This study tested the efficacy of educational interventions to increase the use of advance directives among the elderly. Three types of educational materials, various community-dwelling populations of older people (n = 293), and offers of free legal assistance were examined. Interventions increased use slightly, not dramatically, especially with the group receiving a moderate level of materials plus an invitation to a meeting. Knowledge and use were also associated with race and education levels. The most common reason given for nonuse was deferring to others and putting it off.