NCT03068013

✓ Unanimous Initial: hospital Requery: other — The intervention is delivered as outpatient psychotherapy sessions rather than requiring hospital admission, fitting an outpatient clinic or community setting classification.

✓ Unanimous Initial: other Requery: other — The psychotherapeutic intervention is delivered in an outpatient psycho-oncology clinic setting to non-hospitalized advanced cancer patients.

✓ Unanimous Initial: other Requery: other — The intervention consists of individual psychotherapy sessions delivered at university hospital outpatient settings, which constitutes outpatient clinic care rather than inpatient hospitalization.

✓ Unanimous Initial: no Requery: yes — The CALM intervention includes preparing for the future and addressing mortality, which aligns with goals of care discussions typical in Advance Care Planning. Thinking: no — CALM is a psychotherapeutic intervention for distress and meaning-making; it does not include structured advance care planning or formal goals-of-care discussions as a core component.

✓ Unanimous Initial: no Requery: no — The CALM psychotherapy intervention addresses preparing for the future and mortality but does not include structured advance care planning components like advance directives or POLST as a core focus.

✓ Unanimous Initial: yes Requery: yes — The CALM intervention explicitly includes 'Preparing for the future, sustaining hope and facing mortality' as one of its four core domains, along with structured preparation for end-of-life discussions, which constitutes advance care planning. Thinking: no — While CALM addresses 'preparing for the future and facing mortality' as one domain, it is a psychotherapy intervention focused on depression and psychological well-being without explicit advance care planning components like advance directives or structured goals-of-care conversations.

✓ Unanimous Initial: no Requery: no — The trial tests a psychotherapeutic intervention called CALM for cancer patients, not palliative care itself.

✓ Unanimous Initial: no

✓ Unanimous Initial: yes Requery: no — This is a psychological intervention (CALM therapy) being tested in advanced cancer patients, not palliative care consultation or service delivery as the intervention itself.