An Internet Delivered Intervention for Re-Adjustment to Sexual Intimacy With an Ostomy After Cancer

Inclusion criteria: Patients meeting all of the following criteria will be eligible for the study:

• Patients who have had a diagnosis of colorectal and/or bladder cancer within theirlifetime

• Patients who are at least 1-month post active treatment for colorectal and/or bladdercancer

• Patients who have an ostomy due to colorectal and/or bladder cancer (e.g., colostomy,ileostomy, urostomy; permanent or temporary)

• Patients who are in a committed intimate relationship

• Patients who report changes in their sexual/intimate relationship associated withcolorectal and/or bladder cancer and/or living with an ostomy

• Patients who have access to the Internet in a private space

• Patients who reside in Ontario

• Patients who are 18 years of age or older OR Partners of patients who meet the above criteria and who are 18 years of age or older

Exclusion criteria: Patients/couples will be excluded from study participation if:

• Patient is undergoing active treatment for cancer

• Patient or partner report high levels of relational distress and would be bettersuited to couples therapy

• Couple is attending or plans to attend couples or sex therapy concurrently withparticipation in study

• Patient or partner is currently experiencing mental health concerns that wouldinterfere with study participation (e.g., suicidal ideation, psychotic disorders,substance abuse, spousal abuse)

• Patient or partner lack English proficiency