EMBRACE: Exercising Together

Inclusion Criteria:

• INTERVENTION (SURVIVORS) INCLUSION

• Histologically confirmed prostate cancer or breast cancer without evidence ofmetastatic disease

• Confirmed by review of the electronic medical record (EMR) and subsequentlyrecorded in Survivor Health History. In cases where the EMR isn't clear, theirOregon Health & Science University (OHSU) provider will be contacted forconfirmation. For non-OHSU patients, we'll initially collect their cancerhealth history by a self-report questionnaire and confirm when we receive thesurvivor's outside medical record (through a signed Release of Information)

• Scheduled to receive radiation therapy for curative intent

• Confirmed by review of the EMR and subsequently recorded in Survivor HealthHistory. In cases where the EMR isn't clear, their OHSU provider will becontacted for confirmation/ For non-OHSU patients, we'll initially collecttheir cancer health history by a self-report questionnaire and confirm when wereceive the survivor's outside medical record (through a signed Release ofInformation)

• Co-residing with an intimate partner or spouse who is willing to participate

• Confirmed by self-report on the Demographic Questionnaire

• INTERVENTION (SURVIVORS AND PARTNERS) INCLUSION

• 18 years of age and older

• For survivors: confirmed by review of the date of birth as documented in theElectronic Medical Record (EMR) and subsequently recorded in Survivor HealthHistory. For non-OHSU patients, we'll collect their age by self-report on theSurvivor Health History

• For partners: confirmed by self-report on the Health History Questionnaire

• < 2 structured strength training sessions for less than 30 minutes per week inthe last month

• Confirmed by self-report on Health History Questionnaire

• Home internet sufficient for videoconferencing

• Confirmed by staff review of Internet Connectivity Screening Guide with theparticipants and outcome recorded in a CRF

• Signed informed consent

• Confirmed by completion of e-Consent in REDCap

• Willing to be randomized into either study arm and adhere to study protocol

• Confirmed verbally with the participant and response documented in theParticipant Tracking database

• IMPLEMENTATION INCLUSION

• Be one of these key stakeholders: patient, spouse/partner, healthcare providers, oradministrator

• Verbal informed consent following receipt of an Information Sheet

Exclusion Criteria:

• INTERVENTION (SURVIVORS AND PARTNERS) EXCLUSION

• Cognitive difficulties that preclude answering the survey questions, participatingin the exercise classes or performance tests, or providing informed consent

• In the event of a suspected undeclared cognitive impairment, it will beconfirmed by physician clearance or professional opinion of the PrincipalInvestigator, Kerri Winters-Stone

• A medical condition, movement or neurological disorder, or medication use thatcontraindicates participation in moderate intensity exercise. Specificcontraindications include the following: poorly controlled diabetes, recent cardiacevent, neuromuscular disease, untreated orthostatic hypertension, recent surgery,acute hernia, acute rheumatoid arthritis, severe memory disorders, severe balancedisorder, inability to ambulate without a walker or wheelchair, inability to standfor 3 minutes, severe hearing or vision problem

• Confirmed by a combination of reviewing the EMR, self-report on the HealthHistory Questionnaire, Charlson Comorbidity Index questionnaire, and/or byphysician clearance. If in the professional opinion of the PrincipalInvestigator, Dr. Kerri Winters-Stone, contraindications other than thoseidentified by the patient or physician are present, she may consider theparticipant ineligible. For Spouse/Partner: must answer 'No' toAmerican College of Sports Medicine pre-participation screening questions. Ifspouse/partner answers 'Yes' to either question they will be consideredeligible upon physician clearance. Physician clearance may also be requested atthe discretion of the principal investigator.