BOLSTER: Learning New Skills to Thrive

Participant Inclusion Criteria:

• Age ≥18 years

• Currently hospitalized with skilled care need or have acquired a new skilled careneed as an outpatient

• Diagnosed with advanced gastrointestinal cancer (esophageal, gastric, pancreatic,hepatobiliary, colorectal, unknown GI primary, anal) or advanced gynecologic cancer (ovarian, endometrial, cervical, vaginal, vulvar)

• Has a complex care need (e.g., ostomy, ileostomy, urostomy, nephrostomy, biliarydrain, venting gastric tube, feeding tube, intraabdominal or pleural catheter, woundVAC)

• Plans to receive ongoing cancer treatment

• Has a family caregiver or friend (hereafter designated family caregiver) willing toparticipate

• Able to speak and read English or Spanish (self-report)

• Are willing to be audio-recorded

• Have the cognitive/physical ability to participate in a 60-minute interview

Family or Caregiver Inclusion Criteria:

• Age ≥ 18 years

• Identified by a patient (as defined above) as a family or friend who is involved intheir care.

• Willing to participate in study visits

• Willing to be audio recorded

Participant Exclusion Criteria:

• Has cognitive impairments (as determined by the patient's oncologist)

• Planning to enroll in hospice

• Unable to complete baseline survey

• Adults unable to consent

• Individuals who are not yet adults (infants, children, teenagers)

• Prisoners

Family or Caregiver Exclusion Criteria:

• Unable to complete baseline survey

• Adults unable to consent

• Individuals who are not yet adults (infants, children, teenagers)

• Prisoners