Diagnostic Yield of Hospitalization for Emergency Department Patients With Syncope and Presyncope.

Improvements in early detection, diagnosis, and treatments have contributed to a rapidly expanding cancer survivor population [-], with an estimated 18 million US [] survivors in 2022, and projections reaching 22 million by 2030 []. However, adult survivors of cancer who have completed curative-intent treatment are at risk of cancer recurrence, second cancers, and cardiometabolic disease associated with modifiable risk factors, including physical inactivity, smoking, and poor weight management [-]. Approximately 30%‐40% of cancers are associated with these modifiable lifestyle factors [], and at least 1 in 3 survivors of cancer engage in one of the 3 prevalent risk behaviors []. Even though major professional organizations, including the American Cancer Society [-], American Society of Clinical Oncology [,,], and National Cancer Center Network [] recommend incorporating lifestyle management and health promotion into survivorship care plans [-], many survivors of cancer do not meet the health promotion guidelines for these modifiable risk factors [,,,]. This makes the postcurative treatment period a critical window for behavioral interventions [,,-]. Digital health interventions have become ubiquitous and hold significant promise in cancer survivorship care [-] for risk reduction and self-management of healthy lifestyles [-], including physical activity [,-], smoking cessation [,], and weight management [,]. These technologically enabled interventions offer survivors of cancer continuous support between sparse clinical visits after curative treatment [], improved health care access in rural or underserved communities [-], and reduced cost of care. Yet, recent research reveals a fundamental gap in how these interventions are developed []. A 2025 scoping review found that despite the recognized importance of perspectives of survivors of cancer, few digital health behavior change interventions meaningfully involve survivors in the research design and development []. Several studies have also shown that digital interventions developed without meaningful user input are more likely to experience nonadoption, abandonment, and implementation failures [,]. This gap represents a significant missed opportunity, as interventions developed without substantial survivors’ input may fail to address patients’ real-world motivational challenges and needs, thereby undermining long-term behavior change success [,]. Our study addresses this critical gap by centering the voices of survivors of cancer in the pre-enrollment phase, capturing their motivation for participation, support needs, and preferences before they enroll in a digital health behavior change program. Understanding patients’ requirements and preferences should increase the likelihood that patients’ needs will be met. That, in turn, should lead to better patient adoption and use of digital health solutions [,], thereby improving health outcomes [] and avoiding clinical research waste []. Decades of behavioral research consistently demonstrate that motivation, more than knowledge, resources, or even initial health status, predicts who will successfully initiate and maintain health behavior change [-]. Autonomous motivation promotes sustained behavioral persistence, positive affect, and effective performance while also supporting psychological well-being and healthy development [,-]. Since changing health behaviors is rarely inherently pleasurable, pure intrinsic motivation can be difficult to sustain in health contexts. However, by satisfying individuals’ basic psychological needs for competence, autonomy, and relatedness, extrinsic motivations can become increasingly autonomous, as individuals learn to accept personal ownership of behaviors and integrate them with their sense of self [-]. When these needs are met, individuals can maintain motivation even when external incentives diminish.