"You're not the only one who went through this": Cancer survivors' reflections on peer encounters during the Desert...

This study explores how peer support within Desert Journey, a nature-based group intervention developed by an Israeli non-governmental organization, shapes coping, belonging, and meaning among young cancer survivors. Grounded in a biopsychosocial and ecopsychological framework, we examine survivors' lived experiences to identify that support rehabilitation.

A qualitative approach was used to explore participants' subjective experiences. In-depth, semi-structured interviews were conducted with 21 participants who had completed Desert Journey within the past two years. Participants aged 29-44 years, all in the recovery stage, represented a range of cancer diagnoses. The interviews were conducted between March-May 2025, audio-recorded, transcribed verbatim, and analyzed thematically.

Three central themes emerged: (1) "A group of strangers who just got it." Participants described a profound sense of belonging and emotional validation through honest dialogue and nonverbal connection; (2) "An intimate space." The desert setting fostered reflection on family, parenthood, and romantic relationships, allowing participants to voice complex emotions often silenced in daily life; (3) "There's something very overwhelming about being together all the time." Some participants experienced emotional flooding, anxiety, and a need for solitude as the group process intensified.

Nature-based group interventions such as Desert Journey provide a unique therapeutic context for young cancer survivors by fostering emotional connection, peer support, and self-reflection. The findings highlight the potential of such programs to complement traditional survivorship care. Oncology nurses can play a critical role in identifying suitable patients, advocating for the integration of holistic interventions, and collaborating with interdisciplinary teams to enhance survivorship care.