Conclusion
METASTATIC CANCER
There exists a critical need to support the well-being and quality of life of women with metastatic cancer, particularly given the high prevalence of existential and spiritual distress in the patient population. The findings of the current randomized clinical trial suggest that the GRACE intervention is successful at improving spiritual well-being, quality of life, and dimensions of general well-being among women with metastatic cancer experiencing existential and spiritual concerns. Future research can explore how to scale the intervention to reach more patients, and how to influence additional key measures of well-being including loneliness.