Table 4. Aspects of Fidelity. Author Adherence Completion Withdrawal Uptake Dose Differentiation Intervention Provider Guidelines Befort et al. (2012) NR NR NR 83% NR DVD for optional Resistance Training Dietician, Psychiatrist American College of Sports Medicine Coletta et al. (2021) NR 28% 72% NR NR Exercise prescription based on baseline assessments and medical history Physiatrists, Exercise Physiologist American College of Sports Medicine Eakin et al. (2012) NR 96% 4% 61% NR Behavioural Coaching Exercise Physiologist NR Gallant et al. (2013) NR 68.2% 31.8% 15.8% NR Community exercise program using local resources Certified site leaders + Certified Cancer Exercise Trainers American College of Sports Medicine Gell et al. (2024) 86.9% 95% 5% 64% NR RCT via telehealth Enhance Fitness-certified instructors with ACE credentials NR Gray et al. (2019) NR 76% 24% NR NR Rural Vs Urban NR - American Cancer Society Guideline for Diet and Physical Activity Hayes et al. (2018) 69% 98.6% 1.4% NR NR Exercise prescription vs Usual Care Rural vs Urban Exercise Physiologist NR Hirko et al. (2021) 72.7% 72.7% 27.3% 0.59% NR Clinic Exercise Program tailored for Rural Cancer Survivors Oncology certified Physical Trainer American College of Sports Medicine Marker et al. (2025) 97% 79% 21% 37% NR Telehealth + App which tracked attendance American College of Sports Medicine Certified Exercise Physiologists / Certified Cancer Exercise Trainers American College of Sports Medicine Modesitt et al. (2021) 36.4% 55.6% 44.4% NR NR Home exercise program with equipment + support Graduate Students in Exercise Physiology NR Wagoner et al. (2023) 78.2% 81.4% 18.6% 85.8% NR Exercise prescription with Behavioural Education Qualified Exercise Professionals NR Wagoner et al. (2024) 80.1% 86.9% 13.1% 77.8% NR Exercise prescription with Behavioural Education Qualified Exercise Professionals American College of Sports Medicine, American Cancer Society, American Society of Clinical Oncology NR – Not Reported