Abstract 4907: Availability and characteristics of energy balance programs offered by NCI-designated cancer centers

To broaden our understanding of energy balance programs (diet, physical activity, weight control available for cancer survivors in NCI-designated cancer centers across the United States, we reviewed the characteristics (program components, personalization, delivery mode) of programs using publicly available information on cancer center websites. All NCI-designated cancer centers (n=72 as of 4/24/2024) were included, and two coders reviewed their websites. Each cancer center’s website was searched and reviewed from June 2023 to April 2024. We applied the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework, an implementation framework used for planning and evaluation of programs, to evaluate each cancer center’s energy balance programming. Information was extracted by each reviewer independently and then checked by a third study staff member for discrepancies. A total of 55 (76%) cancer centers had information on at least one energy balance program or resource posted on their website. These programs included diet/nutrition (n=41), physical activity (n=23), and weight control programs (n=3). Personalized programming was offered in 68% of diet/nutrition programs, 30% of physical activity programs, and 33% of weight control programs. Across all energy balancing behaviors, most programs offered individual sessions (76% diet/nutrition; 57% physical activity; 67% weight control). Group-based support was offered in less than half of programs across all behaviors (29% diet/nutrition; 40% physical activity; 33% weight control). In-person delivery was offered in 56% of diet/nutrition programs, 74% of physical activity programs, and 33% of weight control programs. Most of the programming for cancer survivors addressed diet/nutrition. Weight control programs were limited. Most physical activity programs were delivered in-person, which could limit reach and increase barriers to participation since the median of NCI-designated catchment areas is 26,500 square miles. There is a need for more consistency and availability of personalized support, particularly concerning exercise and weight control. Comprehensively addressing all energy balance components as part of cancer survivorship care is needed. Citation Format: Jean Miki Reading, Alexandra Rich, Aarifah Bandealy, Payton Solk, Julia Starikovsky, Allegra Frank, Kristina Hasanaj, Shirlene Wang, Siobhan M. Phillips. Availability and characteristics of energy balance programs offered by NCI-designated cancer centers [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2025; Part 1 (Regular Abstracts); 2025 Apr 25-30; Chicago, IL. Philadelphia (PA): AACR; Cancer Res 2025;85(8_Suppl_1):Abstract nr 4907.