Trusted exercise guidance for people living with bone metastases
The BME Hub is a first-of-its-kind platform offering evidence-based, co-designed resources to support safe and effective exercise. Whether you’re living with cancer, caring for someone who is, or working in healthcare or fitness, the BME Hub is here to help.
Why it matters
The BME Hub aims to breakdown complex scientific knowledge into accessible, actionable resources. By centering lived experience and clinical expertise, our co-designed resources strive to enhance communication and increase access to evidence-based information to support safe exercise for people with bone metastases
How the BME Hub Was Created
We used an experience-based co-design approach, bringing together over 30 contributors, including people with lived experience of cancer, healthcare providers, and exercise professionals. Together, we developed practical, user-friendly tools through four rounds of virtual meetings:
1. Gathering Ideas
Small, role-specific groups met to:
- Review current exercise guidelines
- Share experiences with existing resources
- Brainstorm ideas for clear, trustworthy tools
2. Feedback & Prioritization
All groups came together to:
- Present and discuss ideas
- Vote on which resources to develop
3. Co-Design in Action
Working teams collaborated to:
- Develop content and visual design
- Create mock-ups including a patient handout, webinar, and health information tool
Drafts were reviewed by the Canadian Cancer Society’s Cancer Information team, who provided plain language edits, graphic design support, French translations, and webinar production assistance.
4. Final Review & Dissemination
Participants:
- Co-created a strategy to share resources widely and equitably
- Suggested final edits
What You’ll Find on the BME Hub
For People with Cancer & Caregivers
- Easy-to-understand educational handout
- Informative webinars
- Searchable directory of exercise professionals with cancer expertise in Canada
(See translated versions for other countries)
For Healthcare & Exercise Professionals
- Shareable patient education tools
- Professional development opportunities
For Everyone
- Health information form to support personalized exercise prescriptions
- Tools to improve communication between patients, exercise professionals, and cancer care teams
Bone Metastases and Exercise Knowledge Mobilization Team
Alan Bates, PhD, MD; Alana Chalmers, MA; Christine Simmons, MD, MSc, FRCPC; David Langelier, MD, MSc, FRCPC; Jane Copp, Janet Papadakos, MEd, PhD; Leah Lambert, PhD, RN; Karen McDonald, Kelcey Bland, PhD; Kelly Mackenzie, MSc; Kirstin Lane, PhD; Kristin Campbell, BSc.PT, PhD; Margie McNeely, PT, PhD; Michelle Nadler, MD, MSc, FRCPC; Nicole Prestley, BA; Rhoda Dinardo, BA, MA; Sarah Neil-Sztramko, PhD; Sebastien Dufresne, pht, PhD; Shabbir Alibha, MD, MSc, FRCPC
The Bone Metastases and Exercise Knowledge Mobilization Team would like to acknowledge the contributions of our knowledge users who reviewed these resources.
International Bone Metastases Exercise Working Group
The International Bone Metastases Exercise Working Group (IBMEWG) was convened in 2018 to develop best practice recommendations based on published research, clinical experience, and expert opinion using (1) a modified Delphi survey, (2) a systematic review, and (3) a survey of physicians and nurse practitioners, (4) an in-person consensus meeting, and (5) extensive stakeholder engagement process.
The IBMEWG papers can be accessed under “Additional Resources”.
The IBMEWG group includes:
Andrea Cheville, BA, MD, MSCE; Anna Campbell, PhD, MBE; Celestia Higano, MD, FACP; Daniel Santa Mina, RKIN, PhD, CSEP-CEP; Friederike Rosenberger, PhD; Jennifer Goulart, MD, FRCPC; Jennifer Rauw, MD, FRCPC; Joachim Wiskemann, PhD; Kate Bolam, BAppSci, PhD; Kathryn Schmitz, PhD, FACSM; Kerri Winters-Stone, PhD, FACSM; Kirstin Lane, PhD, CSEP-CEP; Kristin Campbell, BSc. PT, PhD, FACSM; Margret McNeely, BScPT, PhD; Mary-Anne Dalzell, BSc PT, PhD; Morten Quist, PT, PhD; Nicolas Hart, PhD, AES, CSCS, ESSAM; Prue Cormie, PhD, AEP; Robert Newton, PhD, DSc, AEP, FACSM, ESSAF; Sami Mansfield, BA; Sarah Weller, BAppSci, MSc, CSEP-CEP; Shabbir Alibhai, MD, MSc, FRCPC
