About this trial
Through the use of community-engaged processes, this project seeks to develop and implement clinical decision support (CDS) and a kidney health coaching (KHC) intervention. The CDS seeks to streamline workflows to effectively screen, identify, and link to care for those patients with advanced chronic kidney disease (CKD).
The overall project goals are to 1.) Design and conduct community-engaged clinical trials to test new interventions that dismantle the systemic factors that contribute to kidney health disparities. 2.) Foster research collaborations between investigators, people living with kidney disease, community-based organizations, and other key stakeholders.
Researchers aim to assess whether the KHC intervention is effective at delaying the transition to kidney replacement therapy (KRT) and central venous catheter use or death.
Eligibility criteria
Qualifiers
Identifies as African American or Black
Two estimated glomerular filtration rates (eGFRs) < 29 separated by at least 90 days but within the past 2 years, or a Kidney Failure Risk Equation (KFRE) score of 10% or greater likelihood of kidney failure within the next 2 years
Had an encounter at Emory Healthcare through an ambulatory visit or inpatient stay (i.e., ER or hospital visit within the previous 2 months
Stated willingness to comply with all study procedures and availability for the duration of the study
Disqualifiers
Currently on dialysis
currently receiving hospice care or other types of conservative management for terminal illness
Currently on waitlist, or referred for/or completed a transplant evaluation visit within the past 2 years
Kidney or another solid organ transplant
Trial design
Treatments tested in this trial
- Kidney Health Coaching
- Usual Care
Treatment groups
Sponsors and collaborators
Emory University
Lead sponsor
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Collaborator
James T. Laney School of Graduate Studies
Collaborator