CHALLENGE: Movement for Life
A fully funded, supported recovery exercise programme for bowel cancer patients
Move forward with strength, support and confidence
CHALLENGE: Movement for Life is a fully funded, three-year supported recovery exercise programme for patients with stage 2 or stage 3 bowel cancer.
Designed to begin within six months of completing chemotherapy, the programme supports patients to safely build and maintain the level of weekly physical activity associated with meaningful long-term health and survival benefits.
You don't need to be fit to start. You just need to be ready to take the next step.
Funded by Bowel Cancer New Zealand and delivered in partnership with the Cancer Rehabilitation Foundation (PINC & STEEL).
Why this programme exists
Strong international evidence shows that regular physical activity after bowel cancer treatment is associated with improved long-term outcomes.
CHALLENGE: Movement for Life is based on the international CHALLENGE randomised controlled trial published in the New England Journal of Medicine – a 155-centre study that demonstrated:
- High participation and long-term adherence
- Sustained increases in physical activity
- An improvement in long-term survival compared with health education alone
This programme brings that evidence into structured, expert-supported care here in Aotearoa.
What's included
A comprehensive three-year support pathway
Participants receive:
- An individual assessment with a cancer rehabilitation physiotherapist
- A tailored exercise plan based on recovery stage and individual goals
- Ongoing one-to-one physiotherapy support
- Supervised physical activity and behaviour support sessions
- Group classes to support connection and motivation
- Online and in-person options for accessibility
- A complimentary wearable fitness tracker
- Regular review and progression of your plan over time
This is a structured, progressive programme designed to support sustainable physical activity and long-term recovery – not a short-term fitness course.
Who it's for
This programme is designed for patients who:
- Have been diagnosed with stage 2 or stage 3 bowel cancer
- Have completed chemotherapy within the past six months
- Are medically cleared to participate in structured exercise
Full eligibility criteria and answers to common questions are available in our FAQ.
Why exercise matters after bowel cancer
After treatment, rebuilding confidence in your body can feel challenging.
Research shows that regular physical activity can:
- Improve strength and endurance
- Reduce cancer-related fatigue
- Support mental wellbeing
- Improve overall quality of life
- Be associated with improved long-term survival
Exercise in this programme is guided, individualised and clinically supported.
It's about recovery, resilience and long-term health.
Delivered by cancer rehabilitation experts
CHALLENGE: Movement for Life is delivered in partnership with the Cancer Rehabilitation Foundation (PINC & STEEL), experts in oncology rehabilitation across Aotearoa.
Participants are supported by physiotherapists experienced in cancer recovery and behaviour change, ensuring exercise is safe, progressive and tailored.
Our commitment
CHALLENGE: Movement for Life represents one of the most significant investments Bowel Cancer New Zealand has made in supporting patients beyond diagnosis and treatment.
We believe recovery should not stop when treatment ends.
Eligibility
You may be eligible for CHALLENGE: Movement for Life if you:
- Are a New Zealand citizen or resident currently living in New Zealand
- Are 18 years of age or older
- Have been diagnosed with stage 2 or stage 3 bowel cancer
- Have had surgery to remove the tumour followed by chemotherapy
- Have completed chemotherapy within the past six months
- Are well enough to take part in physical activity
- Have no evidence that the cancer has returned or spread
If you're unsure whether you meet the criteria, please speak with your oncology team or contact Bowel Cancer New Zealand.
Contact our nursing support team on 0800 226 968 or here4you@bowelcancernz.org.nz
Frequently asked questions
General
Who can take part in the programme?
You may be eligible if you:
- Have been diagnosed with stage 2 or stage 3 bowel cancer
- Have completed chemotherapy within the past six months
- Have had surgery to remove the tumour followed by chemotherapy
- Are 18 years or older
- Are a New Zealand citizen or resident living in New Zealand
- Are medically stable and able to participate in physical activity
- Have no evidence of recurrent or metastatic disease, or another cancer diagnosis at the same time
Do I need to be fit before joining?
No. You can join at any level of fitness. The programme is designed to meet you where you are. You simply need to be able to walk short distances, and your physiotherapist will tailor the programme to suit your starting point.
Is it safe to exercise after bowel cancer treatment?
Yes. The programme is designed specifically for people recovering from bowel cancer treatment. Your physiotherapist will assess your health, recovery stage and any physical limitations before developing a personalised exercise plan.
Exercise is introduced gradually and safely, and your programme will be adjusted if your energy levels or health needs change.
What if I feel too tired to exercise?
