Fig. 1

HEART-ACT Program. Components of the HEART-ACT program: physical activity, nutrition, emotional well-being, cardiovascular risk, survivorship, and other components if indicated (e.g., tobacco cessation). The program is designed as a 12-week program. At the intake session a nurse or exercise physiologist conducts an intake interview and assessments (e.g., questionnaires, blood pressure, six-minute walk test) and generates an individualized treatment plan with the participant. Participants will have an individualized exercise plan that will gradually progress towards meeting or exceeding United States physical activity guideline recommendations of 150 minutes per week of moderate to vigorous activity and 2 episodes per week of strength training [30]. Participants alternate between group education sessions (which include physical activity, nutrition, and other topics) and individual sessions for 12 weeks. At the conclusion of the program, participants repeat intake assessments and celebrate at a graduation