Mobile Health Application (PACT) to Improve Engagement in Advance Care Planning

Inclusion Criteria

• PATIENT: Diagnosis of poor prognosis advanced cancer defined as locally advanced or metastatic cancer and/or disease progression following at least first line systemic therapy.
• PATIENT: Access to a mobile device; the principal investigator (PI) will ensure that those who have access to a mobile device have access to a mobile device with internet access to ensure they can complete study procedures.
• PATIENT: The ability to provide informed consent.
• PATIENT: Identification and enrollment of a loved support person
• PATIENT: 18 years of age or older.
• SUPPORT PERSON: The person (family member or friend) whom the patient indicates being a support person
• SUPPORT PERSON: English speaking.
• SUPPORT PERSON: 18 years of age or older and able to provide informed consent.
• PROVIDER: Current clinical practice and/or research with advanced cancer patients.
• PROVIDER: A history of 3+ years working with advanced cancer patients.
• PROVIDER: 18 years of age or older. Providers across disciplines (e.g., social work, oncology) will be enrolled.

Exclusion Criteria

• PATIENT: Not fluent in English.
• PATIENT: Severely cognitively impaired (as measured by Short Portable Mental Status Questionnaire scores of >= 6) to be delivered by trained study research staff during screening.
• PATIENT: Too ill or weak to complete the interviews (as judged by the interviewer).
• PATIENT: Currently receiving hospice at the time of enrollment.
• PATIENT: Children and young adults under age 18.
• PATIENT: Resides outside of the United States
• SUPPORT PERSON AND PROVIDERS: Resides outside of the United States