Kidney Health Coaching for Kidney Disease
(CLARIFy-KD Trial)

Recruiting in Palo Alto (17 mi)

Overseen byKimberly R Jacob Arriola, PhD, MPH

Age: 18+

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Waitlist Available

Sponsor: Emory University

No Placebo Group

Trial Summary

What is the purpose of this trial?

Through the use of community-engaged processes and an anti-racism approach, 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 effects of structural racism 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

This trial is for individuals with advanced chronic kidney disease (CKD). It's designed to help those affected by structural racism that contributes to kidney health disparities. Participants should be interested in engaging with community-based interventions and willing to follow a new clinical decision support system.

Inclusion Criteria

Had an encounter at Emory University Hospital-Midtown through an ambulatory visit or inpatient stay (i.e. ER or hospital visit within the previous 2 months)

Identifies as African American or Black

Stated willingness to comply with all study procedures and availability for the duration of the study

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Exclusion Criteria

I am currently in hospice care or receiving conservative management for a terminal illness.

Currently on waitlist or referred for or completed a transplant evaluation visit within the past 2 years

Non-English speaking

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Treatment Details

Interventions

Kidney Health Coaching (Behavioural Intervention)

Trial OverviewThe study tests a kidney health coaching (KHC) intervention against usual care, aiming to streamline patient care for CKD. The goal is to see if KHC can delay the need for kidney replacement therapy, prevent the use of central venous catheters, or reduce mortality rates.

Participant Groups

2Treatment groups

Experimental Treatment

Group I: Intervention: Kidney Health CoachingExperimental Treatment1 Intervention

Participants will receive patient-centered health coaching delivered by two full-time kidney health coaches for six months.

Group II: Control: Usual CareExperimental Treatment1 Intervention

Participants will receive usual care based on where patients are identified (Emergency Room- ER, Primary Care, Hospital Discharge, Primary Care, or Nephrology)