doi.org\/10.1002\/cam4.71629.","journal-title":"Cancer Med"},{"issue":"8","key":"976_CR18","doi-asserted-by":"publisher","first-page":"1085","DOI":"10.1080\/13557858.2023.2224951","volume":"28","author":"M Bansal","year":"2023","unstructured":"Bansal M, Rana B, Ghotra H, King-Shier K, Bridel W, Culos-Reed SN. Exploring physical activity experiences, barriers, and facilitators among individuals of South Asian heritage living with and beyond cancer. Ethn Health. 2023;28(8):1085\u2013102. https:\/\/doi.org\/10.1080\/13557858.2023.2224951.","journal-title":"Ethn Health"},{"key":"976_CR19","unstructured":"Statistics Canada. While English and French are still the main languages spoken in Canada, the country\u2019s linguistic diversity continues to grow. 2022. Available from: https:\/\/www150.statcan.gc.ca\/n1\/daily-quotidien\/220817\/dq220817a-eng.htm."},{"issue":"1","key":"976_CR20","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1007\/s10519-023-10161-y","volume":"54","author":"DR Dokuru","year":"2024","unstructured":"Dokuru DR, Horwitz TB, Freis SM, Stallings MC, Ehringer MA. South Asia: The Missing Diverse in Diversity. Behav Genet. 2024;54(1):51\u201362. https:\/\/doi.org\/10.1007\/s10519-023-10161-y.","journal-title":"Behav Genet"},{"issue":"1","key":"976_CR21","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1080\/19438192.2014.955341","volume":"7","author":"G Naganathan","year":"2015","unstructured":"Naganathan G, Islam F. What is \u2018South Asian\u2019? A quantitative content analysis evaluating the use of South Asian ethnic categorization in Canadian health research. South Asian Diaspora. 2015;7(1):49\u201362. https:\/\/doi.org\/10.1080\/19438192.2014.955341.","journal-title":"South Asian Diaspora"},{"issue":"4","key":"976_CR22","doi-asserted-by":"publisher","first-page":"e035649","DOI":"10.1136\/bmjopen-2019-035649","volume":"10","author":"TC Turin","year":"2020","unstructured":"Turin TC, Abedin T, Chowdhury N, Ferdous M, Vaska M, Rumana N, et al. Community engagement with immigrant communities involving health and wellness research: a systematic review protocol towards developing a taxonomy of community engagement definitions, frameworks, and methods. BMJ open. 2020;10(4):e035649.","journal-title":"BMJ open"},{"issue":"7","key":"976_CR23","doi-asserted-by":"publisher","first-page":"884","DOI":"10.1037\/amp0000167","volume":"73","author":"SE Collins","year":"2018","unstructured":"Collins SE, Clifasefi SL, Stanton J, Straits KJ, Gil-Kashiwabara E, Rodriguez Espinosa P, et al. Community-based participatory research (CBPR): Towards equitable involvement of community in psychology research. Am Psychol. 2018;73(7):884. https:\/\/doi.org\/10.1037\/amp0000167.","journal-title":"Am Psychol"},{"key":"976_CR24","doi-asserted-by":"crossref","unstructured":"Coughlin SS, Smith SA, Fern\u00e1ndez ME. Handbook of community-based participatory research. Oxford: Oxford University Press; 2017.","DOI":"10.1093\/acprof:oso\/9780190652234.001.0001"},{"issue":"1","key":"976_CR25","doi-asserted-by":"publisher","first-page":"150","DOI":"10.1186\/s13012-017-0696-3","volume":"12","author":"J Jull","year":"2017","unstructured":"Jull J, Giles A, Graham ID. Community-based participatory research and integrated knowledge translation: advancing the co-creation of knowledge. Implement Sci. 2017;12(1):150.","journal-title":"Implement Sci"},{"issue":"9","key":"976_CR26","doi-asserted-by":"publisher","first-page":"880","DOI":"10.9734\/jsrr\/2024\/v30i92415","volume":"30","author":"A Alamgir","year":"2024","unstructured":"Alamgir A, Roy P, Taverna F. Levels of engagement of South Asian participants in health research: effectiveness of community-based research (CBR) framework. J Sci Res Rep. 2024;30(9):880\u201397.","journal-title":"J Sci Res Rep"},{"issue":"1","key":"976_CR27","doi-asserted-by":"publisher","first-page":"e25863","DOI":"10.2196\/25863","volume":"24","author":"A Hyman","year":"2022","unstructured":"Hyman A, Stacy E, Mohsin H, Atkinson K, Stewart K, Novak Lauscher H, et al. Barriers and facilitators to accessing digital health tools faced by South Asian Canadians in Surrey, British Columbia: community-based participatory action exploration using photovoice. J Med Internet Res. 2022;24(1):e25863.","journal-title":"J Med Internet Res"},{"key":"976_CR28","doi-asserted-by":"crossref","unstructured":"Staniszewska S, Brett J, Simera I, Seers K, Mockford C, Goodlad S, et al. GRIPP2 reporting checklists: tools to improve reporting of patient and public involvement in research. BMJ. 2017;358.","DOI":"10.1136\/bmj.j3453"},{"issue":"6","key":"976_CR29","doi-asserted-by":"publisher","first-page":"1610","DOI":"10.1177\/2374373520925268","volume":"7","author":"U Majid","year":"2020","unstructured":"Majid U. The dimensions of tokenism in patient and family engagement: a concept analysis of the literature. J patient experience. 