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FOCUS on the Web offers an individually tailored, interactive, web-based intervention for cancer patients (lung, colorectal, breast, prostate) and their family caregivers that will lead to better patient-caregiver communication, more dyadic support, higher self-efficacy, increased perceived benefits of the illness experience, and less emotional distress. This intervention is based on an efficacious, family-based program of care (the FOCUS Program). In this study, we translate this primarily face-to-face, family-based program to an internet-based version.


Aim 1. Develop an individually-tailored, interactive, web-based and email-based, Family Involvement Module. The three-session module will be completed jointly by patients and caregivers to increase patients' and caregivers' effective communication, dyadic support, self-efficacy, perceived benefits of the illness, and to decrease their emotional distress.

Aim 2. Conduct a Phase II study with cancer patients and their family caregiver using baseline (Time 1) and two-month follow-up assessments (Time 2). Between Times 1 and 2, all participants jointly will complete the web-based Family Involvement Module.


1. Formative Testing: The sample for this study consists of 11 patients with lung, colorectal, breast or prostate cancer and a family caregiver (N=11 dyads) who participate in one of four focus groups. Focus group participants are stratified by type of cancer and stage of disease.

2. Usability Testing: The sample for this study consists of 8 patient-caregiver dyads stratified by cancer site and stage of disease.

3. Feasibility Study: The sample consists of 38 patients with lung, colorectal, breast, or prostate cancer and one family caregiver per patient (i.e., 38 dyads) who are stratified by cancer site and stage of disease. Participants are drawn from three Michigan sites: 1) the University of Michigan Comprehensive Cancer Center, Ann Arbor; 2) St Joseph Mercy Cancer Center, Ypsilanti; and 3) Karmanos Cancer Center, Detroit.

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