Strengths/limitations
We used rigorous qualitative research methods; however, our study has
limitations. Interviews were conducted and transcribed in two different
languages; however potential inconsistencies were mitigated by
conventional qualitative content analysis, following best practice
guidance for multilingual qualitative research,39 and
routine team meetings to discuss codebook development and ongoing
analysis. Additionally, our sample size is small, due primarily to a
protracted study period. This may lead to limited
transferability;36 however, we reached saturation
during coding procedures across all participants. Our sample included
predominantly Hispanic participants, and to date, few studies have
included an ethnically diverse group of younger AYAs. Therefore, our
findings, which are aligned with prior qualitative work of AYAs and
caregivers,10,63 reflect, at least on a broader level,
multicultural populations. Research should focus on developing and
testing financial and HRSN screening and interventions that are tailored
to individual AYA and caregiver needs.