Abstract <p>Research highlights the importance of exercise in holistic cancer care, yet the prevalence of trauma among cancer patients underscores the need to integrate trauma-informed approaches into exercise oncology practice. This study explored the acceptability and potential efficacy of an online trauma-informed care training module designed for exercise oncology professionals. Fifty-five Australian exercise professionals with experience in oncology completed the module and evaluated it through an online survey, with a subset of 22 also participating in semi-structured interviews. Survey findings indicated high acceptability and strong potential for efficacy, assessed using the COM-B model of behaviour change. Interviews revealed that the engaging design and perceived value of the module supported its acceptability, while its role as a formalising framework, its influence on intention toward trauma-informed care, and its guidance for practical implementation shaped perceptions of efficacy. Overall, findings suggest that brief online training can consolidate existing knowledge and foster intentions to integrate trauma-informed care into exercise oncology services. Future development should prioritise scaffolding opportunities that support the transition from intention to practice.</p> Implications for cancer survivors <p>Embedding trauma-informed principles into exercise services may enhance psychological safety,&#xa0;communication, and shared decision-making, thereby improving willingness to engage and persist with physical activity during and&#xa0;after treatment. Brief, scalable e-learning for clinicians could help standardise these practices across settings and support more&#xa0;equitable, person-centred exercise care—particularly for survivors with prior trauma or from marginalised groups.</p>

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Evaluating an online trauma-informed care training module for exercise oncology professionals: a mixed-method study of acceptability and potential for effective behaviour change

  • Asha Gatland,
  • Tamara Jones,
  • Michael Marthick,
  • Sarah Stratulate,
  • Jessica Lees,
  • Selina Parry,
  • Camille E. Short

摘要

Abstract

Research highlights the importance of exercise in holistic cancer care, yet the prevalence of trauma among cancer patients underscores the need to integrate trauma-informed approaches into exercise oncology practice. This study explored the acceptability and potential efficacy of an online trauma-informed care training module designed for exercise oncology professionals. Fifty-five Australian exercise professionals with experience in oncology completed the module and evaluated it through an online survey, with a subset of 22 also participating in semi-structured interviews. Survey findings indicated high acceptability and strong potential for efficacy, assessed using the COM-B model of behaviour change. Interviews revealed that the engaging design and perceived value of the module supported its acceptability, while its role as a formalising framework, its influence on intention toward trauma-informed care, and its guidance for practical implementation shaped perceptions of efficacy. Overall, findings suggest that brief online training can consolidate existing knowledge and foster intentions to integrate trauma-informed care into exercise oncology services. Future development should prioritise scaffolding opportunities that support the transition from intention to practice.

Implications for cancer survivors

Embedding trauma-informed principles into exercise services may enhance psychological safety, communication, and shared decision-making, thereby improving willingness to engage and persist with physical activity during and after treatment. Brief, scalable e-learning for clinicians could help standardise these practices across settings and support more equitable, person-centred exercise care—particularly for survivors with prior trauma or from marginalised groups.