"This feeling of having ability is a real rebirth": cancer survivors' experiences in the desert journey rehabilitation program.

Abstract

We explored the lived experiences of young cancer survivors who participated in Desert Journey, a nature-based rehabilitation program developed by the Israeli nonprofit organization Stop Cancer (Halasartan). The program aims to support recovery following cancer treatment completion. Using a qualitative phenomenological approach, in-depth semi-structured interviews were conducted with 21 participants (aged 29-46) who completed the program within the past two years. Interviews were audio-recorded, transcribed, and analyzed by using thematic content. Three central themes emerged: (1) <i>"Afraid I wasn't ready, physically or emotionally"</i> - participants described fears of physical vulnerability, emotional overwhelm, and doubts about belonging; (2) <i>"The body that had broken down walked with me again" -</i> the trek enabled participants to reconnect with their bodies, fostering resilience, self-compassion, and mutual support; (3) <i>"I wasn't sick, recovering, or fighting… just fully myself" -</i> the desert environment offered a space for self-reflection, identity reconstruction, and emotional healing. Desert Journey offers a structured rehabilitative experience that addresses the physical, emotional, and existential needs of young cancer survivors. Through nature-based activity, peer support, and guided reflection, the program supports holistic recovery and identity rebuilding, highlighting the value of integrative approaches beyond traditional clinical care.