Primary node	Secondary node	Tertiary node	Quaternary node	Node description
Respite				Include any nonspecific reference to respite regardless of source of respite (eg, VA and community)
	Not wanting respite care			Include references to not needing or wanting respite care
		Caregiver not wanting		Include direct references to the caregiver not wanting respite services because alternative care is not optimal
		Service member not wanting		Include direct references to the SMV not wanting respite services due to distrust in strangers or other reasons
	Barriers			Include ineligibility for respite care or care provided not being in line with the needs of the SMV or caregiver
	Supports			Include positive references to respite care
Barriers				Include nonspecific reference to barriers to healthcare services
	SMV medical/ physical/mental healthcare			Include broad references to SMV poor quality of care
		Access to services		Include nonspecific references with regard to barriers to healthcare access, including disability rating, diagnosis, and Purple Heart award
			Time commitment and proximity to services	Indication that distance to care facility is prohibitive and/or that the amount of time required to get to and be seen for the appointment is prohibitive
			Cost	References that indicate that it is too expensive to seek care
			Insurance	Include references to actual benefits and service connection percentages, as well as threats to losing benefits; barriers can also include burden of paperwork and difficulty navigating the system
			Scheduling	Include things such as being unable to get a timely appointment, being given appointment times at the last minute, as well as difficulties for noncaregivers in getting onto base to bring service member to appointments
		Services provided		Include any negative reference to services that the SMV receives and/or is qualified for; also include references to stigma related to SMV healthcare; references can be about barriers to appointments, treatment, resources, therapy, or access to lawyers
		Compensation		Include negative references about compensation (eg, lack of reimbursement for travel and interruptions in disability compensation)
	Community organizations			Include negative references to community organizations, support groups, sponsored respite care through community organization; outreach during transition home
	Caregiver medical/ physical/mental healthcare			General statements of difficulties associated with being a caregiver, including lack of understanding, stigma, and difficulty finding and sharing information
		Advocacy		Include instances of needing to advocate for either their own care or that of their SMV
		Access to services		Include difficulties accessing care due to not being married to service member (nonmarried partner or parent); no private health insurance; too expensive to seek care; treatment too far away
			Cost	Too expensive to seek care, not being reimbursed for travel
			Insurance	Not being married to service member; no private health insurance; lack of satisfaction with insurance provided
			Role recognition and understanding	Include references about a lack of recognition related to care provided; include threats to losing their status/benefits
		Services provided		Include references to services that the caregiver qualifies for or has access to; include counseling, caregiver coordinators, training, and resources
		Compensation		Include negative references to caregiver stipend
	Family care/kids			Include unmet needs for children of SMV; this includes negative experiences with family relocation due to proximity to treatment; kids not able to access base during early phases of treatment; kids needing help understanding service member’s injury; barriers to benefits for these children; lack of medical care or counseling for children
		Spouse/partner combined care		Include references that indicate barriers to combined care for spouse and SMV (eg, inability to schedule appointments together)
Supports				Include nonspecific positive references to healthcare services
	SMV medical/ physical/mental healthcare			Include broad references to SMV high-quality care
		Access to services		Include nonspecific references with regard to positive experiences with healthcare access, including disability rating, Purple Heart award, and timely diagnosis
			Time commitment and proximity to services	Positive references that appointments are efficient and that treatment location is close and convenient
			Cost	References that healthcare is affordable and costs are reasonable
			Insurance	Positive references to having adequate benefits and service connection percentages
			Scheduling	Positive references about flexibility and ease of scheduling healthcare appointments
		Services provided		Include any positive reference to services that the SMV receives and/or is qualified for; references can be about appointments, treatment, resources, therapy, or access to lawyers
		Compensation		Include positive references to disability compensation
	Community organizations			Include general references to community organizations, support groups, sponsored respite care through community organizations; include positive experiences with community outreach during transition home
		Operation Finally Home		Positive experiences with Operation Finally Home
		Coalition to Support America’s Heroes		Positive experiences with Coalition to Support America’s Heroes
		Operation Home Front		Positive experiences with Operation Home Front
			Hearts of Valor	Positive experiences with Hearts of Valor
		Wounded Warrior Project		Positive experiences with Wounded Warrior Project
	Caregiver medical/ physical/mental healthcare			Include broad references to caregiver’s positive experiences with healthcare
		Access to services		Include references to caregiver access to benefits, including status as a caregiver within the healthcare system
			Cost	Include reference to affordable care
			Insurance	Include access to insurance for the caregiver
			Role recognition and understanding	Include positive statements about caregiver recognition and appreciation
		Services provided		Include positive references to caregiver coordinator, physical healthcare, medications, and mental healthcare; also include references to resources, education, and support provided to caregiver
		Compensation		Include any positive reference to caregiver stipend
	Family care/kids			Include positive experience for the needs for children of SMV; include positive experiences with family relocation and access to healthcare services for children
		Spouse/partner combined care		Include references that support combined care for spouse and SMV (eg, being able to be seen together and doctors taking the time to talk with both the SMV and caregiver); include positive references about healthcare providers inquiring about caregiver health during SMV appointment