Annals of Behavioral Medicine

, Volume 42, Issue 1, pp 91–98

Efficacy of the Survivor Health and Resilience Education (SHARE) Program to Improve Bone Health Behaviors Among Adolescent Survivors of Childhood Cancer

  • Darren Mays
  • Jessica Donze Black
  • Revonda B. Mosher
  • Allison Heinly
  • Aziza T. Shad
  • Kenneth P. Tercyak
Original Article



The purpose of this study is to test the efficacy of the Survivor Health and Resilience Education Program intervention—a manualized, behavioral intervention focusing on bone health behaviors among adolescent survivors of childhood cancer.


Participants were 75 teens aged 11–21 years, one or more years post-treatment, and currently cancer-free. Teens were randomized to a group-based intervention focusing on bone health or a wait-list control. Bone health behaviors were assessed at baseline and 1-month post-intervention.


Controlling for baseline outcome measures and theoretical predictors, milk consumption frequency (p = 0.03), past month calcium supplementation (p < 0.001), days in the past month with calcium supplementation (p < 0.001), and dietary calcium intake (p = 0.04) were significantly greater at 1-month follow-up among intervention participants compared with control participants.


The intervention had a significant short-term impact on self-reported bone health behaviors among adolescent survivors of childhood cancer. Research examining long-term intervention effectiveness is warranted.


Cancer Pediatrics Survivors Bone health Behavioral intervention 


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Copyright information

© The Society of Behavioral Medicine 2011

Authors and Affiliations

  • Darren Mays
    • 1
  • Jessica Donze Black
    • 2
  • Revonda B. Mosher
    • 3
  • Allison Heinly
    • 1
  • Aziza T. Shad
    • 1
  • Kenneth P. Tercyak
    • 1
  1. 1.Lombardi Comprehensive Cancer CenterGeorgetown University Medical CenterWashingtonUSA
  2. 2.The George Washington UniversityWashingtonUSA
  3. 3.Sinai Hospital of BaltimoreBaltimoreUSA

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