Increasing Engagement With Digital Behavioral Health

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.

Inclusion Criteria: * 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) * at least two years from treatment completion (only for coaches) ; Exclusion Criteria: * outside age range * closer to treatment completion than specified above