Subjects will complete 2 online surveys over the course of 1 month; each should take about 15 minutes to complete.

Questionnaire identifying cancer needs so that providers can connect subjects with services that might address them.

AYA NA-SB Questionnaire

Emily Haines, MD

The purpose of this research is to test an intervention designed to identify cancer needs and connect patients with services that address those needs. Participation in this research will involve completing 2 online surveys over the course of 1 month; each should take about 15 minutes to complete.

Adolescents and young Adults (AYA) Needs Assessment \& Service Bridge (AYA NA-SB) includes a holistic Patient Reported Outcome Measures (PROM) assessing AYAs' physical, psychosocial and practical needs and a collection of referral pathways for connecting AYAs to services and resources based on the needs they report.

To assess the implementation of AYA NA-SB, the study team will pilot AYA NA-SB in the North Carolina Cancer Hospital (NCCH)/ UNC Children's Hospital, with a primary focus on implementation outcomes (i.e., feasibility, acceptability, appropriateness, fidelity). To establish proof-of-concept for AYA NA-SB, the study team will use pilot data to generate preliminary evidence on the extent to which AYA NA-SB addresses AYAs' reported needs.

Improving Care Coordination for Adolescents and Young Adults With Cancer

Improving Care Coordination for Adolescents and Young Adults With Cancer: Implementing a Bridge Between Needs and Services

Questionnaire measuring the extent to which AYA NA-SB can be successfully used in cancer programs. Score ranges from 1 to 5 with higher score denoting higher feasibility.

Questionnaire measuring perception of whether AYA-NA-SB is agreeable, palatable, or satisfactory to users. Score ranges from 1 to 5 with a higher score denoting higher acceptability.

Questionnaire measuring perception of AYA-NA-SB's fit, relevance, or compatibility with the context in which it will be used. Score ranges from 1 to 5 with a higher score denoting higher appropriateness

Care coordination will be assessed by the proportion of Adolescents and Young Adults (AYAs) who reported needs who received services from across disciplines to address reported needs within one month of needs assessment completion.

Questionnaire assessing, among AYAs who reported needs and reported receiving follow-up care, AYAs' perception of the degree to which their needs were adequately addressed during the study period. Scores range from 1 to 5 where higher scores denote that needs were met.

Average number of needs reported by AYAs.

National Cancer Institute (NCI)

Wake Forest University Health Sciences

In this single-arm feasibility pilot, the treatment arm completed the NA-SB Needs Assessment at baseline through a secure online survey platform, REDCap. The 57 items assessing AYAs' physical, psychosocial, practical need were preceded by items collecting demographic and clinical information from respondents. AYAs received a $15 incentive for completing the needs assessment. An AYA social worker or AYA nurse practitioner then reviewed their NA-SB Needs Assessment with them, addressed any needs that fell within their purview, and initiated referral pathways for any remaining needs. One month following completion of the NA-SB needs assessment, we engaged AYA pilot participants in an electronic postintervention survey assessing their perceptions of NA-SB and whether their needs were met. The postintervention survey was administered through REDCap and AYAs received a second $15 incentive for completing it.

Treatment Arm

Age, Continuous

Sex: Female, Male

Non-Hispanic White

Non-Hispanic Black

Hispanic (all races)

Non-Hispanic American Indian/Alaska Native

OTHER

Race/Ethnicity, Customized

Leukemia

Breast

Cervical

Sarcoma

Male Reproductive

Non-Hodgkin Lymphoma

Hodgkin Lymphoma

Other female reproductive

Other

Cancer diagnosis

<3 months

3-6 months

7-12 months

>12 months

Time since diagnosis

I/II

III/IV

Unknown/ unstaged

Participants self-reported cancer stage at diagnosis based on the information provided to them by their oncology care team. The "unknown/unstaged" option is for those who did not receive or remember receiving this information. Participants' respective physicians may have defined stages differently. In general, stage 0 is considered earliest/least advanced stage of cancer while stage IV describes most advanced cancer/ metastatic cancer. A higher stage represents more advanced cancer.

Stage at diagnosis

Employer/school

Spouse's employer/school

Parent

Medicaid

Medicare

Military/TRICARE

No insurance

Self-pay

Insurance source

Lives alone

Parent(s)

Sibling(s)

Spouse/partner

Roommate(s)

Cohabitants

In school

Not in school

School status

Working

Not working

Working status

Dr. Emily Haines

Feasibility of Intervention Measure (FIM) AYA

Acceptability of Intervention Measure (AIM) AYA

Intervention Appropriateness Measure (IAM) AYA

young adults with cancer who reported needs

Number of Participants Who Received Services

young adults with cancer who reported needs and reported receiving follow-up care

Needs Met Questionnaire

Number of AYA Needs

Overall Study

Spots Global Cancer Trial Database for cancer care needs