Addressing Financial Hardship in AYA Cancer Survivors Through the Use of the New LIFT UP Intervention

This clinical trial addresses the financial hardship among adolescent and young adult (AYA) survivors using the new Lessening the Impact of Financial Toxicity (LIFT) UP intervention. AYAs with cancer experience significant and prolonged disruption in their lives due to their diagnosis and are at greater risk of financial hardship than any other age group with cancer. For AYA patients, health insurance literacy - one's ability to make informed decisions about choosing and using health insurance - is likely an essential component of being able to navigate care and manage costs. A promising strategy for addressing AYA financial hardship is to streamline existing, successful interventions into a single multilevel intervention. More specifically, combining patient education from a health insurance literacy intervention called CHAT (Let's CHAT about health insurance), which helps to address the book knowledge with organization support and financial navigation from an intervention called LIFT, which addresses the experiential knowledge could yield positive outcomes for AYAs. The addition of LIFT UP to usual care may improve AYA access to financial resources and reduce medical costs and distress associated with financial hardship.

Inclusion Criteria: * NON-PATIENT PARTICIPANTS ELIGIBILITY CRITERIA FOR STEP 0 (SCREENING) * Participant must immediately be enrolled to Step 1 (Registration) * NON-PATIENT PARTICIPANTS ELIGIBILITY CRITERIA FOR STEP 1 (REGISTRATION) * Participant must speak English * Participant must be employed at a NCORP site for at least six months * Participant must be able to provide informed consent to participate in this study * Participant must be one or more of the following: * Staff who identify AYA patients at risk of financial hardship and/or provide targeted resources to meet needs (e.g., patient navigators, financial counselors, social workers, oncology nurses, APPs). * Staff who have provided care or been in contact (in the last 3 months) with an AYA patient who was assigned the LIFT UP intervention arm (e.g., centralized navigator). * Staff with an administrative role related to care for AYA patients at risk of financial hardship (e.g., cancer program administrators, hospital/clinic billing specialists). * ELIGIBILITY CRITERIA FOR STEP 0 (REGISTRATION) (AYA PARTICIPANT ELIGIBILITY CRITERIA) * Participant must be 18 to 39 years of age at the time of Oncology Patient Enrollment Network (OPEN) registration * Participant must have been diagnosed between 15-39 years of age with histologically proven malignancy (stage 0-3 or stage IV with M0 or MX disease, any type including ductal carcinoma in situ (DCIS) but excluding non-melanoma skin cancer) * Participant must have completed curative intent therapy * NOTE: Ongoing hormone therapy or oral oncolytic treatment is permissible * Participant's date of last curative intent therapy must be less than or equal to 5 years ago. AYA participants must have completed their radiation or surgery if applicable * Participant must not have been enrolled in EAQ221CD, EAQ222CD, S1912CD, or past trials of CHAT or LIFT since financial navigation and/or health insurance literacy is offered as part of those trials * Participant must not have any history of previously diagnosed or concurrent malignancies (excluding non-melanoma skin cancer) * Participant must not currently be receiving hospice or end of life care. Participants on palliative care are eligible * Participant must be able to read and speak English in order to be able to provide informed consent and complete assessments * Participant must have a personal email address and private access to the internet (via smartphone, tablet, or computer) * NOTE: A personal email address is required in order to create a secure Eastern Cooperative Oncology Group-American College of Radiology Imaging Network Systems for Easy Entry of Participant Reported Outcomes (EASEE-PRO) account, receive timely survey notifications, and complete surveys on-line * NOTE: The restriction to those with internet access is based on the primary intention of the study which involves intervention content delivered via the internet * NOTE: "Private access" is required because of the personal nature of some of the study conversations and refers to the ability to engage with this content in a manner that will allow the participant to preserve the confidentiality of their participation in the study. For example, a computer in the main room of the library that is viewable to all may not adequately protect the participant, while a cubicle or computer room may * ELIGIBILITY CRITERIA FOR STEP 1 (RANDOMIZATION) (AYA PARTICIPANT ELIGIBILITY CRITERIA) * Participant must meet all the eligibility criteria for Step 0 * Participant must have a completed baseline survey within 30 days after the date of OPEN screening Registration (Step 0) * Step 1 registration must be within 14 days after completing the baseline survey