A single‐arm feasibility study protocol for a multiphasic multimodal exercise prehabilitation intervention in individuals receiving allogeneic stem cell transplant
Bibliographic record
Abstract
BACKGROUND: Allogeneic hematopoietic stem cell transplantation (allo-HSCT) can be a life-saving treatment for individuals diagnosed with acute leukemia. However, allo-HSCT can lead to adverse effects, such as reduced physical function. Exercise has demonstrated benefits in post-allo-HSCT recovery, but feasibility issues persist in tailored prehabilitation interventions. OBJECTIVE: To present a multiphasic exercise prehabilitation protocol.The study aims to assess feasibility, safety, and impact while establishing screening and referral pathways to community-based exercise oncology resources. DESIGN: Single arm feasibility study. PARTICIPANTS: Individuals diagnosed with acute leukemia and eligible for allo-HSCT will be recruited for the study. INTERVENTION: Multimodal exercise and health behavior change support that will span across the allo-HSCT timeline (ie, pre-, during, and post-transplant phases). Clinical exercise physiologists trained in exercise oncology and health behavior change will deliver the intervention. MAIN OUTCOME MEASURES: Assessment of physical function, self-reported and objective physical activity, quality of life, fatigue, anxiety, depression, and symptom burden across four timepoints (baseline, pre-transplant, post-transplant inpatient recovery, and post-transplant outpatient recovery). CONCLUSIONS: This study is designed to address current limitations in prehabilitation literature specific to individuals with acute leukemia receiving allo-HSCT. In turn, this study may offer an approach to maintain or improve physical function and quality of life throughout the transplant continuum.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".