ENABLE Cornerstone Intervention for Underserved Advanced Cancer Patients and their Caregivers

Inclusion Criteria

• FAMILY CAREGIVERS: >= 21 years of age
• FAMILY CAREGIVERS: Self-endorsing or identified by the patient as “an unpaid spouse/partner, relative or friend who knows them well and who provides regular support due to their cancer and who does not have to live in the same dwelling”
• FAMILY CAREGIVERS: Either: a) caring for a patient residing in a rural zip code (classified by the United States [U.S]. Census’ Rural-Urban Commuting Area Codes (RUCAs) system as small rural, large rural, and isolated [hereafter referred to as “rural”]) or b) be African-American
• FAMILY CAREGIVERS: Caring for a patient with advanced-stage cancer
• FAMILY CAREGIVERS: Caregivers will NOT need to have an agreeable patient willing to participate in the study
• FAMILY CAREGIVERS: English-speaking and able to complete baseline measures
• PATIENTS: >= 21 years of age
• PATIENTS: Diagnosed within past 60 days of initial pre-screening with an advanced cancer, defined as metastatic and/or recurrent/progressive stage III/IV cancer, including brain, lung, breast, gynecologic, head and neck, gastrointestinal, genitourinary cancer, and hematologic malignancies
• PATIENTS: English-speaking and able to complete baseline measures

Exclusion Criteria

• FAMILY CAREGIVERS: Self-reported active severe mental illness (i.e., schizophrenia, bipolar disorder, or major depressive disorder), dementia, active suicidal ideation, uncorrected hearing loss, or active substance abuse
• PATIENTS: Receiving hospice; or
• PATIENTS: Medical record documentation or self-report of active severe mental illness (i.e., schizophrenia, bipolar disorder, or major depressive disorder), dementia, active suicidal ideation, uncorrected hearing loss, or active substance abuse