Precise Oncology Interventions in Nutrition and Training (OnPoint)

Inclusion Criteria

Inclusion Criteria - Healthcare Providers

• Provide full- or part-time care in an oncology clinical care setting at Sylvester Comprehensive Cancer Center
• Utilize the electronic medical record for patient documentation on a regular basis
• Willing to complete a 30-60-minute interview

Inclusion Criteria - Patients

• 18 years of age or older
• Any sex/gender
• Able to provide consent
• Able to read/understand English or Spanish
• Diagnosis of breast, prostate, colorectal or lymphoma cancer, 6 months post completion of primary treatment, with no evidence of primary disease
• Approval from treating oncologist, confirmed via email or in writing
• Fail to meet at least one of the American Cancer Society guidelines: engaging in >150 minutes of moderate-to-vigorous physical activity per week for the prior month or consuming at least 3 cups of vegetables and 2 cups of fruit per day over the past month.
• Internet access on a smart phone, tablet, or computer
• Agree to be randomly assigned to any study group

Exclusion Criteria

• Less than 18 years of age
• Unable to provide consent
• Unable to read/understand English or Spanish
• Any contraindication for diet change or exercising as determined by physician
• Blank
• Engaging in >150 minutes of moderate to vigorous physical activity on average per week for the prior month
• Meeting the American Cancer Society diet recommendations (3 cups of vegetables or legumes, 2 cups of fruit, 2 serving whole grain per day, and limited red/processed meats, sugar-sweetened beverages, and highly processed foods) for the prior month
• History of dementia or major psychiatric disease which would interfere with study participation
• History of recent (≤1 yr) stroke, myocardial infarction or congestive heart failure
• Eastern Cooperative Oncology Group (ECOG) score of >2
• Severe lymphedema as determined by physician
• Receiving physical therapy treatment