Changes in Patient Reported Constipation Among Advanced Cancer Patients After Receiving an Educational Intervention

If participant agrees to take part in the study, information about them (such as their age,
gender, ethnicity, religion, diagnosis, and drugs they are currently taking) will be
collected from their medical record.

Participant will also complete 1 questionnaire about constipation. It should take about 1-3
minutes to complete the questionnaire.

After completing the questionnaire, participant will be randomly assigned (as in the flip of
a coin) to 1 of 2 study groups. This is done because no one knows if one study group is
better, the same, or worse than the other group. Participant will have an equal chance of
being in either group.

- If participant is assigned to Group 1, they will watch a short educational video.

- If participant is assigned to Group 2, they will read a fact sheet.

Both the video and the fact sheet describe symptoms of constipation and the importance of
regular bowel movements. They should take about 3 minutes each to complete.

After participant has viewed the educational material, they will complete 3 questionnaires
about constipation and how helpful they think the video or fact sheet was in educating them
about constipation. It should take about 10 minutes total to complete these questionnaires.
Participant will watch the video/read the fact sheet and complete the questionnaires in their
room at the Supportive Care Clinic.

Length of Study:

Patient's participation on this study will be over after they have completed the last 3
questionnaires.

This is an investigational study.

Up to 200 participants will be enrolled in the study. All will take part at MD Anderson.

Inclusion Criteria:

1. Patients with diagnosis of advanced cancer, including recurrent, locally advanced, or
metastatic cancer

2. Age >/= 18 years old

3. Patients must be able to understand, read, write, and speak English

4. Patients must have no clinical evidence of cognitive impairment as determined by the
palliative care physician (Memorial Delirium Assessment Score >/= 7)

5. Patients must sign an informed consent

Exclusion Criteria:

1. Patients with a diagnosis of inflammatory bowel disease, i.e. Crohn's disease or
ulcerative colitis

2. Patients with complete or partial bowel obstruction as determined by the palliative
care physician

3. Patients with a bowel ostomy