The purpose of this study is to design Community Enhancing Resources for Childhood cAncer support (CERCA) and refine intervention procedures to target Health-related Social Needs (HRSN) in families of children with cancer. CERCA will leverage existing community resources and create partnerships that will lead to sustainable outcomes. The hypothesis is that through context-driven co-design and community-engaged research methods, the study team will develop an acceptable intervention to target unmet HRSN in families of children with cancer.

The first goal of this study is to identify unmet health-related social needs (HRSN) faced by families undergoing pediatric cancer care and identify health system and community resources to address these unmet HRSN. The second goal of this study is to conduct a context assessment of the current processes related to HRSN screening and referrals in the pediatric oncology clinic via individual interviews and clinical workflow observations with healthcare professionals and clinical staff in the pediatric oncology clinic.

Participants of this study will include caregivers of children in cancer care, representatives of community-based organizations that provide resources for families of children with cancer, and healthcare professionals. The study involves virtual or in-person interviews and co-design workshops and will not alter the treatment decisions made by the enrolling investigator or management of the participant's health.

Inclusion Criteria:

Caregivers of Children with Cancer

• A caregiver of a child (<18 years old) actively receiving treatment or recently completed treatment (within the past 1 year prior to enrollment) for any type of cancer. A caregiver is defined as any individual involved in bringing the child to the clinic or providing care at home, the hospital, or other healthcare setting (e.g., parents, guardians, siblings, etc.).
• Ability to understand IRB-approved information sheet and willingness to provide consent.
• Age ≥ 18 years at the time of consent.
• Ability to understand the English and/or Spanish language.

Community-based Organizations

• Representative of community-based organizations that provide resources for families of children with cancer
• Ability to understand IRB-approved information sheet and willingness to provide consent.
• Age ≥ 18 years at the time of consent.
• Ability to understand English and/or Spanish language.

Healthcare Professionals

• Physicians, advanced practice practitioners, nurses, clinical social workers, medical assistants, clinic patient service representatives, and cancer center administrators at AHWFBC.
• Ability to understand IRB-approved information sheet and willingness to provide consent.
• Age ≥ 18 years at the time of consent.
• Ability to understand English and/or Spanish language.

Exclusion Criteria:

• There are no specific exclusion criteria.

Adults of all races and ethnicities of 18 years of age or more who meet the eligibility criteria are eligible to participate in this study. No participants will be excluded on the basis of their gender, race, or ethnicity.

Qualitative data only