Message 2: The Effect of Message Content and Clinical Outcome on Patient's Perception of Physician Compassion

If you agree to take part in this study, during an already scheduled office visit, you will
complete the following:

- Basic information about you will be collected from your medical record (such as your
date of birth, date of diagnosis, sex, and religion).

- You will complete 4 questionnaires about any symptoms you may be having, how hopeful you
are in general, how you are dealing with the disease, your trust in the medical
profession, and your strength of religious faith. It should take about 10 minutes total
to complete all questionnaires.

You will then be randomly assigned (as in the flip of a coin) to 1 of 2 groups. Each group
will watch a short video that shows actors playing a doctor and patient having a conversation
about different cancer treatment options. Each video is about 4 minutes long and will discuss
the same material, but the message shown in the videos will be different for each group.

After you watch the video, you will complete 3 questionnaires that will ask about your
impression of the doctor in the video, how hopeful you think the doctor was, if you think the
doctor was professional, and how you would rate the doctor overall. It should take about 8
minutes total to complete all questionnaires.

You will then read a small story about the patient in the video. Afterwards, you will
complete the same 3 questionnaires that you filled out after you watched the video. You will
also complete an additional questionnaire about your impression of the doctor's compassion
and trustworthiness. This should take less than 10 minutes to complete.

Length of Study:

It should take about 25 minutes total to watch the video and to complete all questionnaires.
Your active participation on this study will be over after you have completed the last
questionnaire.

Other Information:

You are taking part in this study alone. Your family members will not be in the room with
you. If you request, your family may be able remain in the room, but the investigators ask
that they remain silent.

This is an investigational study.

Up to 128 participants will be enrolled in this study. All will take part at MD Anderson.

Inclusion Criteria:

1. Diagnosis of advanced cancer, defined as locally advanced, recurrent or metastatic
disease

2. Follow up patients seen in the outpatient Supportive Care Center.

3. Age >/= 18 years-old

4. English speaking

Exclusion Criteria:

1. Altered cognitive status as determined by the interviewer based on the ability to
understand the nature of the study and consent process.

2. Patients suffering from a severe psychiatric disorder or condition that would
significantly interfere with study participation, as determined by the Principal
Investigator or by the attending palliative care physician.