Investigating Dyadic Expectations About ARF Survivorship (IDEAS)

Patient Inclusion Criteria: * ≥18 years old * Meets study definition of ARF: * The study defines ARF as meeting 1 of the following 3: 1. Mechanical ventilation via an endotracheal tube ≥24 consecutive hours OR 2. Non-invasive ventilation (CPAP, BiPAP) ≥24 consecutive hours that is not for obstructive sleep apnea or other stable use OR 3. High flow nasal cannula with fraction of inspired oxygen (FIO2)≥.5 and flow rate ≥ litres per minute (LPM) for ≥24 consecutive hours. * Occasional rest periods of ≤1 hour are not deducted from the calculation of consecutive hours. Patients who are intubated for mental status or airway obstruction are not eligible unless they have simultaneous ARF. * Survival to hospital discharge to home * Speaks or reads English or Spanish * Identifies an adult who is expected to act as a primary care partner for at least the next 6 months. Patient Exclusion Criteria: * Pre-existing cognitive impairment (IQ-CODE \>3.6) * Residing in a medical institution at hospital discharge * Receiving hospice care or life expectancy \<6 months * Homelessness or recent history of psychosis Care Partner Inclusion Criteria: * ≥18 years old * Speaks or reads English or Spanish Care Partner Exclusion Criteria: * Pre-existing cognitive impairment (IQ-CODE \>3.6)