Improving Patient-clinician Communication About End-of-life Care

The specific aims are: 1. to evaluate the feasibility and acceptability of PC-ACP among African American patients with End-stage Renal Disease and their surrogates and 2. to examine preliminary effects of PC-ACP on patient and surrogate outcomes (patients\' perceived quality of communication, surrogates\' level of comfort in decision making for the patient, patients\' difficulty in making choices, patient-surrogate congruence in goals of care, and patients\' and surrogates\' psychosocial/spiritual receptiveness) at one week following receipt of the intervention.