The purpose of this study is to find better ways to help support families in their hopes during cancer treatment. Primary Objective * To characterize themes related to how patients and parents/caregivers narrate their experience of 'hope' when receiving cancer therapy on a phase 1/2 clinical trial, with a focus on whether, why, when, and how patients' and caregivers' hopes adapt to changing circumstances. * To engage patients, caregivers, and clinicians in focus groups to identify strengths, weaknesses, opportunities, and threats to hope during phase 1/2 clinical trial participation and facilitate the co-design of a stakeholder-driven supportive intervention related to hope based on focus group recommendations. Secondary Objective * To describe health care provider perspectives on patient and family hope and goal-care concordance in the context of phase 1/2 clinical trials.
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Longitudinal Hope-themed Photo-elicitation and Photo-narrative interview
Timeframe: At enrollment, 3, 6, 9, and 12 months (+/-4 weeks)
Demographic survey
Timeframe: At enrollment
Electronic medical record (EMR) Review
Timeframe: At enrollment, 3, 6, 9, and 12 months (+/-4 weeks)
Focus groups
Timeframe: At least 12 months after study enrollment