Community Health Interventions for Renal Disease
(INSPIRE Trial)

Recruiting in Palo Alto (17 mi)

+2 other locations

Overseen byLili Chan

Age: 18+

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Waitlist Available

Sponsor: Icahn School of Medicine at Mount Sinai

No Placebo Group

Trial Summary

What is the purpose of this trial?

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).

Research Team

Lili Chan

Principal Investigator

Ichan School of Medicine at Mount Sinai Hospital

Eligibility Criteria

This trial is for patients with renal disease who are under the care of CKD/HD providers. Participants will be grouped based on their provider's random assignment to either the intervention or control group. The study aims to help those facing social challenges that affect their health.

Inclusion Criteria

I speak English or Spanish.

Patient must receive kidney care at Mount Sinai, Einstein, Bellevue Hospital, NYU, or hemodialysis at a participating HD Center

Patient must be community dwelling (not in a nursing home or currently incarcerated)

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Exclusion Criteria

Provider must be planning to leave their respective institutions in the next 1 year

Patient must have been previously evaluated by KTx and not listed for specific medical reasons

Patient must already be listed for KTx

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Treatment Details

Interventions

Community Health Worker Assistance (Behavioural Intervention)
Intervention Providers (Behavioural Intervention)

Trial OverviewThe trial is testing if support from community health workers and additional education for kidney transplant providers can increase the number of patients getting on a transplant waitlist, compared to usual care without this extra support.

Participant Groups

2Treatment groups

Experimental Treatment

Group I: Usual CareExperimental Treatment3 Interventions

Participants will receive usual care and at the end of the study will receive education, and work with CHWs in a more limited capacity. Control clinicians will receive the education intervention.

Group II: Community Health Worker and Intervention Providers-Assisted Kidney Transplant SupportExperimental Treatment2 Interventions

Participants will receive assignment to a community health worker who will educate them on the kidney transplant process, assist them through the kidney transplant process and connect them with any necessary social services.