Interventions for Promoting Kidney Transplant Empowerment
This is a cluster randomized controlled clinical trial evaluating the effect of community health workers (CHWs) and provider education on kidney transplant (KTx) waitlisting compared to usual care (waitlist control). CKD/HD providers will be randomized to intervention or control, and all patients with the same providers will be in the same randomization group. CHWs will address unmet social needs and patient symptoms through evaluations and linkage to clinical and community services. Intervention providers will receive education, which will include training on working with CHWs, reducing bias in clinical decision-making, and increasing affirming/reducing stigmatizing language in electronic health records (EHRs).
• Patient inclusion:
‣ Provision of signed and dated informed consent from the patient.
⁃ Stated willingness to comply with all study procedures and availability for the duration of the study.
⁃ Age 18 - 75 years
⁃ eGFR≤20 mL/min/1.73m2 or on maintenance in-center HD.
⁃ Receive kidney care at Mount Sinai, Einstein, Bellevue Hospital, NYU, or hemodialysis at a participating HD Center.
⁃ Community dwelling (i.e., not in a nursing home, currently incarcerated).
⁃ Speak English and/or Spanish.
• Provider Inclusion:
‣ Provision of signed and dated informed consent from the nephrologist.
⁃ Stated willingness to comply with all study procedures and availability for the duration of the study.