A Feasibility Study of Death Education Intervention for Family Caregivers of Advanced Cancer Patients

Inclusion Criteria

• •Age 18 years or older;
• •The patient with pathologically confirmed stage III or IV cancer;
• •The patient has initiated any systemic anti-cancer therapy (e.g.,chemotherapy, immunotherapy, targeted therapy, endocrine therapy) and has completed the first treatment administration/cycle and commenced the next planned administration/cycle;
• •The patient is assessed by the doctor as having an estimated life expectancy of ≥3 months; and
• •The patient is aware of their advanced cancer diagnosis.
• •Age 18 years or older;
• •The caregiver is identified by the patient as the primary family caregiver (e.g., spouse, adult child, parent, or other relative);
• •The caregiver has been regularly involved in caregiving for the patient in the past month, and is expected to continue providing support over the next two months (e.g., daily care, accompaniment, involvement in medical communication/decision-making, and financial support);
• •Since taking on the primary caregiving role, the caregiver reports the frequency of talking about death/dying with the patient as "Never" or "Rarely" (from: Never / Rarely / Sometimes / Often / Very often);
• •The caregiver perceives a need for guidance and support in communicating with the patient about death-related matters; and
• •The caregiver has basic Chinese literacy (reading and writing) to understand the intervention content and complete written tasks.