Culturally Adapted Mobile Treatment of Chronic Pain in Adolescent Survivors of Pediatric Bone Sarcoma

This is a prospective study that will conduct a series of focus groups with non-Hispanic Black and Hispanic childhood cancer survivors to obtain their input on culturally adapting a mobile CBT program for chronic pain and tDCS procedures. Once this adaptation process is completed, the investigators will conduct a feasibility trial with non-Hispanic Black, Hispanic and non-Hispanic White childhood cancer survivors of bone sarcoma with chronic pain. The feasibility study will assign eligible participants to either culturally adapted mobile CBT + active tDCS to the dorsolateral prefrontal cortex or culturally adapted mobile CBT + sham tDCS. We anticipate approximately 60 participants for the focus groups and approximately 30 participants for the feasibility study for a total of about 90 participants.

Inclusion Criteria for focus groupsAdultsHispanic or non-Hispanic Black childhood cancer survivor or parent of Hispanic or non-Hispanic childhood cancer survivor18 years or olderAdolescents10-17 year-old survivors of childhood cancerAt least one year post treatmentHispanic or non- Hispanic BlackExclusion Criteria for focus groups• Adults/Adolescentso Inability or unwillingness of research participant or legal guardian/representative to give written informed consent.Inclusion Criteria for feasibility studyHispanic, non-Hispanic Black and non-Hispanic White 10-17 year old survivors of bone sarcomaAt least one year post treatmentPain present over the past 3 months and pain at least once per weekPain interfering with at least one area of daily functioningExclusion Criteria for feasibility studyLimb amputationHistory of seizures or other neurological disordersImplanted medical device or metal in the headSerious comorbid psychiatric conditionCurrent substance abuseHistory of development delay or significant cognitive impairment