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Table 2 CCST topic list

From: Evaluating a couple communication skills training (CCST) intervention for advanced cancer: study protocol for a randomized controlled trial

Health experience

• Your reaction to the diagnosis

• Managing symptoms such as pain and fatigue

• Dealing with changes in your physical appearance

• Stigma of having a cancer diagnosis

• Conflict with health care providers

• Treatment decisions, including goals of care and advance care planning

Reflection

• Moments of your life that were most important to you

• Things you might have done differently

• Things you would still like to accomplish

• Things you would like to share with future generations (what do you want your grandchildren to know about you?)

• Fears or worries about dying

• Plans for the future

Practical issues

• Financial difficulties

• Having to give up or cut back from work or other important activities

• Difficulties completing daily activities and household tasks

• Disruptions to your life caused by cancer

Family and friends

• Telling family members, friends, or co-workers about your illness

• Caring for your children

• Maintaining relationships with friends and family

• Maintaining physical intimacy with your partner