Developing a Web-Based Weight Management Program for Childhood Cancer Survivors: Rationale and Methods

Area of Science:

• Pediatric Oncology
• Behavioral Science
• Public Health

Background:

• Childhood cancer survival rates have improved due to oncology advancements.
• Survivors are at increased risk for obesity and early-onset cardiovascular diseases.
• Early intervention is crucial for managing long-term health risks in these survivors.

Purpose of the Study:

• To describe the development and plan of a behavioral intervention program.
• To prevent unhealthy weight gain in survivors of childhood acute lymphoblastic leukemia (ALL).
• To address the specific needs and barriers faced by childhood cancer survivors.

Main Methods:

• A multidisciplinary team designed the web-based Healthy Eating and Active Living (HEAL) program.
• Intervention components were developed based on social cognitive and self-determination theories.
• Identified target behaviors for weight management in childhood ALL survivors.

Main Results:

• The HEAL program features 12 weekly, self-guided sessions for parents.
• It aims to increase awareness of cancer treatment impacts on weight and lifestyle.
• Empowers parents with knowledge and skills in nutrition, physical activity, and parenting for healthy habits.

Conclusions:

• Lifestyle interventions are vital for preventing obesity and cardiovascular risk in childhood cancer survivors.
• Programs must be convenient, cost-effective, scalable, and address survivors' unique needs.
• Further research is needed to evaluate early weight management feasibility and efficacy in cancer care.