Tai-Chi and Aerobic Exercise to Improve Emotional Symptom Cluster in Late-stage Lung Cancer Patients

This study is testing whether Tai Chi and aerobic exercise can reduce emotional symptoms in people with late-stage lung cancer. Many cancer patients experience sleep problems, anxiety, depression, and fatigue together — a cluster of symptoms that significantly affects quality of life. Researchers want to see if structured exercise can help. **You may be eligible if:** - You have been diagnosed with stage IIIB or IV non-small cell lung cancer confirmed by biopsy - You have no other cancer diagnosis in the past year - You are experiencing sleep disturbances, anxiety, depression, and fatigue (even mild, rated 1 or above on a 0–10 scale) - You can communicate in Cantonese, Mandarin, or English - Your general health allows for light to moderate exercise (ECOG performance status 0–2) **You may NOT be eligible if:** - You have a condition that prevents you from exercising (e.g., active neurological disorder) - You cannot follow instructions for safe exercise participation Talk to your doctor to see if this trial is right for you.