Improving Symptom Self-management in Adolescents & Young Adults With Cancer

Unrelieved symptoms lead to poorer quality of life for adolescents and young adults (AYAs)
with cancer. Strategies are needed to help AYAs manage symptoms. The investigators developed
the Computerized Symptom Capture Tool (C-SCAT), a novel way to assess symptoms where AYAs
create a picture of their symptoms using images and text on an iPad app. The resulting image
shows symptoms/symptom clusters, priority symptoms and relationships between symptoms and has
potential to support AYA's symptom self-management. Facilitating the self-management process,
including self-efficacy, self-regulation behaviors, and patient-provider communication, is
essential for improving symptom outcomes.

Inclusion Criteria:

- 15 to 29 years of age with a diagnosis of cancer (primary, relapsed/recurrent,
refractory, progressive, or secondary malignancy) receiving myelosuppressive
chemotherapy.

- Completion of at least one cycle of therapy for cancer and anticipated to have at
least two additional cycles of myelosuppressive chemotherapy as part of the treatment
plan.

- Ability to speak and understand English as required to complete the C-SCAT and study
measures.

- Ability to use a tablet computer.

Exclusion Criteria:

- Cognitive and/or physical inabilities to complete the proposed study measures as
determined by self--report, parent report of minor, or medical chart.