Development of an Educational Patient Decision Aid (Treatments in Advanced Cancer - Decision Aid, TA-DA) to Promote Shared Decision Making for Third-line or Beyond Palliative Systemic Therapy

Inclusion Criteria18

• Clinicians (Part I/II/III):
• MD Anderson medical oncologists and APPs who provide care to patients with advanced cancer
• Patients (Part I/II/III):
• Age 18 or over
• Diagnosis of advanced cancer (i.e., metastatic, relapsed, and/or incurable disease as defined by the treating oncologist) who has received at least 2 lines of palliative systemic therapy*
• Patient-rated ECOG performance status of 1-3 for Part I/II and 2-3 for Part III
• Able to make treatment decisions based on the clinical judgement of the oncology team
• English speaking
• patient has started, is receiving, and/or has completed second-line palliative systemic therapy or beyond
• Caregivers (Part I/II/III):
• Age 18 or older
• Currently a primary caregiver to a patient who satisfies the patient eligibility criteria listed above
• For the study purposes, a primary caregiver is defined as:
• someone who provides physical, emotional, decisional and/or logistical assistance to the patient regularly (e.g. daily, weekly);
• can be a family member, friend, or other individual in a close relationship with the patient;
• must be identified by the patient and self-identify as the primary person providing caregiving support to the patient
• Able to provide informed consent and participate in the study
• English speaking