The purpose of this study is to test the feasibility, acceptability, and preliminary efficacy of an online expressive storytelling intervention for adolescents and young adults (AYA) with cancer. * Specific Aim 1. To evaluate the feasibility and acceptability of a 5-week online expressive storytelling intervention. We will (a) conduct a 1-group pre- and post-test study with 20 AYA with cancer and (b) examine feasibility and acceptability through study enrollment rates, retention rates, usability score, adherence and data collection rates, satisfaction score, perceived benefits score, and intervention fidelity. \*Hypothesis 1: We will reach following feasibility and acceptability benchmarks: (a) \>70% enrollment of eligible participants, (b) \>70% retention, (c) \>75% adherence and data collection, (d) \>70 out of 100 usability score, (e) \>5 out of 7 satisfaction score, (f) \>average 5 on the perceived benefits score, and (g) \>3 out of 4 fidelity score. * Specific Aim 2. To assess preliminary efficacy of a 5-week online expressive storytelling intervention. * Hypothesis 2: AYA participants will report lower psychosocial distress, higher health-related quality of life, and higher well-being scores postintervention.
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Change in Secure Flourish Measure (Adolescent Version)
Timeframe: Day 0, Day 35
Change in Secure Flourish Measure (Adult Version)
Timeframe: Day 0, Day 35
Change in Herth Hope Index Scale
Timeframe: Day 0, Day 35
Change in Perceived Social Support from Health Care Professionals
Timeframe: Day 0, Day 35
Change in Self-transcendence Scale
Timeframe: Day 0, Day 35
Change in Patient-Reported Outcomes Measurement Information System (PROMIS) 29 v. 2.1 (Adult Version)
Timeframe: Day 0, Day 35
Change in Patient-Reported Outcomes Measurement Information System (PROMIS) 25 v. 2.0 (Adolescent Version)
Timeframe: Day 0, Day 35
Satisfaction Survey
Timeframe: Day 35
System Usability Survey
Timeframe: Day 35