TABLE 2.

Perceived changes in relationship post-VMC discussion.

Theme	Coding definition	Sample response
Opened lines of communication	Created an opportunity for discussion, broke down barriers	“[study participation] cracked open that door and allowed him to express things he was probably thinking about since diagnosis and questions about whether he will survive. That barrier has now been broken down and we feel we can probably talk about anything.” (family member) “We were avoiding the questions before- broke down barriers.” (family member)
Increased feeling of closeness	Enhanced sense of connection between individuals	“I feel closer to him.” (friend) “These conversations do bring you closer.” (family member)
Learned something that was important	Gained knowledge about AYAs preferences and/or values	“Few things I didn’t know (his cross/chain) and how important those things are to him.” (family member) “I realize more how much she needs me and relies on me.” (family member)
Changed view of character	Changed view of how AYA thinks, feels, copes, behaves	“I look at her as fearless and with more respect” (family member) “She grew so much from completing this” (family member)