| Sumario: | Simple Summary: Physical therapy (PT) services for children with cancer are limited, and children often do not attend their appointments. We conducted a cross-sectional survey and semi-structured interviews to better understand parents' perspectives towards PT services for children with acute lymphoblastic leukemia. Twenty parents completed the survey. All parents were willing for their child to access PT if physical challenges were present; however, factors such as a convenient location and availability of virtual delivery were necessary to facilitate access to the service. Seven parents participated in semi-structured interviews. Time constraints, distance, and costs were common barriers identified. Parents highlighted the importance of a PT approach tailored to the child's physical condition, abilities, and family context. Most parents had a positive response to virtual delivery and connections with community PT locations to mitigate barriers to access rehabilitation services. Understanding parents' perspectives is key to improving access of children with cancer to PT services. Many children with cancer referred to physical therapy (PT) do not attend the service. We conducted a pilot study, comprising a cross-sectional survey and interviews with parents of children with acute lymphoblastic leukemia. The survey explored parents' (1) views on PT service delivery for their child, (2) perspectives on barriers and facilitators, (3) preferred timing to introduce PT, and (4) views on virtual services. Questions were designed based on the Theoretical Domains Framework, and responses were mapped onto the Capability, Opportunity, Motivation–Behavior Change Model. Twenty parents participated in the survey. Although all parents would consider their child accessing PT if deficits were present, access depended on a convenient location (70%) and availability of virtual delivery (45%). While half of the parents preferred PT treatment to be introduced during the maintenance phase of chemotherapy, findings also support earlier introduction during the consolidation phase when services are framed as part of standard care. While most parents perceived that it would be manageable to support home-based PT, barriers included a lack of child's motivation without therapist support. Seven parents participated in semi-structured interviews. They identified time constraints, distance, and costs as common barriers. Most parents responded positively to hybrid PT models and connections with community locations to mitigate these challenges.
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