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This descriptive experience report summarizes the program\u2019s implementation from 2023 onward. Activities are offered twice weekly during a two-hour outpatient window and are delivered by exercise professionals and supervised trainees. Each session combines a brief health-education component for parents and caregivers, playful and adaptable movement activities for children and adolescents, and a closing discussion circle. Program monitoring uses team observations, participant and caregiver feedback, and session records to support iterative adaptation. Over the years, more than 300 children and adolescents participated in the project, with a mean age of 7.53\u2009\u00b1\u20093.30 years; 53.2% were male and 46.8% were female. Recurring observations included engagement with movement activities, social interaction, and use of the waiting area as a more active and welcoming space. ATIVAONCO project demonstrates the practical feasibility of embedding physical activity promotion and family-centered education into outpatient pediatric oncology care. Future evaluations should measure educational outcomes, physical activity exposure, patient-reported outcomes, and safety using standardized prospective methods.<\/jats:p>","DOI":"10.1007\/s13187-026-02999-7","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T12:15:35Z","timestamp":1792066535000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Integrating Physical Activity and Family Health Education into Pediatric Oncology Outpatient Care: ATIVAONCO Project"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8926-8211","authenticated-orcid":false,"given":"Micheli","family":"Carminatti","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7907-1427","authenticated-orcid":false,"given":"\u00c9rica","family":"Cappellaro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6891-3598","authenticated-orcid":false,"given":"Herber Orlando","family":"Benitez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2156-0715","authenticated-orcid":false,"given":"Ingrid Alessandra Victoria","family":"Wolin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-5122-5326","authenticated-orcid":false,"given":"Isadora Dalla","family":"Lana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8126-6485","authenticated-orcid":false,"given":"Gustavo Vieira","family":"Mohamed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-2007-147X","authenticated-orcid":false,"given":"Julia de Lima","family":"Ramos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1827-7799","authenticated-orcid":false,"given":"Rodrigo Sudatti","family":"Delevatti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0555-5422","authenticated-orcid":false,"given":"Aline Mendes","family":"Gerage","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8566-6298","authenticated-orcid":false,"given":"C\u00edntia de la Rocha","family":"Freitas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,10,15]]},"reference":[{"issue":"9","key":"2999_CR1","doi-asserted-by":"publisher","first-page":"1211","DOI":"10.1016\/S1470-2045(19)30339-0","volume":"20","author":"GBD 2017 Childhood Cancer Collaborators","year":"2019","unstructured":"GBD 2017 Childhood Cancer Collaborators (2019) The Global Burden of Childhood and Adolescent Cancer in 2017: an Analysis of the Global Burden of Disease Study 2017. 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All procedures were conducted in accordance with the ethical principles applicable to research involving human participants","order":1,"name":"Ethics","label":"Ethical approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Written informed consent was obtained from the parents or legal guardians of participating children and adolescents, and assent was obtained from the participants when applicable, according to age and capacity for understanding and in accordance with the procedures approved by the Research Ethics Committees.","order":2,"name":"Ethics","label":"Consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable. The manuscript does not contain identifiable individual participant data, images, or other information requiring consent for publication.","order":3,"name":"Ethics","label":"Consent to publish","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"ATIVAONCO integrates family-centered education on physical activity and healthy behaviors into routine pediatric oncology outpatient care while providing a supervised practice setting for exercise-science trainees. This report describes the implementation of a cancer-care education strategy at patient-family and trainee levels; educational learning outcomes were not formally measured.","order":4,"name":"Ethics","label":"Relevance to cancer education","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no financial or non-financial competing interests relevant to the content of this article.","order":5,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}]}}