Lay summary
Advances in treatment for childhood cancers yield a cure rate of ≥84% in Aotearoa. Yet, this success is associated with many children and young people experiencing short- and long-term nutrition-related complications. These complications can increase a survivor's risk of chronic diseases like cardiovascular disease and diabetes and place an increased financial burden on our healthcare systems. Prehabilitation is a holistic approach to patient care that includes nutrition, physical activity, wellbeing, and complementary medicine. The aim is to prepare patients for the challenges of cancer treatment. Prehabilitation has shown success in some adult cancers; however, is not part of standard care protocols in Aotearoa. This project aims to co-design multi-modal (two or more intervention components that have cumulative or synergistic effects on health outcomes) prehabilitation interventions for children and young people with cancer using the He Pikinga Wairoa Implementation Framework, an Aotearoa-specific framework with Indigenous self-determination at its centre.