Implementation of the 3-steps Assess-Advise-Refer Exercise (FitARise) Protocol as a Standard Practice in Cancer Care

This study aims to test whether using implementing strategies (audit, feedback, facilitation, and adaptable workflow) to adopt the systematic FitARise protocol increases the proportion of eligible patients assessed, advised, and referred compared to control with the availability of the protocol, but without implementation strategies. This study hypothesizes that implementing strategies to promote the protocol's adoption will increase the proportion of eligible patients assessed and advised by oncologists and the proportion of patients referred to the JCICC exercise-based weight management program. For process evaluation, this study aims to use qualitative methods to assess the experience and response to the implementation program. The primary outcome (the reach measurement) is the percentage of eligible patients assessed, advised, and referred based on predefined BMI scores.

Inclusion criteria

(Cancer patients):

• All cancer patients with BMI score>=23;
• Have completed cancer treatment within the past five years;
• At least 18 years old;
• Are literate in Chinese or English;
• Are eligible to attend the intervention program.

Exclusion criteria

(Cancer patients):

• Patients who have completed cancer treatments for more than five years;
• Non-Cantonese, non-Mandarin, non-English speakers.

Inclusion criteria

(Clinical staff):

• All clinical, medical or surgical oncologists at the study units during the study period.

Exclusion criteria

(Clinical staff):

• No exclusion criterial for staff.