Clinical Research Directory

Inclusion Criteria: 1. Inclusion Criteria for the Person with Advanced Chronic Illness: * Diagnosis of an advanced chronic disease, such as chronic heart failure (NYHA functional class IV), renal failure (stages 4-5), chronic obstructive pulmonary disease (COPD) (grades 4-5 on the MRC scale), or liver failure. * Not currently receiving care from a specialized palliative care team. * Habitual residence in their own home or that of a family member, without requiring permanent hospitalization. 2. Inclusion Criteria for the Family Caregiving Unit: * Actively providing care at home to an adult with advanced illness at the time of the study. * A minimum of two months must have elapsed since the initiation of family caregiving for the person with advanced chronic illness at home. * At least two or more adult family members of the person with advanced illness must participate in the study. 3. Inclusion Criteria for Individual Caregivers * Recognized as a caregiver by the person with advanced chronic illness. * Aware of the advanced illness diagnosis of the care recipient. * Aged 18 years or older. * Able to communicate in Spanish. * Having the physical and mental capacity to participate in the interview. * Willing and able to provide written informed consent to participate in the study. Exclusion Criteria: * Life expectancy of less than one year * Families experiencing an acute crisis situation (e.g., recent bereavement, severe family conflict).