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Correspondence: Marlene M von Friederichs-Fitzwater UC Davis Cancer Center, 4501 X street, suite 3016, sacramento, CA 95817, UsA Tel +1 916 734 8810 Fax +1 916 703 5259 email marlene.vonfriederichs-fitzwater@ ucdmc.ucdavis.edu Objective: Young adults with cancer have unique psychosocial needs and often lack the problem-solving and coping skills for effective resolution. We conducted a study to clarify these needs and then developed and tested an educational intervention to coach young adults with cancer in problem-solving and coping skills using a new conversational agent technology that uses a multi-media format to simulate face-to-face encounters. Methods: We qualitatively assessed online focus groups and chat rooms with 45 young adults with cancer and used the results to develop and test an online 15-minute educational prototype using a new conversational agent technology with 49 young adults (18–35 years of age) with cancer. Results: Young adults with cancer are most concerned about reproductive issues, emotional issues, communicating with healthcare providers, and the risks and benefits of treatments. The study participants found the I-COPE prototype to be useful, easy to use, and worth recommending to others. They wanted to have more video segments about the experiences of other young adults with cancer; more video segments of actual procedures and treatments; more Internet links to information and resources; and more opportunities to interact with the conversational agent. Conclusion: New conversational agent technology is useful in coaching problem-solving and coping skills to empower young adults with cancer. Practice implications: New conversational agent technology is a useful tool in patient education and skill development, particularly among young adults.

The feasibility of using conversational agent technology to improve problem-solving and coping skills of young adults with cancer