The goal of this study is to learn if a culturally adapted version of the Hello game, an advance care planning (ACP) conversation tool, is feasible and acceptable for use with members of the Washoe Tribe. The main questions it aims to answer are: Can the Hello game be successfully adapted to reflect the cultural values, beliefs, and storytelling traditions of the Washoe Tribe? Does playing the adapted Hello game increase ACP engagement and advance directive (AD) completion among Washoe Tribe members within 3 months? Participants will: * Take part in talking circles at one of four Washoe reservations to share their beliefs, motivations, and experiences related to end-of-life care and advance care planning * Complete brief questionnaires about their ACP attitudes and behaviors * Play the culturally adapted Hello game in a group setting * Complete follow-up measures of ACP engagement and advance directive completion 3 months after playing the game
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Arm 1: Qualitative themes describing Advance Care Planning needs, motivations, and challenges
Timeframe: During qualitative focus groups (up to 2 hours)
Arm 2: Initial Enrollment Subject Numbers
Timeframe: RA Observed during participation in Hello game event (up to 1 hour)
Arm 2: Retention at 3-month follow-up
Timeframe: RA Observed during 3-month follow-up event (up to 1 hour)
Arm 2: Acceptability Score
Timeframe: During participation in Hello Game Event (up to 1 hour)
Arm 2: ACP engagement survey score Time 1
Timeframe: During participation in Hello Game Event (up to 1 hour)
Arm 2: ACP engagement survey score Time 2
Timeframe: 3-months post game attendance (up to 1 hour)
Arm 2: ACP Behavior completion
Timeframe: 3-months post game attendance (up to 1 hour)