The project enhancement will  involve an online survey and interviews with cancer patients to address the following research questions related to the impact of COVID-19:

• How has COVID-19 affected cancer patients’ relationships and communication with their cancer care providers (e.g., due to disruptions in care, access issues, changes in mode and nature of appointments )?

• What aspects of patient-centered communication are most important to patients in the context of COVID-19 (i.e. managing uncertainty, sharing information, decision making, enabling self-management, responding to emotions, building a therapeutic relationship)?

• What are differences in patients’ experiences across different care settings (e.g., cancer center, hospital, outpatient clinic), cancer type, stage in continuum of care, and socio-demographic characteristics?

• How can patient-centered communication be strengthened in the context of a crisis that disrupts cancer care?