Feasibility of an Individualized Goals of Care Discussion Guide for Advanced Breast Cancer

The purpose of this study is to understand patient preferences for communication and
decision-making for advanced breast cancer. The investigators want to better understand what
topics the participant wants their doctors and nurses to address with the participant in
clinic, and the investigators want to evaluate whether asking patients to fill out a brief
survey about their goals and preferences for care and giving this survey to their clinician
before the next visit is a good idea that helps to improve communication and decision-making
in breast cancer care.

Inclusion Criteria:

- Age ≥ 18

- Diagnosed with stage IV breast cancer within the past 3 years

- Receiving care at the MGH Cancer Center

- Verbal and written fluency in English

- Within 6 weeks of a new line of breast cancer therapy and/or progression on scans
and/or a change in current breast cancer therapy regimen

Exclusion Criteria:

- Unwilling or unable to participate in the study

- Is medically or otherwise unable to participate (as determined by a physician or study
PI)

- Enrolled in hospice