Table 3.

Protocol or Intervention Changes Made

Protocol or intervention change made	Rationale
1. Symptom survey shortened	Phone symptom surveys were repetitive and burdensome.
2. Occasional home visit allowed	Some participants requested an occasional home visit
3. Module language changed to be less focused on depression	Some participants felt certain modules “didn't apply,” such as grief and loss and depression “because I'm not depressed.”
4. Allowed more flexibility with modules; individually tailor so that some modules are briefly presented as “refreshers”	Some participants felt some of the modules were things they already knew and too much time was spent on them, such as pacing their energy during the day.
5. Created a “menu” of available resources, such as weight loss programs, caregiver support	One participant wanted to know what other resources exist for symptoms.
6. Allowed team to target symptoms besides the four target symptoms	On baseline self-report measures, symptoms besides those targeted by the intervention were rated as “most bothersome” such as cough and numbness/tingling in hands/feet.