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RESEARCH PAPER ANALYSIS

Development and refinement of the Cardiovascular Health Equity through Food (CHEF) intervention for childhood cancer survivors.

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PMID39754703
JournalJournal of cancer survivorship : research and practice
Publication Date2025-01-04
Ingested2026-08-02 12:03 AM
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ABSTRACT

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PURPOSE: The aim of this study was to develop and refine Cardiovascular Health Equity through Food (CHEF), an intervention to address food insecurity (FI) in early childhood cancer survivors (CCS). METHODS: Single-center mixed-methods pilot study of a novel "food is medicine" intervention evaluating acceptability, satisfaction, and opportunities for refinement. CHEF participants were provided: (1) meal-kit delivery for 3 household meals/week for 3 months and (2) application assistance for federal nutrition benefits. Eligible participants were CCS < 1 year from cancer therapy completion, with self-reported FI or household income < 200% federal poverty level. Acceptability was defined as > 75% consent to participation, < 25% attrition, and > 75% program-component utilization. Surveys were completed at baseline and end-intervention, and semi-structured interviews were completed at months 1, 2, and 4. RESULTS: Ten families (100%) consented to participation, with 0% attrition. Ninety-seven percent of meal kits were successfully received and > 90% cooked. Four families utilized study-team assistance in navigating benefits participation. One hundred percent of families would participate again, and 80% would recommend to others. Qualitative feedback supported CHEF's timing following treatment and positive impact on family cooking engagement. Broader non-English language accessibility, formalized benefits counseling, and extended duration were identified as refinement opportunities. CONCLUSION: CHEF was highly acceptable among CCS in early survivorship. The next steps include proof-of-concept evaluation of the refined intervention's impact on cardiovascular-relevant outcomes among CCS with FI. IMPLICATIONS FOR CANCER SURVIVORS: Interventions directly addressing food insecurity, a known cardiovascular risk factor, have the potential to support well-being and address health disparities among childhood cancer survivors.

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Development and refinement of the Cardiovascular Health Equity through Food (CHEF) intervention for childhood cancer survivors.

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