Developing a Virtual Stress Management Intervention for Spousal/Partnered Caregivers of Solid Tumor Cancer Patients.

Inclusion Criteria:

DISEASE CHARACTERISTICS (Meets all of the following criteria):

Patients who have a primary diagnosis of solid tumor cancer at any stage that are within 12 weeks +/- of starting treatment, which includes either infusion chemo- or immunotherapy, oral targeted agents, or both.

PATIENT CHARACTERISTICS:

* Patients who have a primary diagnosis of soled tumor cancer at any stage that are within 12 weeks of initiating treatment.
* Patient must be spouse or partner of the caregiver for at least a year and must live with caregiver
* Must be able to read/speak English
* 18 years of age or older

CAREGIVER CHARACTERISTICS:

* A primary caregiver for the patient with a diagnosis of solid tumor cancer at any stage who are within 12 weeks of initiating treatment
* Spouse or partner of the patient for at least a year
* The caregiver must live with the patient
* Must be available to fully participate in an intervention (Virtual-PEPRR or PepPal) if assigned
* Must score 1 or greater on the PHQ-2 (depression) and/or GAD-2 (anxiety) during pre-screening.
* Must be employed at the time of the patient's diagnosis for a minimum of 20 hours/week with plans to remain employed and working during their patient's treatment. Caregivers that were furloughed or laid off due to Covid-19 who are actively looking for work will be included.
* Able to read and speak the English language
* Willingness to use a Smartphone
* Age 25 (inclusive) 65 (non-inclusive)

Exclusion Criteria:

* Having a serious medical condition likely to influence neuroendocrine parameters
* Chronic use of steroid medications
* If Female, pregnant or planning to become pregnant in the next year
* History of a psychiatric illness unrelated to their experience as a caregiver with the past 18 months.