A Phase 2 Study of Home Care Following Autologous Hematopoietic Stem Cell Transplantation

Patient Inclusion Criteria: * Scheduled to undergo an autologous hematopoietic stem cell transplant for any cancer or non-cancer illness * Age 18-80 years * Karnofsky Performance Scale KPS\> 80 * Able to read/write English * A home that is deemed, upon inspection, in suitable condition to serve as a medical home, within a 90-minute driving distance of Duke Patient Exclusion Criteria: * Lack of a caregiver * Pregnant women * Patients with a documented active infection prior to starting their preparative regimen. This includes grade 3 or higher viral, bacterial, or fungal infection. * Use of homeopathic medications, prebiotics, or probiotics that may impact gut microbiota Caregiver Inclusion Criteria: * Identified by patient as their primary caregiver * Meet standard clinical criteria for being a caregiver (able to drive and take care of patient) * Age 18-80 years Caregiver Exclusion Criteria: None