House Calls and Peer Mentorship (HC+PM)

Beth Israel Lahey Health

Status: Completed

Conditions: Chronic Kidney Disease; End-Stage Renal Disease

Treatments: Behavioral: House Call; Behavioral: Peer Mentorship

Study type: Interventional

Funder types: Other

Identifiers

NCT03354910

2017P000521

PCORI 1609-36589 (Other Grant/Funding Number)

Details and patient eligibility

About

Live donor kidney transplantation (LDKT) offers the most optimal survival and quality of life benefit for those with late-stage chronic kidney disease. However, minorities, especially blacks, are much less likely to receive LDKT than whites. Given the shortage of deceased donor organs, interventions expanding access to LDKT are needed, particularly for minority patients. House Calls (HC), an educational intervention developed by this study's PI has been shown to be an effective program for raising rates of live donation, especially for black patients. While the HC program has shown outstanding results, participant feedback suggested that follow-up may provide even more benefits. Previous research suggests that peer mentorship (PM) from former or current patients with ESRD may be effective in raising rates of living donation. As such, peer mentorship programs may act as an effective follow-up for HC participants. This study will examine the impact of the HC intervention combined with the peer mentorship program of the National Kidney Foundation on rates of live donor kidney transplantation.

Enrollment: 320 patients

Sex: All

Ages: 21+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Black race (including possible Cape Verdean, Haitian, Dominican)
• ≥18 yrs old
• English speaking
• Meets eligibility criteria for kidney transplant evaluation
• Ability to provide informed consent
• Resides within 1.5 hr drive of HC educator

Exclusion criteria

• Temporarily Unavailable (TU) on the waiting list and TU is likely to exceed 6 months based on judgement of kidney transplant team
• Awaiting combined kidney-liver transplantation
• Awaiting simultaneous pancreas-kidney transplantation
• Participation in another study to increase the likelihood of LDKT
• Prior participation in a transplant HC
• Prior or current participation in the NKF PM program

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

320 participants in 3 patient groups

Usual Care

No Intervention group

Description:

All enrolled patients will receive Usual Care for transplant candidates at our two centers, which includes individual meetings with transplant providers, attendance at a patient group education session in the transplant center (focused on the specifics of the transplant experience), and a transplant education binder.

Usual Care (UC) + House Calls (HC)

Active Comparator group

Description:

Patients and their invited guests will be scheduled for one House Call. A house call is meeting done at a patient's home with transplant health educators facilitating a discussion on topics related to living kidney donation. Patients and guests also receive an information packet containing several brochures providing information about the living donation process, common concerns and misperceptions, and donation resources and information about our transplant center (e.g., copy of our quarterly newsletter, contact information). Patients in the group will also receive Usual Care, the regular education on living donation, provided as part of their routine transplant care.

Treatment:

Behavioral: House Call

UC + HC + Peer Mentorship

Experimental group

Description:

Patients in this condition will receive the Usual Care and the House Calls intervention as described previously. In addition, participants will receive access to a Peer Mentor trained by the National Kidney Foundation following their House Call.

Treatment:

Behavioral: Peer Mentorship

Behavioral: House Call