Table 5 Problems identified in the present study and potential solution

1. Unable to approach dyad for study prior to Neuro-ICU discharge.

1. Research staff are available in the Neuro-ICU daily.

2. Approached patients who are ineligible due to altered mental status.

2. Develop a collaboration with the nursing staff so that they can refer for participation patients who are mentally able to enroll. Approach only this select number of patients.

3. Declined to consent after screening.

3. Perform screening, consent, assessments and first session in the same day.

4. Declined to enroll post consent before randomization.

4. Perform consent, assessment, and first session in the same day.

5. Caregiver unable to travel to MGH for first 2 in patient sessions after screening, consent, baseline and randomization.

5. Allow caregivers to participate in hospital visit via video when caregivers work full time or live out of state. Accommodate evening hours.

6. Low internal consistency on measures with reversed scored items for patients at baseline.

6. Administer Mini Mental Status Exam to confirm cognitive ability to participate and answer study questionnaires. Check patients’ answers immediately after baseline questionnaire completion, assist with reversed scored items.