A Study of Meaning-Centered Therapy for Mexican Adults With Advanced Cancer

Patient Eligibility Criteria:

A patient cannot be considered eligible for this study unless ALL of the following conditions are met. Participant eligibility will be determined by an initial EMR review followed by a self-report screener and suicide risk assessment.

Inclusion Criteria:

EMR Criteria

\- Documentation of Disease

* Pathologically confirmed breast, prostate, colorectal, thyroid, cervix, uteri, or lung - solid tumor cancer (either most recent or new diagnosis)

  * Definition of Disease \[or Measurable Disease\]
* Diagnosed with stages III or IV

  * Prior Treatment
* Receiving ambulatory care at INCan

Self-Report Criteria

* Age ≥ 18 years
* Able to read and communicate in Spanish determined by the question: "Can you read and communicate in Spanish? Yes/No"
* Professional role of administrators, clinicians (e.g., oncologists), mental health providers, supervised therapists-in-training (e.g., graduate students), or other related provider delivering the MCP-L experimental intervention
* Providing care (or services) to Mexican cancer patients at INCan
* Has access to internet and an electronic device
* Agrees to be audio-recorded

Exclusion Criteria:

EMR Criteria

* Prior Treatment

  * Received psychological or psychiatric care at INCan in the last 3 months
  * In the judgment of the treating physician, protocol investigators, and/or study staff, presence of cognitive impairment (e.g., delirium or dementia) sufficient to preclude meaningful informed consent and/or study participation
  * Diagnosed with a serious psychiatric condition

Self-Report Criteria

* Received psychological or psychiatric care outside of INCan in the last 3 months
* Presence of suicide risk determined by the Columbia-Suicide Severity Rating Scale
* Too ill to participate determined by the question: "Do you feel too ill to participate because of communication problems, uncontrollable pain, or other symptoms that prevent you from participating?"

Provider Eligibility Criteria:

Inclusion Criteria Self-Report Criteria

* Age ≥ 18 years
* Able to read and communicate in Spanish determined by the question: "Can you read and communicate in Spanish? Yes/No"
* Professional role of administrators, clinicians (e.g., oncologists), mental health providers, supervised therapists-in-training (e.g., graduate students), or other related provider delivering the MCP-L experimental intervention
* Providing care (or services) to Mexican cancer patients at INCan
* Has access to internet and an electronic device
* Agrees to be audio-recorded