2020;7(6):1610\u201320. https:\/\/doi.org\/10.1177\/2374373520925268.","journal-title":"J patient experience"},{"key":"976_CR30","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1016\/j.evalprogplan.2018.04.014","volume":"70","author":"M Ward","year":"2018","unstructured":"Ward M, Schulz AJ, Israel BA, Rice K, Martenies SE, Markarian E. A conceptual framework for evaluating health equity promotion within community-based participatory research partnerships. Eval Program Plan. 2018;70:25\u201334. https:\/\/doi.org\/10.1016\/j.evalprogplan.2018.04.014.","journal-title":"Eval Program Plan"},{"issue":"1","key":"976_CR31","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1136\/ebnurs-2022-103644","volume":"26","author":"TC Turin","year":"2023","unstructured":"Turin TC, Lasker MA, Rahman N, Rumana N, Chowdhury N. Engagement and involvement matrix\u2019: a co-creation blueprint for inclusive community engaged research and knowledge mobilisation. Evid Based Nurs. 2023;26(1):4\u20139. https:\/\/doi.org\/10.1136\/ebnurs-2022-103644.","journal-title":"Evid Based Nurs"},{"issue":"9","key":"976_CR32","doi-asserted-by":"publisher","first-page":"1277","DOI":"10.1177\/1049732305276687","volume":"15","author":"H-F Hsieh","year":"2005","unstructured":"Hsieh H-F, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277\u201388. https:\/\/doi.org\/10.1177\/1049732305276687.","journal-title":"Qual Health Res"},{"key":"976_CR33","doi-asserted-by":"crossref","unstructured":"Shannon-Baker P. Philosophical underpinnings of mixed methods research in education. In: Tierney RJ, Rizvi F, Ercikan K, editors. International encyclopedia of education (fourth edition); 2022. p. 380\u20139.","DOI":"10.1016\/B978-0-12-818630-5.11037-1"},{"key":"976_CR34","doi-asserted-by":"publisher","first-page":"62","DOI":"10.12688\/openreseurope.17058.2","volume":"4","author":"V-M Karhulahti","year":"2024","unstructured":"Karhulahti V-M. Positionality statements in science. Open Res Europe. 2024;4:62.","journal-title":"Open Res Europe"},{"issue":"9","key":"976_CR35","doi-asserted-by":"publisher","first-page":"e029975","DOI":"10.1136\/bmjopen-2019-029975","volume":"9","author":"ML McNeely","year":"2019","unstructured":"McNeely ML, Sellar C, Williamson T, Shea-Budgell M, Joy AA, Lau HY, et al. Community-based exercise for health promotion and secondary cancer prevention in Canada: protocol for a hybrid effectiveness-implementation study. BMJ open. 2019;9(9):e029975.","journal-title":"BMJ open"},{"issue":"3","key":"976_CR36","doi-asserted-by":"publisher","first-page":"242","DOI":"10.1111\/j.1369-7625.2011.00661.x","volume":"15","author":"CJ Nierse","year":"2012","unstructured":"Nierse CJ, Schipper K, Van Zadelhoff E, Van De Griendt J, Abma TA. Collaboration and co-ownership in research: dynamics and dialogues between patient research partners and professional researchers in a research team. Health Expect. 2012;15(3):242\u201354. https:\/\/doi.org\/10.1111\/j.1369-7625.2011.00661.x.","journal-title":"Health Expect"},{"issue":"1","key":"976_CR37","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1186\/s40900-022-00384-4","volume":"8","author":"MJ Santana","year":"2022","unstructured":"Santana MJ, Duquette DA, Fairie P, Nielssen I, Bele S, Ahmed S, et al. Patient-identified priorities for successful partnerships in patient-oriented research. Res Involv Engagem. 2022;8(1):49. https:\/\/doi.org\/10.1186\/s40900-022-00384-4.","journal-title":"Res Involv Engagem"},{"key":"976_CR38","unstructured":"Thrive Health Services. https:\/\/thrivehealthservices.com\/.\u00a0Accessed July 28, 2026."}],"container-title":["Research Involvement and Engagement"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40900-026-00976-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40900-026-00976-4","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40900-026-00976-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:05:21Z","timestamp":1790640321000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s40900-026-00976-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,28]]},"references-count":38,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["976"],"URL":"https:\/\/doi.org\/10.1186\/s40900-026-00976-4","relation":{},"ISSN":["2056-7529"],"issn-type":[{"value":"2056-7529","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,28]]},"assertion":[{"value":"11 April 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 September 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 September 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This manuscript describes the CBPR process used to develop the intervention and does not report identifiable participant data. As such, separate ethics approval for this component was not required.","order":1,"name":"Ethics","label":"Ethical approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"SNCR is co-founder of Thrive Health Services Inc., who provide the cancer specific exercise training for the qualified exercise professionals. The remaining authors declare no conflicts of interest.","order":2,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"157"}}