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

Eligibility Criteria

• 1. Clinicians (Part I/II/III):
• 2. Patients (Part I/II/III):
• * 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 2 or greater
• * 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
• 3. 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
• * (Part I/II/III): Diagnosis of cognitive impairment or dementia requiring a surrogate decision maker as determined by the clinical team
• * (Part III only): Participants in Part I and II