{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T08:49:05Z","timestamp":1791967745394,"version":"4.3.4"},"update-to":[{"DOI":"10.12688\/hrbopenres.14272.1","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000}}],"reference-count":17,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Health Research Board Ireland","award":["[ILP-HSR-2024-011]"],"award-info":[{"award-number":["[ILP-HSR-2024-011]"]}],"id":[{"id":"https:\/\/ror.org\/003hb2249","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["hrbopenresearch.org"],"crossmark-restriction":false},"short-container-title":["HRB Open Res"],"abstract":"<ns3:p>Background Exercise rehabilitation offers substantial benefits for people living with and beyond cancer, improving physical, psychological, and disease-related outcomes. Despite strong evidence and policy support, integration of exercise into routine cancer care in Ireland remains limited. The PERCS (Personalised Exercise Rehabilitation in Cancer Survivorship) triage and referral system was developed to provide a structured, stepped-care model directing patients to the appropriate level of exercise support. Following on from a feasibility study, this protocol describes a qualitative study to inform national implementation. Methods This multi-stakeholder study will use focus groups and interviews with four stakeholder groups: 1) Healthcare professionals, 2) Exercise professionals, 3) Policymakers, charity partners, and cancer centre managers, and 4) People living with and beyond cancer, carers and family members. Topic guides, informed by the Consolidated Framework for Implementation Research (CFIR) and tailored to each stakeholder group, will seek to explore barriers, facilitators, and contextual factors that influence implementation. Data will be analysed using framework analysis. Transcripts will be coded using both a CFIR-based deductive coding approach and inductive codes that are relevant to the research aim, and key points will be organised to allow comparison of responses across participant groups. The findings stemming from this work will inform the selection of tailored implementation strategies mapped to the Expert Recommendations for Implementing Change (ERIC) taxonomy. Conclusion This study will generate detailed, context-sensitive evidence on the barriers and facilitators to implementing the PERCS system at a national level. By engaging with key stakeholders and using a structured implementation science approach, the findings will guide the development of practical, policy-relevant strategies to support the integration of exercise rehabilitation into survivorship care. The study will contribute to ongoing efforts to improve quality of life for cancer survivors in Ireland and build capacity for sustainable, person-centred cancer rehabilitation services.<\/ns3:p>","DOI":"10.12688\/hrbopenres.14272.2","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T13:44:06Z","timestamp":1773150246000},"page":"115","update-policy":"https:\/\/doi.org\/10.12688\/hrbopenres.crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Implementing the Personalised Exercise Rehabilitation in Cancer Survivorship (PERCS) Triage and Referral System in Ireland: Protocol for a Qualitative Stakeholder Study"],"prefix":"10.12688","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2428-0188","authenticated-orcid":false,"given":"Marie","family":"Tierney","sequence":"first","affiliation":[{"name":"Dublin Trinity St James's Cancer Institute"},{"name":"Discipline of Physiotherapy, School of Medicine Dublin Trinity College Dublin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gr\u00e1inne","family":"Sheill","sequence":"additional","affiliation":[{"name":"Dublin Trinity St James's Cancer Institute"},{"name":"Department of Physiotherapy Dublin St James's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elaine","family":"Toomey","sequence":"additional","affiliation":[{"name":"Centre for Health Research Methodology, School of Nursing & Midwifery Galway University of Galway"},{"name":"Institute for Clinical Trials, College of Medicine, Nursing & Health Sciences Galway University of Galway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dearbhaile","family":"O'Hare","sequence":"additional","affiliation":[{"name":"Ireland Independent Public and Patient Involvement Contributor"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom","family":"Conway","sequence":"additional","affiliation":[{"name":"Centre for Health Research Methodology, School of Nursing & Midwifery Galway University of Galway"},{"name":"Ireland Independent Public and Patient Involvement Contributor"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0079-2469","authenticated-orcid":false,"given":"Louise","family":"Mullen","sequence":"additional","affiliation":[{"name":"National Cancer Control Programme Dublin Health Service Executive"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire L","family":"Donohoe","sequence":"additional","affiliation":[{"name":"Dublin Trinity St James's Cancer Institute"},{"name":"Department of Surgery Dublin St James's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emer","family":"Guinan","sequence":"additional","affiliation":[{"name":"Dublin Trinity St James's Cancer Institute"},{"name":"Discipline of Physiotherapy, School of Medicine Dublin Trinity College 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The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.","order":2,"name":"grant-information","label":"Grant Information"},{"value":"This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.","order":0,"name":"copyright-info","label":"Copyright"}]}}