Inclusion Criteria:  Identifying ethnically as Latino Locally advanced or metastatic cancer (pancreaticobiliary, esophagogastric, hepatocellular carcinoma, lung, or gynecological cancer) AND have experienced disease progression on at least first-line chemotherapy Ability to provide informed consent  Exclusion Criteria:  Not fluent in English or Spanish Severely cognitively impaired (as measured by Short Portable Mental Status Questionnaire scores of < 6) Too ill or weak to complete the interviews (as judged by interviewer) Currently receiving palliative care/hospice at the time of enrollment (to allow prediction of ACP) Children and young adults under age 21 Patients deemed inappropriate for the study by their treating oncologist