During Phase I of the study, a panel of seven experts will provide feedback on adapting SPIRIT to persons with AD and their surrogates. SPIRIT will also be adapted to a videoconference format so that patients and surrogates can receive the intervention in their home. To pretest the adapted SPIRIT intervention, the first 6 patient and surrogate dyads will be randomly assigned to SPIRIT-in person or to SPIRIT-remote. After completion of each session the interventionist will make field notes to document what did or did not go well, reasons for interruptions or difficulties, and contextual factors that cannot be captured in the audio-recording. During the post-intervention assessment each participant will complete the preparedness outcome questionnaires and will be asked about the overall experience with SPIRIT, any facets of the intervention that the participant found helpful or not helpful and the reasons (pacing, length, and modality), and suggestions for improvement. The researchers will alter or refine the intervention before pretesting a second set of 6 dyads.