Implications for Practice
depression, anxiety
ADVANCED CANCER, METASTATIC CANCER
Growing Resilience And CouragE (GRACE) is a 6-week program developed to improve spiritual well-being, quality of life, and general well-being among women with metastatic cancer reporting spiritual or existential distress. In this randomized clinical trial, participants in GRACE demonstrated significant improvements in spiritual well-being, quality of life, depression, and hopelessness compared to waitlist control through 1-month post-intervention. Intervention participants also demonstrated greater improvements in anxiety. Individuals with advanced cancer experiencing profound existential and spiritual challenges can demonstrate improvements in well-being and quality of life through participation in a multi-faceted, psycho-educational program.