Family or caregiver engagement has the potential to support healthy dietary changes among cancer survivors. However, little is known about these family- or caregiver-involved dietary interventions and their effects. This systematic review aimed to identify the behavior change techniques (BCTs) used in dietary interventions for cancer survivors and their families or caregivers and to synthesize intervention effects on dietary and health outcomes. Following the PRISMA guidelines, we conducted systematic searches in three databases and identified 12 trials (16 peer-reviewed manuscripts) for inclusion in this review. Data were extracted from these manuscripts and the BCT taxonomy was used to identify the BCTs. A total of 38 BCTs were identified from 12 trials, 13 of which were used in at least half of the 12 trials. Ten studies reported significant intervention effects on health outcomes (e.g., adiposity) and six suggested significant improvements in dietary behaviors (e.g., fruit and vegetable intake). Overall, this review found that family- or caregiver-involved interventions for cancer survivors significantly improved dietary and health outcomes. Future research should identify BCTs particularly for dietary changes and develop effective dyadic strategies to facilitate diet-related interactions between survivors and their families or caregivers to enhance their engagement in healthy diets.

Purpose: Photovoice integrates photography with narrative storytelling to examine lived experiences of participants. This review synthesizes the applications of photovoice in cancer survivorship research, focusing on study populations, emergent themes, and employed methods. Methods: We followed the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines for this review. We searched PubMed, CINAHL, and Scopus from database inception through April 12, 2025. Two reviewers independently screened 325 records in Covidence and extracted study characteristics, methods, key findings, and recommendations from the included studies. We used narrative synthesis to integrate the findings of the included studies. We appraised study quality using the Critical Appraisal Skills Program (CASP) Qualitative Checklist and excluded the studies rated weak. Results: Twenty‐six studies were included. Sample sizes ranged from 3 to 316; 20/26 studies enrolled 20 participants or fewer with male survivors were underrepresented (7/26 studies were female only). Findings were clustered into four domains: psychosocial and emotional experiences (26/26), systems of care and structural barriers (19/26), agency/expression/advocacy (23/26), and health behavior/lifestyle change (6/26). Studies rarely reported community dissemination, participant co‐analysis/member checking, or detailed ethical protocols. Conclusions: Photovoice is increasingly used to capture survivor perspectives, but the depth of participation and consistency of reporting vary. By centering survivor perspectives rarely captured in survivorship research, this study addresses a critical gap and generates insights to inform patient‐centered survivorship care. Future work should strengthen transparent methods reporting, ethical safeguards (including confidentiality and image ownership), inclusive recruitment strategies, and integration of photovoice into interventions and policy efforts.

Background: Black individuals are more likely to die from colorectal cancer (CRC) and experience more treatment-related side effects compared to White individuals. Physical activity (PA) has been associated with decreased side effects, improved CRC treatment completion rates and responses, and survival. However, Black survivors of CRC are 60% less likely to engage in PA than White survivors. The Physical Activity Centers Empowerment (PACE) study is testing an intervention specifically designed to increase PA among Black individuals diagnosed with CRC. Objective: This study outlines the protocol for a randomized controlled trial. The study aims to test the feasibility of PACE and will use the reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) framework. Methods: The PACE study was developed in partnership with a community advisory board consisting of Black cancer advocates and survivors of cancer. The study aims to recruit 72 participants aged >18 years from North Carolina who have been diagnosed with CRC. These participants will be randomized in a 1:1 ratio to an intervention or control group. During the 12-week intervention, all participants will receive a wearable activity tracker and informational materials from the American College of Sports Medicine’s “Moving through Cancer” program. The intervention group will also receive additional PACE theory–guided intervention components, including personalized daily adaptive step goals, access to the PACE video library, and optional video chat meetings for PA support. Data will be collected at 3 time points: baseline, after the intervention (3 months), and 6 months after the intervention (9 months). Using the RE-AIM framework, the study aims to evaluate the intervention’s reach, effectiveness, acceptability, implementation, and maintenance. Results: The National Institute on Minority Health and Health Disparities funded this study in 2021. Study enrollment began in August 2024 and is anticipated to conclude in December 2024. Conclusions: This study will advance our understanding of effective behavioral strategies to increase PA and help advance the use of PA as a form of complementary cancer treatment, with the aim of improving health outcomes for Black survivors of CRC. Trial Registration: ClinicalTrials.gov NCT06411756; https://clinicaltrials.gov/study/NCT06411756 International Registered Report Identifier (IRRID): DERR1-10.2196/65804

BACKGROUND Black individuals are more likely to die from colorectal cancer (CRC) and experience more treatment-related side effects compared to White individuals. Physical activity (PA) has been associated with decreased side effects, improved CRC treatment completion rates and responses, and survival. However, Black survivors of CRC are 60% less likely to engage in PA than White survivors. The Physical Activity Centers Empowerment (PACE) study is testing an intervention specifically designed to increase PA among Black individuals diagnosed with CRC. OBJECTIVE This study outlines the protocol for a randomized controlled trial. The study aims to test the feasibility of PACE and will use the reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) framework. METHODS The PACE study was developed in partnership with a community advisory board consisting of Black cancer advocates and survivors of cancer. The study aims to recruit 72 participants aged >18 years from North Carolina who have been diagnosed with CRC. These participants will be randomized in a 1:1 ratio to an intervention or control group. During the 12-week intervention, all participants will receive a wearable activity tracker and informational materials from the American College of Sports Medicine’s “Moving through Cancer” program. The intervention group will also receive additional PACE theory–guided intervention components, including personalized daily adaptive step goals, access to the PACE video library, and optional video chat meetings for PA support. Data will be collected at 3 time points: baseline, after the intervention (3 months), and 6 months after the intervention (9 months). Using the RE-AIM framework, the study aims to evaluate the intervention’s reach, effectiveness, acceptability, implementation, and maintenance. RESULTS The National Institute on Minority Health and Health Disparities funded this study in 2021. Study enrollment began in August 2024 and is anticipated to conclude in December 2024. CONCLUSIONS This study will advance our understanding of effective behavioral strategies to increase PA and help advance the use of PA as a form of complementary cancer treatment, with the aim of improving health outcomes for Black survivors of CRC. CLINICALTRIAL ClinicalTrials.gov NCT06411756; https://clinicaltrials.gov/study/NCT06411756 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/65804