NOURISH-T+: Promoting Healthy Eating and Exercise Behaviors

Pediatric cancer survivors are at an increased risk of excessive weight gain and reduced exercise behaviors with the potential for this risk to worsen over time. With over 80% of pediatric cancer patients living to adulthood, many pediatric cancer survivors experience long-term health consequences such as heart disease - the leading cause of death in this population. The purpose of this clinical research study is to teach parents/caregivers skills that will help prevent and reduce the problems of obesity in childhood cancer survivors. In this study, parents have the opportunity to participate in one of two web-based groups in which parents in either group will learn valuable information to improve the health of their child and of themselves.

Inclusion Criteria: Eligible Pediatric Cancer Survivors must be: 1. 5-14 years of age at enrollment; 2. Off active treatment for at least 6 months; 3. At or above the 85th BMI %ile; 4. Able to complete assessments with the help of clinic staff and the USF research team; 5. Residing with the participating parent; 6. Able to engage in PA tailored to current medical status; 7. NOT taking medications that affect body weight (e.g., steroids) within 6 months of enrollment, and 8. In remission -- PCS who experience a relapse of cancer during the intervention will be excused from further involvement. 9. Must be English- or Spanish-speaking Participating Parents must: * Be either biological or adoptive and/or step mothers or fathers and must be permanent legal guardians of the PCS * Be at least 18 years old * Identifies as the main meal preparer at home * Must be English- or Spanish-speaking Exclusion Criteria: * Parents are ineligible if they are non-ambulatory and/or do not reside at least 50% of the time with their participating child. * Female parents who are currently pregnant will be excluded from the study. * Children are ineligible to participate if they are non-ambulatory. In addition, children who are wards of the state will be excluded from the study.