 The investigators conducted a randomized controlled trial for efficacy of the Advance Care Treatment Program in an African American church-based community model. The investigators compared the effect of the experimental and control groups on knowledge, self-efficacy, intentions and behaviors from 4 urban African American churches randomly assigned to experimental n2 or control n2 conditions,304 experimental n152; control n152 health care proxies of participants that have advanced stage dementia: a were concurrently recruited in small classes each with 8-9 healthcare proxies. 