Building Resilience for Advance Care Planning (ACP) in Chinese Americans

Group 1 Inclusion criteria for religious leaders: * Age ≥ 18 years of age; * Having served as a chaplain, pastor, or monk at a health care setting or religious organization in Chicago; * Being able to read and respond to questions in English or Mandarin; * Having experience in having end-of-life discussions with Chinese Americans in Chicago. Exclusion criteria: Unwilling to provide consent. Group 2 Inclusion criteria for Chinese Americans living in Chicago: * Age ≥ 18 years of age; * Identifying themselves as first- or second-generation Chinese Americans; * Being able to read and respond to questions in Mandarin or English. Exclusion criteria: Unwilling to provide consent. Group 3 Inclusion criteria for Chinese Americans with experience in end-of-life care discussions: * Age ≥ 18 years of age; * Identifying themselves as first- or second-generation Chinese Americans; * Having experience discussing end-of-life care decisions with others; * Being able to read, write, and respond to questions in either English or Mandarin. Exclusion criteria: Unwilling to provide consent. Group 4 Inclusion criteria for Chinese Americans with cancer, hypertension, or heart disease: * Age ≥ 18 years of age; * Self-identify themselves as first- or second-generation Chinese Americans/immigrants; * Having a diagnosis of chronic diseases, such as cancer, hypertension, or heart disease; * Being able to read and respond to questions in Mandarin; * Being of the non-Hispanic Asian race/ethnicity. Exclusion criteria: * Having cognitive impairment per a Short Portable Mental Status Questionnaire with more than 3 errors, or * Being born in the US. Inclusion criteria for their family members: * Age ≥ 18 years of age; * Being able to read and respond to questions in Mandarin; * Having a family member who is self-identified as a first or second-generation Chinese American/immigrant and has been diagnosed with chronic diseases, such as cancer, hypertension, or heart disease. Exclusion criteria: Unwilling to provide consent.