Table 1.

PRISM Modules

Topic	Details	Format
1. Managing Stress	Mindfulness techniques, relaxation strategies, obtaining social support	One-on-One
2. Goal-setting	Setting specific, realistic, desirable goals, planning for roadblocks
3. Positive Reframing	Recognizing negative self-talk, replacing with positive, realistic, manageable ones
4. Meaning Making	Identifying benefits, purpose, meaning, or legacy from cancer experience
5. Voicing My Choices	Communication about values, preferences, and feelings about care
6. Coming Together	Discussion about what was learned, what helped, what they can do to help	Family meeting
7. Boosters	In-person/digital/video conference modules to practice, further develop, and track skills.	One-on-One
8. Practice Opportunities	App-based modules to practice and further develop skills (also available in paper form)	Digital or Paper

Note: Sessions are delivered approximately every 1–2 weeks, arranged in advance in conjunction with hospital visits