This study aims to explore whether cancer patients can benefit from completing the Pillars4Life online coping program. This randomized control trial will have half its subject completing the program and the other half receiving standard care in order to measure whether the program is beneficial in dealing with stress, anxiety, and particularly chronic pain that often accompany a cancer diagnosis.

Subjects will complete three online surveys as part of the study. Each subject who completes the first survey will be randomized to either the control group who receive standard care from their care team or to complete the 9-week Pillars4Life curriculum. Subjects completing the Pillars4Life program will select a course day/time that works for them from those offered. Each week the program will send an email approximately 15 minutes before class time with a link. Subjects will click the link to go to the "classroom," where they will enter their name and phone number. The program will call the number provided and the subject will listen to the audio over the phone, while watching the guide and activities in the virtual classroom on their computer. Each class will last about an hour.

All subjects will complete two additional surveys, at approximately 9 weeks and 18 weeks after enrolling in the study.

Inclusion Criteria:

• Current pain level ≥3 and at least one prior score ≥3 on a 0-10 scale as reported in EPIC;
• Age ≥18 years
• Diagnosed with Breast, GI, GU, GYN, or Thoracic cancer
• Actively receiving care at the Duke Cancer Center, Durham Regional Hospital, or Duke Raleigh Hospital
• Able/willing to have an online interaction with the Pillars4Life online CORE program curriculum
• Life expectancy ≥6 months
• Providing informed consent
• Able to read/write English.

Exclusion Criteria:

• none