Behavior Change Interventions to Promote Healthy Lifestyles Among Adolescent and Young Adult Childhood Cancer Survivors: A Scoping Review.

Authors

C Gélinas-Gagné, K Bilodeau, N Guarascio, M Caru, H Coltin, D Curnier, L Desjardins, C Laverdière, V Marcil, R Santiago, S Vairy, S Sultan

Published in

Cancer reports (Hoboken, N.J.). Volume 9. Issue 10. Pages e70721.

Abstract

Adolescent and young adult childhood cancer survivors (AYA-CCS) face elevated risks of chronic health conditions and premature mortality further exacerbated by poor lifestyle behaviors including physical inactivity, poor nutrition, and substance use. Behavioral interventions are essential for supporting long-term health in this population; however, the evidence remains fragmented and unbalanced across lifestyle domains. This scoping review aimed to identify and describe behavioral interventions promoting healthy lifestyles among AYA-CCS, focusing on four domains (physical activity, nutrition, alcohol use, and tobacco use), and to map the behavior change techniques employed. Following the Joanna Briggs Institute methodology, a comprehensive search was conducted. Eligible studies targeted AYA-CCS aged 13-39 years and included interventions addressing at least one of the four behavioral domains. Records were published between 2005 and 2025. Data were extracted using the Template for Intervention Description and Replication (TIDieR) checklist and categorized according to the Behavior Change Wheel to identify intervention functions and sources of behavior change.
The search identified 6170 records, 23 articles met inclusion criteria (representing 17 distinct interventions). Most interventions (76.5%) targeted physical activity. Education, enablement, and training were the most frequently used intervention functions, primarily addressing psychological capability and reflective motivation. Strategies targeting automatic motivation, physical capability, or social opportunity were far less common. Only three multi-domain interventions were identified.
Current behavior change interventions for AYA-CCS are dominated by physical activity programs, with limited attention to nutrition, alcohol, and tobacco use. While many interventions were theory-informed, important gaps remain in fidelity reporting, multi-behavioral targeting, and explaining mechanisms of change.

PMID:
42893898
Bibliographic data and abstract were imported from PubMed on 19 Oct 2026.

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