African Americans (AA) Communities Speak

Inclusion Criteria: Aim 1.1

Person with serious Illness

• Self-identified as African American (i.e., born, raised, and lived primarily in the US)
• Non-Hispanic or Latino
• Age ≥60 years
• English-speaking
• Has been diagnosed with a condition that fits into one of 3 illness paradigms including cancer, cardiac disease, pulmonary disease, neuro-degenerative disease, renal disease, stroke, sepsis, hepatic disease)
• Callahan Six-Item Screener score ≥4
• Able to complete baseline surveys.

Bereaved family member

• Self-identified as African American (i.e., born, raised, and lived primarily in the US)
• Non-Hispanic or Latino
• Age ≥60 years
• English-speaking
• Loved one dies in the last 12 months and was diagnosed with a condition that fits into one of 3 illness paradigms including cancer, cardiac disease, pulmonary disease, neuro- degenerative disease, renal disease, stroke, sepsis, hepatic disease)
• Callahan Six-Item Screener score ≥4
• Able to complete baseline surveys.

Exclusion Criteria

Person with serious illness

-Cannot be receiving hospice care

Bereaved Family Member

-Cannot be a paid "sitter"

Inclusion Criteria: Aim 1.2

Bereaved Family member

• Self-identified as African American (i.e., born, raised, and lived primarily in the US)
• Non-Hispanic or Latino
• Age ≥60 years
• English-speaking
• Loved one dies in the last 12 months and was diagnosed with a condition that fits into one of 3 illness paradigms including cancer, cardiac disease, pulmonary disease, neuro- degenerative disease, renal disease, stroke, sepsis, hepatic disease)
• Callahan Six-Item Screener score ≥4
• Able to complete baseline surveys

Pastors

• Self-identifying as African American
• White, Non-Hispanic or Latino
• Sged ≥18 years old.

Inclusion Criteria: Aim 3

Clinician eligibility

• Practice at a University of Alabama at Birmingham (UAB) or Montefiore/Einstein site that provides care to patients eligible for outcomes surveys
• At least 3 months of clinical practice at the study site prior to the intervention training to measure pre-intervention patient surveys

Exclusion criteria

-Lack of at least 3 months of clinical practice at the study site prior to the intervention training.

Patient eligibility

• Self-identified as African American (i.e., born, raised, and lived primarily in the US)
• Non-Hispanic or Latino, 3. age ≥60 years
• English-speaking
• Has been diagnosed with a condition that fits into one of 3 illness paradigms including cancer, cardiac disease, pulmonary disease, neuro-degenerative disease, renal disease, stroke, sepsis, hepatic disease)
• Callahan Six-Item Screener score ≥4
• Able to complete baseline surveys.

Exclusion criteria include

-Currently receiving hospice care.

Family member eligibility

• Age ≥ 18 years
• English-speaking
• Community-dwelling
• Unpaid care provider of a person with a serious illness.

Exclusion criteria: 1. Cannot be a paid "sitter".