A Multicomponent Support Program to Enhance Quality of Life in Chinese Cancer Patients and Survivors (MSP-CCS): Pilot Optimization Trial and Implementation Outcomes

Inclusion Criteria: * Diagnosed with cancer (any type/stage) (per EMR for MSK patients or self-report for external participants) within the last 5 years * Age ≥ 18 years (per EMR for MSK patients or self-report for external participants) Self-Report Criteria: * Of Chinese descent * Speaks Mandarin "well" or "very well" * Moderately low HRQOL (\<70 FACT-G score)4, 48 * Resides in New York or New Jersey * Agrees to participate via telehealth (video or phone) * Agrees to be audio-recorded Exclusion Criteria: Self-Report Criteria: * Per PI determination, requires a higher level of care for current passive or active suicidal ideation than current protocol is able to provide. If a participant receives a score of \> 0 on item 9 of the PHQ-9,5 they will be referred to study PI for further evaluation using the Columbia-Suicide Severity Rating Scale. They will be excluded from participation in this study if there is presence of suicidal risk, determined by affirmative response(s) on the Columbia-Suicide Severity Rating Scale (C-SSRS) * 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?" * Cognitive impairment (Montreal Cognitive Assessment 5 Minute - telephone version with a score \< 12) * Per consenting professional determination, unable to understand the informed consent procedure * Participation in study #14-076: Adaptation of Individual Meaning-Centered Psychotherapy for Chinese immigrant cancer patients) * Currently receiving/have received psychotherapy/counseling/peer support within the last 6 months (patients being treated solely with psychotropic medications will not be excluded if they are not receiving psychotherapy/counseling/peer support)