CARE Study: Cancer, Asian Americans, and Relationship Enrichment

Inclusion Criteria for Patients: 1. self-identifies as Asian American or Asian 2. males or females ages 21-80 years 3. within 2 years of any cancer diagnosis or stage 4 cancer diagnosis 4. actively undergoing surgery or systemic therapy (e.g., chemotherapy, radiation, immunotherapy) or within the past 6 months, 5. able to identify a caregiver (e.g., spouse) who lives in the same household or see at least 3 times per week 6. able to read, write, and speak English (i.e., English proficient; EP) or Mandarin/simplified Chinese. Exclusion Criteria for patients: 1. life expectancy less than 6 months in the opinion of the primary physician 2. inability to stand or walk on their own or other physical limitations that preclude them from participating (3+ on ECOG performance status), 3. major thought disorder (e.g., schizophrenia or bipolar \[patient records or self-disclosure\]). Inclusion Criteria for Caregivers: 1. identifies as Asian American or Asian, 2. patient considers them to be caregiver 3. English proficient or Mandarin Chinese proficient 4. access to computer/phone, internet, and web browser. Exclusion Criteria for Caregivers: 1. unwilling or unable to participate in the study for any reason, 2. under the age of 18.