The purpose of this study is to find out whether the Integrative Medicine at Home (IM@Home) program can help reduce patients' symptoms (such as tiredness, pain, or insomnia) and improve their satisfaction with treatment for their disease. The IM@Home program offers virtual (online rather than in-person) group classes focusing on mind-body practice. Mind-body practice is a health practice that combines mental focus, controlled breathing, and body movements to help relax the body and mind.
Age ≥ 18 years or older Patients with a diagnosis of head and neck tumors, thoracic tumors, gynecological tumors, melanoma, or breast cancer Actively receiving systemic oncological treatment or radiotherapy, or within 4 weeks of radiotherapy completion Worst fatigue over the last 7 days rated 4 or greater on (0-10 scale) Karnofsky score 60 or greater Life expectancy greater than six months English speaking
Exclusion Criteria:
Cognitive impairment that would preclude response to study assessments or require the use of Legally Authorized Representatives Unwilling to accept random assignment Concurrently enroll onto ongoing competing trials of integrative medicine interventions with symptom/toxicity as primary outcome. Note, however, patient will be allowed to enroll on other therapeutic protocols
