Table 2 Cancer survivors (N = 19) prioritized perceived implementation facilitators during nominal group technique (NGT) meetings
Response | N | Votes assigned | Sum | % of votes | CFIR domain: CFIR constructs |
|---|---|---|---|---|---|
CS NGT group 1 (n = 6) | 18 | 36 | 100 | ||
Commitment | 3 | 3,3,3 | 9 | 25.00 | CI: Knowledge and beliefs about the intervention |
Flexibility (time, exercise type, level, schedule) | 4 | 3,3,1,1 | 8 | 22.22 | IC: Design quality and packaging |
Access to exercise specialist (e.g., learn exercise knowledge, how to use exercise machines) | 2 | 2,1 | 3 | 8.33 | IS: Readiness for Implementation; Available resources |
Fee free for class, membership, and exercise specialist | 1 | 3 | 3 | 8.33 | IC: Cost |
Provide exercise structure (e.g., amount of time, right ways, and how) | 1 | 2 | 2 | 5.56 | IS: Readiness for Implementation; Access to knowledge and information; Available resources |
Convenient (e.g., parking, close enough to where they live) | 1 | 2 | 2 | 5.56 | IS: Readiness for Implementation; Access to knowledge and information; Available resources |
Provide nutrition information/class (e.g., Print, 5 - minute video online, show/recipe) | 1 | 2 | 2 | 5.56 | IS: Readiness for Implementation; Access to knowledge & information |
Overcome fears/resistance (e.g., fear of exercise, fear of injury) | 1 | 2 | 2 | 5.56 | IC: Self-efficacy; Design quality and packaging |
Time/length of exercise (e.g., 150 min/week; daily time) | 1 | 2 | 2 | 5.56 | IC: Self-efficacy; Design quality and packaging |
Get support from family, friends, peers, church, and facilities here | 1 | 1 | 1 | 2.78 | P: Engaging; External change agents |
Having a buddy to go with | 1 | 1 | 1 | 2.78 | OS: Patient needs and resources |
Technology (e.g. Fitbit; online program/show) | 1 | 1 | 1 | 2.78 | IC: Design quality and packaging |
CS NGT group 2 (n = 8) | 24 | 48 | 100 | ||
Effective exercise (advanced, beginner) | 8 | 3,3,3,3,3,2,2,1 | 20 | 41.67 | IC: Design quality and packaging |
Goal setting (writing down goals, better chances of reaching them; personal goals; on own and talking with specialist [motivating to do on own]) | 2 | 3,2 | 5 | 10.42 | IC: Design quality and packaging |
Flexible schedule/time for working/non-working survivors | 2 | 3,1 | 4 | 8.33 | IC: Design quality and packaging |
Should be fun (IMPORTANT! Lack of participation/enthusiasm without it ) | 1 | 3 | 3 | 6.25 | IC: Design quality and packaging |
Central location/easy access | 2 | 1,1 | 2 | 4.17 | IS: Readiness for Implementation |
Workout partner | 2 | 1,1 | 2 | 4.17 | OS: Patient needs and resources |
Leadership/administration team (consistency of how program ran; not too many moving parts) | 1 | 2 | 2 | 4.17 | IS: Readiness for Implementation; Leadership engagement; Culture |
Exercise specialist focused on cancer survivors | 1 | 2 | 2 | 4.17 | IS: Readiness for Implementation; Leadership engagement; Culture |
Encouragement throughout the program | 1 | 2 | 2 | 4.17 | IS: Readiness for Implementation; Leadership engagement; Culture |
Mental health-focused groups (group sessions discuss/share struggles; more structured; led by mental health counselor; get support; discuss success; sharing ideas of past successes) | 1 | 2 | 2 | 4.17 | IC: Design quality and packaging |
Way to measure progress | 1 | 2 | 2 | 4.17 | IC: Design quality and packaging |
Peer support (e.g., work out partner/buddy) | 1 | 1 | 1 | 2.08 | OS: Patient needs and resources |
Description of possible results of exercise types (provide information; e.g., aerobics helps lung function; individualized) | 1 | 1 | 1 | 2.08 | CI: Knowledge and beliefs about the intervention |
CS NGT group 3 (n = 5) | 15 | 30 | 100 | ||
Convenient location–distance (save travel time, easier to drive) | 3 | 3,3,2 | 8 | 26.67 | IS: Readiness for Implementation; Available resources |
Inexpensive cost, affordability | 2 | 3,1 | 4 | 13.33 | IC: Cost |
Facility with various equipment (exercise different body parts, not to get bored) | 2 | 2,2 | 4 | 13.33 | IS: Readiness for Implementation; Available resources |
Many forms of advertising | 2 | 2,1 | 3 | 10.00 | P: Engaging |
Knowledge of self-care | 1 | 3 | 3 | 10.00 | OS: Patient needs and resources |
Staff and participants show caring | 1 | 3 | 3 | 10.00 | IS: Culture |
Group exercise sessions | 2 | 1,1 | 2 | 6.67 | IC: Design quality and packaging |
Family support | 1 | 2 | 2 | 6.67 | P: Engaging; External change agents |
Exercise partner—accountability | 1 | 1 | 1 | 3.33 | CI: Other personal attributes |
Grand total (N = 19 CS participants) | 57 | 114 |