Inclusion Criteria:

Patient inclusion criteria are as follows:

• A histologically or cytologically confirmed primary or secondary brain tumor with expected ongoing deterioration in language as determined by their oncologist
• Mild-to-moderate aphasia or other acquired communication disorder as determined by their oncologist or speech-language pathologist
• ECOG Performance Status of ≤2 or Karnofsky Performance Status ≥60
• Expected overall survival of >6 months
• Ability to understand and the willingness to sign a written consent form
• Age ≥18 years
• Willingness to participate in study interviews and be recorded for the study (for monitoring of study fidelity)
• Cancer survivors will also be included

Care-partner inclusion criteria are as follows:

• Identified by their patient as someone who is integral to their care
• Age ≥18 years
• Ability to understand and the willingness to sign a written consent form
• Willingness to participate in study interviews and be recorded for the study (monitoring of study fidelity)

Exclusion Criteria:

Patient exclusion criteria are as follows:

• Unable to read or respond to questions in English
• Severe dysarthria as determined by their oncologist
• Aphasia that is moderate-to-sever enough that the patient cannot consent without a proxy
• Expected survival of ≤ 6 months
• Severe cognitive impairment as determined by their oncologist

Care-partner exclusion criteria are as follows:

-Unable to read or respond to questions in English