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Peer-reviewedCC BYCancer reports (Hoboken, N.J.)

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

  • C Gélinas-Gagné1,2
  • K Bilodeau3,4
  • N Guarascio1,2
  • M Caru5,6
  • H Coltin2,7
  • D Curnier2,8
  • L Desjardins2,7,9
  • C Laverdière2,7,9
  • V Marcil2,10
  • R Santiago2,9
  • S Vairy11,12
  • S Sultan1,2,7
12 affiliations
  1. 1Department of Psychology, Université de Montréal, Montréal, Quebec, Canada.
  2. 2Azrieli Research Center, CHU Sainte-Justine, Montréal, Quebec, Canada.
  3. 3Faculty of Nursing Science, Université de Montréal, Montréal, Quebec, Canada.
  4. 4Hôpital Maisonneuve-Rosemont Research Center, Montréal, Quebec, Canada.
  5. 5Department of Pediatrics, Division of Hematology and Oncology, Penn State College of Medicine, Hershey, Pennsylvania, USA.
  6. 6Department of Public Health Sciences, Penn State College of Medicine, Hershey, Pennsylvania, USA.
  7. 7Department of Pediatrics, Université de Montréal, Montréal, Quebec, Canada.
  8. 8School of Kinesiology and Physical Activity Sciences, Faculty of Medicine, Université de Montréal, Montréal, Quebec, Canada.
  9. 9Sainte-Justine University Health Center, Montréal, Quebec, Canada.
  10. 10Department of Nutrition, Université de Montréal, Montréal, Quebec, Canada.
  11. 11CHUS Fleurimont, Sherbrooke, Quebec, Canada.
  12. 12Department of Pediatrics, Faculty of Medicine, Université de Sherbrooke, Sherbrooke, Quebec, Canada.
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Abstract

Background

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.Findings

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.Conclusion

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.

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Cite

BibTeXRIS
BibTeX
@article{gelinasgagne2026behavior,
  title = {{Behavior Change Interventions to Promote Healthy Lifestyles Among Adolescent and Young Adult Childhood Cancer Survivors: A Scoping Review.}},
  author = {C Gélinas-Gagné and K Bilodeau and N Guarascio and M Caru and H Coltin and D Curnier and L Desjardins and C Laverdière and V Marcil and R Santiago and S Vairy and S Sultan},
  journal = {Cancer reports (Hoboken, N.J.)},
  year = {2026},
  month = oct,
  doi = {10.1002/cnr2.70721},
  url = {https://europepmc.org/article/MED/42893898},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Behavior Change Interventions to Promote Healthy Lifestyles Among Adolescent and Young Adult Childhood Cancer Survivors: A Scoping Review.
AU  - C Gélinas-Gagné
AU  - K Bilodeau
AU  - N Guarascio
AU  - M Caru
AU  - H Coltin
AU  - D Curnier
AU  - L Desjardins
AU  - C Laverdière
AU  - V Marcil
AU  - R Santiago
AU  - S Vairy
AU  - S Sultan
PY  - 2026
DA  - 2026/10/01
JO  - Cancer reports (Hoboken, N.J.)
DO  - 10.1002/cnr2.70721
UR  - https://europepmc.org/article/MED/42893898
AB  - Background  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.Findings  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.Conclusion  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.
SN  - 2573-8348
ER  -