Singh, G.K., et al., Socioeconomic, rural-urban, and racial inequalities in US cancer mortality: part I-all cancers and lung cancer and part II-colorectal, prostate, breast, and cervical cancers. Journal of cancer epidemiology, 2011. 2011: p. 107497–107497, https://doi.org/10.1155/2011/107497

Sloane D. Cancer epidemiology in the United States: racial, social, and economic factors. Methods Mol Biol. 2009;471:65–83. https://doi.org/10.1007/978-1-59745-416-2_4.

Article  PubMed  Google Scholar 

Long AS, Hanlon AL, Pellegrin KL. Socioeconomic variables explain rural disparities in US mortality rates: implications for rural health research and policy. SSM Popul Health. 2018;6:72–4. https://doi.org/10.1016/j.ssmph.2018.08.009.

Article  PubMed  PubMed Central  Google Scholar 

Weaver KE, et al. Rural-urban disparities in health status among US cancer survivors. Cancer. 2013;119(5):1050–7. https://doi.org/10.1002/cncr.27840.

Article  PubMed  Google Scholar 

Baade PD, Fritschi L, Eakin EG. Non-cancer mortality among people diagnosed with cancer (Australia). Cancer Causes Control. 2006;17(3):287–97. https://doi.org/10.1007/s10552-005-0530-0.

Article  PubMed  Google Scholar 

Vitaliano PP, Zhang J, Scanlan JM. Is caregiving hazardous to one’s physical health? A meta-analysis Psychological bulletin. 2003;129(6):946–72. https://doi.org/10.1037/0033-2909.129.6.946.

Article  PubMed  Google Scholar 

Fredman L, et al. Leisure-time exercise and overall physical activity in older women caregivers and non-caregivers from the Caregiver-SOF Study. Prev Med. 2006;43(3):226–9. https://doi.org/10.1016/j.ypmed.2006.04.009.

Article  PubMed  Google Scholar 

Cohen SA, Nash CC, Greaney ML. Place-based, intersectional variation in caregiving patterns and health outcomes among informal caregivers in the United States. Front Public Health. 2024;12:1423457. https://doi.org/10.3389/fpubh.2024.1423457.

Article  PubMed  PubMed Central  Google Scholar 

Sanford JT, Townsend-Rocchiccioli J. The perceived health of rural caregivers. Geriatr Nurs. 2004;25(3):145–8. https://doi.org/10.1016/j.gerinurse.2004.04.007.

Article  PubMed  Google Scholar 

Pinquart M, Sorensen S. Correlates of physical health of informal caregivers: a meta-analysis. J Gerontol B Psychol Sci Soc Sci. 2007;62(2):P126–37. https://doi.org/10.1093/geronb/62.2.p126.

Article  PubMed  Google Scholar 

Li Q, Loke AY. A spectrum of hidden morbidities among spousal caregivers for patients with cancer, and differences between the genders: a review of the literature. Eur J Oncol Nurs. 2013;17(5):578–87. https://doi.org/10.1016/j.ejon.2013.01.007.

Article  PubMed  Google Scholar 

Mama SK, et al. Rural-urban differences in meeting physical activity recommendations and health status in cancer survivors in central Pennsylvania. Support Care Cancer. 2020. https://doi.org/10.1007/s00520-020-05342-y.

Article  PubMed  PubMed Central  Google Scholar 

Campbell KL, et al. Exercise guidelines for cancer survivors: consensus statement from international multidisciplinary roundtable. Med Sci Sports Exerc. 2019;51(11):2375–90. https://doi.org/10.1249/MSS.0000000000002116.

Article  PubMed  PubMed Central  Google Scholar 

Cardoso C, Lumini MJ, Martins T. Effects of physical exercise in reducing caregivers burden: a systematic review. Front Public Health. 2025;13:1474913. https://doi.org/10.3389/fpubh.2025.1474913.

Article  PubMed  PubMed Central  Google Scholar 

Lambert SD, et al. A descriptive systematic review of physical activity interventions for caregivers: effects on caregivers’ and care recipients’ psychosocial outcomes, physical activity levels, and physical health. Ann Behav Med. 2016;50(6):907–19. https://doi.org/10.1007/s12160-016-9819-3.

Article  PubMed  Google Scholar 

Westphal T, et al. Supervised versus autonomous exercise training in breast cancer patients: a multicenter randomized clinical trial. Cancer Med. 2018;7(12):5962–72. https://doi.org/10.1002/cam4.1851.

