About this trial
This is a phased mixed-methods behavioral intervention study that will develop and test Mindful Peer Coach, a peer-supported mindfulness program for adolescent and young adult (AYA) cancer survivors. Phase 1 is a formative qualitative study designed to identify survivor-reported needs and preferences for increasing engagement with a mindfulness meditation app. Phase 2 is a pilot intervention study that will examine the feasibility, acceptability, and preliminary engagement outcomes of the Mindful Peer Coach program using participant surveys, app-use data, peer-coach training, coaching sessions, weekly text-message check-ins, and exit interviews with survivors and coaches.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
at least one year from treatment completion
ability to speak conversational English,
per self-report, not being treated for posttraumatic stress disorder (PTSD), psychosis, or epilepsy/seizures.
have experience with mindfulness and/or be willing to attend training and supervision sessions (only for coaches)
Disqualifiers
outside age range
closer to treatment completion than specified above
Trial design
Single group
Treatments tested in this trial
Live Virtual Coaching
BehavioralParticipants will complete six structured weekly videoconference sessions designed to cultivate mindfulness practice and increase engagement with the Happier Meditation app. Each session follows a standardized framework outlined in the training manual to ensure consistency and fidelity. Between sessions, coaches will provide support and accountability via text messaging. The frequency of messages will be determined collaboratively during Session 1. Each exchange begins with a previously tested mindfulness message, followed by tailored responses to reinforce practice, address questions, and sustain engagement.
Treatment groups
Trial outcomes
Primary outcomes
Minutes use per day (User engagement)
Minutes use per day with the mindfulness-based mobile app obtained from the Happier Meditation dashboard.
Number of days used per week (User engagement)
Number of days used per week with the mindfulness-based mobile app obtained from the Happier Meditation dashboard.
Depression
Depression symptoms will be assessed using the PROMIS Depression measure. PROMIS Depression is an 8-item scale with each item on the measure is rated on a 5-point scale (1=never; 2=rarely; 3=sometimes; 4=often; and 5=always) with a range in score from 8 to 40 with higher scores indicating greater severity of depression.
Anxiety
Anxiety symptoms will be assessed using the PROMIS Anxiety measure. PROMIS Anxiety is an 7-item scale with each item on the measure is rated on a 5-point scale (1=never; 2=rarely; 3=sometimes; 4=often; and 5=always) with a range in score from 7 to 35 with higher scores indicating greater severity of anxiety.
Secondary outcomes
Exit Interview
Qualitative feedback collected through semi-structured exit interviews; no quantifiable data will be generated. Themes will be identified and presented using descriptive statistics.
Sponsors and contacts
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Hackensack Meridian Health
Lead sponsor
National Cancer Institute (NCI)
Collaborator
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