Fatigue is very common after cancer treatment. Your physiotherapist will help you adjust activity levels based on how you are feeling. Some days you may do more, and some days you may do less.
The programme is designed to help you build energy and strength gradually, without pushing beyond what feels safe or manageable.
What types of exercise are included?
The programme focuses on moderate physical activity that supports recovery.
Activities may include:
- Walking
- Light strength exercises
- Balance and flexibility exercises
- Low-impact aerobic activity
What does the programme involve?
CHALLENGE: Movement for Life is a three-year supported recovery exercise programme.
Participants receive:
- An initial assessment with a cancer rehabilitation physiotherapist
- A personalised exercise plan tailored to your recovery stage
- Ongoing physiotherapy support
- Supervised activity sessions
- Group classes to support motivation and connection
- Options for online or in-person participation
- A complimentary Fitbit to track activity
- Regular review and adjustment of your plan over time
How do I join the programme?
There are two ways to get started:
- Ask your oncology team or GP to refer you, or
- Register your interest directly through our website
Where is the programme available?
Courses are currently available at several locations across Auckland, with plans to expand to other regions over time.
Your physiotherapist will discuss the most convenient location or online option for you.
How much does the programme cost?
Nothing. Like all Bowel Cancer New Zealand patient support services, CHALLENGE: Movement for Life is completely free, thanks to the generosity of our supporters.
Programme details
Why is exercise important after bowel cancer treatment?
Research shows that regular physical activity after treatment can:
- Improve strength and endurance
- Reduce cancer-related fatigue
- Support mental wellbeing
- Improve overall quality of life
- Be associated with improved long-term survival
How often will I see my physiotherapist?
The frequency of appointments varies depending on where you are in the programme.
Early in the programme you will have more regular contact, with sessions gradually becoming less frequent as you build confidence and independence.
Do I have to complete the full three years?
While participation is flexible, the greatest benefits are seen when people stay engaged with the programme over time.
Your physiotherapist will help you progress at a pace that works for you.
Can I pause the programme if I need to?
Yes. If something comes up and you need to pause your participation, speak with your physiotherapist first. They can help adjust your plan and notify the Bowel Cancer New Zealand team.
What happens if my cancer returns during the programme?
If your cancer returns, your physiotherapist will work with you and your medical team to develop a plan that supports your current health needs.
Your place in the programme can be paused if needed, and support can be adjusted depending on your treatment and recovery.
Exercise and activity
Do I need to join a gym?
No. A gym membership is not required. Many participants complete the programme through activities such as:
- Walking
- Home exercise
- Outdoor activity
Can I do the programme at my local gym?
Yes. You can complete your activity wherever works best for you, including at home, outdoors, or at your local gym. Some people choose to use a gym, particularly during winter, but this is optional.
Tracking activity
How will I track my activity?
Participants receive a complimentary Fitbit from Bowel Cancer New Zealand.
Your Fitbit tracks:
- Active minutes
- Activity intensity
- Daily movement
Can I use my own fitness tracker instead of the Fitbit?
Yes. If your device records activity levels and intensity, it may be suitable. Your physiotherapist can confirm this at your first appointment.
What if I forget to wear my Fitbit?
You can manually add activity in the Fitbit app by entering the type of exercise, duration, and date completed.
What if my Fitbit is lost or broken?
If your Fitbit strap needs replacing, you may be able to purchase one locally. If your device is lost or damaged, please contact our team at here4you@bowelcancernz.org.nz.
Support and privacy
How is my information kept private?
Your contact details may be shared with our delivery partner, the Cancer Rehabilitation Foundation (PINC & STEEL), through a secure system so they can arrange appointments and provide support.
We also collect some information during the programme to help track progress and improve the programme over time. Any data used for evaluation will not include personal identifying information.
You can read our full privacy policy here: https://bowelcancernz.org.nz/privacy-policy
What should I do if I have a concern or complaint?
If you have a concern about the programme, we encourage you to speak with your physiotherapist or contact Bowel Cancer New Zealand.
You can reach our nursing team on 0800 226 968 or at here4you@bowelcancernz.org.nz.
Supporting the programme
Where does the funding come from?
The programme is funded thanks to the generosity of our supporters, including those who participate in our annual Move Your Butt challenge.
Can I donate to support this programme?
If you would like to support Bowel Cancer New Zealand and help expand the programme for future patients, you can donate here.
Ready to take the next step?
Whether you're a patient exploring the programme or a clinician making a referral, we're here to help.
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