Article  PubMed  PubMed Central  CAS  Google Scholar 

Hirko KA, et al. Implementation of physical activity programs for rural cancer survivors: challenges and opportunities. Int J Environ Res Public Health. 2021;18(24):12909. https://doi.org/10.3390/ijerph182412909.

Article  PubMed  PubMed Central  Google Scholar 

Smith-Turchyn J, et al. Characterizing the exercise behaviour, preferences, barriers, and facilitators of cancer survivors in a rural Canadian community: a cross-sectional survey. Curr Oncol. 2021;28(4):3172–87. https://doi.org/10.3390/curroncol28040276.

Article  PubMed  PubMed Central  Google Scholar 

Frensham LJ, Parfitt G, Dollman J. Effect of a 12-week online walking intervention on health and quality of life in cancer survivors: a quasi-randomized controlled trial. Int J Environ Res Public Health. 2018. https://doi.org/10.3390/ijerph15102081.

Article  PubMed  PubMed Central  Google Scholar 

Gray MS, et al. Rural-urban differences in health behaviors and outcomes among older, overweight, long-term cancer survivors in the RENEW randomized control trial. Cancer Causes Control. 2019;30(4):301–9. https://doi.org/10.1007/s10552-019-01141-x.

Article  PubMed  PubMed Central  Google Scholar 

Gell NM, et al. Remotely delivered exercise to older rural cancer survivors: a randomized controlled pilot trial. J Cancer Surviv. 2024;18(2):596–605. https://doi.org/10.1007/s11764-022-01292-y.

Article  PubMed  Google Scholar 

Geographically Underserved Areas. Available from: https://cancercontrol.cancer.gov/hdhe/research-emphasis/underserved-areas. Accessed 24 Oct 2024.

Winters-Stone KM, et al. Study protocol for the Exercising Together© trial: a randomized, controlled trial of partnered exercise for couples coping with cancer. Trials. 2021;22(1):1–16. https://doi.org/10.1186/s13063-021-05548-3.

Article  CAS  Google Scholar 

Winters-Stone KM, et al. Delivering exercise medicine to cancer survivors: has COVID-19 shifted the landscape for how and who can be reached with supervised group exercise? Support Care Cancer. 2022;30(3):1903–6. https://doi.org/10.1007/s00520-021-06669-w.

Article  PubMed  Google Scholar 

Ehlers DK, Huberty JL, Beseler CL. Is school community readiness related to physical activity before and after the Ready for Recess intervention? Health Educ Res. 2013;28(2):192–204. https://doi.org/10.1093/her/cys102.

Article  PubMed  Google Scholar 

Lawsin CR, et al. Community readiness to promote Latinas’ participation in breast cancer prevention clinical trials. Health Soc Care Community. 2007;15(4):369–78. https://doi.org/10.1111/j.1365-2524.2007.00695.x.

Article  PubMed  Google Scholar 

Aboud F, et al. An assessment of community readiness for HIV/AIDS preventive interventions in rural Bangladesh. Soc Sci Med. 2010;70(3):360–7. https://doi.org/10.1016/j.socscimed.2009.10.011.

Article  PubMed  Google Scholar 

Millar L, et al. Increasing community capacity and decreasing prevalence of overweight and obesity in a community based intervention among Australian adolescents. Prev Med. 2013;56(6):379–84. https://doi.org/10.1016/j.ypmed.2013.02.020.

Article  PubMed  Google Scholar 

Stallones L, et al. Community readiness and prevention of traumatic brain injury. Brain Inj. 2008;22(7–8):555–64. https://doi.org/10.1080/02699050802132487.

Article  PubMed  Google Scholar 

Oetting ER, et al. Community readiness for community change. 2nd ed. Fort Collins, CO. 71; 2014. https://tec.colostate.edu/wp-content/uploads/2018/04/CR_Handbook_8-3-15.pdf . Accessed 16 July 2025.

Guidarelli C, et al. Remote administration of physical performance tests among persons with and without a cancer history: establishing reliability and agreement with in-person assessment. J Geriatr Oncol. 2022;13(5):691–7. https://doi.org/10.1016/j.jgo.2022.02.002.

Article  PubMed  PubMed Central  CAS  Google Scholar 

Chalmers C, et al. Validity, sensitivity, and reliability of remotely administered push-up and plank tests. International Journal of Exercise Science: Conference Proceedings. 2023;8(11):6. https://digitalcommons.wku.edu/ijesab/vol8/iss11/6/. Accessed 16 Jul 2025.

Guralnik JM, et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994;49(2):M85–94. https://doi.org/10.1093/geronj/49.2.m85.

Article