Small gestures, big impact? study tests kindness and gratitude for cancer patients

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * PATIENTS: Between 35 -70 years of age * PATIENTS: Within 1-5 years of diagnosis and actively undergoing systemic therapy, including chemotherapy, immunotherapy, endocrine and radiation therapies * PATIENTS: Self-identify as ethnically one of the 4 ethnic groups of focus: Asian American, African American, Latino, and European American. For collectivist cultures, will aim to recruit patients of who are first- (i.e., immigrated to United States \[US\]) or second-generation (i.e., children of US residents who immigrated to US) immigrants * PATIENTS: Diagnosed with any type of cancer * PATIENTS: Able to identify a caregiver (e.g., family member) who lives in the same household, and who consents to participate in this study * PATIENTS: Able to read, write, and speak in English * PATIENTS: Access to internet, computer or phone, and web browser * CAREGIVERS: Patient considers them as their caregiver * CAREGIVERS: Lives in the same household as patient * CAREGIVERS: Able to read, write, and speak in English * CAREGIVERS: Access to internet, computer or phone, and web browser * CAREGIVERS: Identifies as the same race/ethnicity group as the patient (e.g., European American wife and European American husband, or Asian American wife and Asian American husband would be pairs that are considered eligible) Exclusion Criteria: * PATIENTS: Life expectancy less than 6 months in the opinion of the primary physician * PATIENTS: Inability to stand and walk on their own or with other physical limitations that preclude them from participating. (3+ on Eastern Cooperative Oncology Group \[ECOG\] performance status) * PATIENTS: Major depression (e.g., as determined by a score of 10 or higher on the 10-item Center for Epidemiologic Studies Depression Scale \[CES-D\] at baseline, out of 30) or diagnosed prior to study (from patient records and/or self-disclosure by patient) * CAREGIVERS: Unwilling or unable to participate in the study for any reason * CAREGIVERS: Under the age of 18