• The goal of this study is to learn about the communication, decision-making, symptom management, emotional adjustment, and spiritual needs of parents and pediatric patients treated at the Children's Cancer Hospital at M. D. Anderson. [ Time Frame: 3 Years ] [ Designated as safety issue: No ]
  

Children 10-18 years of age with cancer and their parent(s) or caregiver(s).

Inclusion Criteria:

Inclusion for Children:

• 10-18 yrs of age
• MCACC cancer patient
• receiving anti-cancer treatment for disease that is not recurrent or metastatic for cancer diagnosed in the past 3-12 mos or receiving anti-cancer treatment for recurrent or metastatic cancer diagnosed within the past 3-12 months
• speak & understand English
• reside in the Greater Houston area
• provide IRB-approved pediatric assent or informed consent, as age appropriate
• if < 18 yrs of age, provide IRB-approved parental permission
• child's eligibility is not contingent upon parent's decision to participate

Inclusion for parents:

• self-identified parent(s) that has(have) a child eligible for study, per the inclusion and exclusion criteria noted above or has had a child (0-18 yrs of age at time of death) treated for cancer at MCACC who has died in the last 1 to 2 years
• speak and understand English
• reside in the Houston metropolitan area
• provide IRB-approved informed consent
• attend different focus groups if more than one eligible parent per child (max 2 parents per child)
• parent's eligibility is not contingent upon the child's decision to participate

Exclusion Criteria:

Exclusion for Children:

• have cognitive impairment, developmental delay, or emotional distress that would limit participation in a group discussion, as determined by the clinical judgment of the investigator
• younger than 10 years or older than 18 years of age

Exclusion for Caregiver:

• have cognitive impairment, developmental delay, or emotional distress that would limit participation in a group discussion, as determined by the clinical judgment of the investigator.