The Reducing Disparities in Access to kidNey Transplantation (RaDIANT) Community Study

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

134 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-02-28

Study Completion Date

2018-01-31

Brief Summary

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The Southeastern Kidney Transplant Coalition is an academic-community collaboration between partners in the kidney disease community who share the common goal of eliminating health disparities in access to kidney transplantation among African American End Stage Renal Disease living in Georgia, North Carolina, and South Carolina. Volunteer members of this community-based coalition include patients with kidney disease, dialysis facility staff and providers, transplant centers, quality improvement organizations, and patient advocacy organizations. The burden of kidney disease is highest in the Southeast, and yet the rate of kidney transplantation is the lowest in the nation. Further, the investigators research suggests that racial disparities in access to kidney transplantation are concentrated in the Southeast, where African Americans are less likely to access each step in the transplant process. The long-term goal of the investigators Coalition is to use community- based participatory research approaches to develop, test, and disseminate sustainable, community interventions improve access to transplant for African American patients with kidney disease. The Reducing Disparities in Access to kidNey Transplantation (RaDIANT) community study proposes to use community-based participatory research methods to develop a multilevel intervention to reduce racial disparities in access to kidney transplantation. The long-term impact of this application will be to reduce racial disparities in the kidney disease community.

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Detailed Description

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Conditions

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Kidney Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Control

Standard of care arm will receive no specific interventions, but will have access to standard educational materials and quality improvement through End Stage Renal Disease Network 6.

Group Type NO_INTERVENTION

No interventions assigned to this group

Behavioral Intervention

A variety of dialysis facility-level, behavioral interventions will be examined.

Group Type EXPERIMENTAL

Behavioral Interventions for Dialysis Facilities

Intervention Type BEHAVIORAL

1. Educational seminars and monthly educational webinars
2. Peer-to-peer mentoring program
3. Bulletin boards about transplantation
4. Facility-specific feedback reports detailing transplant referral data for their center compared to state average
5. Formulate a facility-specific improvement plan to increase transplant referrals.
6. Requirement to form a Patient and Family Advisory Group to increase outreach about transplant education within the facility.
7. Monthly monitoring and reporting of patient referrals to ESRD Network
8. Conduct a patient and family education session about transplantation
9. Host a movie day to show Living ACTS (About Choices in Transplantation \& Sharing) video

Interventions

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Behavioral Interventions for Dialysis Facilities

1. Educational seminars and monthly educational webinars
2. Peer-to-peer mentoring program
3. Bulletin boards about transplantation
4. Facility-specific feedback reports detailing transplant referral data for their center compared to state average
5. Formulate a facility-specific improvement plan to increase transplant referrals.
6. Requirement to form a Patient and Family Advisory Group to increase outreach about transplant education within the facility.
7. Monthly monitoring and reporting of patient referrals to ESRD Network
8. Conduct a patient and family education session about transplantation
9. Host a movie day to show Living ACTS (About Choices in Transplantation \& Sharing) video

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Dialysis facilities within GA were considered for this intervention due to data restrictions. The remaining facilities were selected in a step-wise selection process 1) The presence of a racial disparity in referral or 2) a crude referral risk less than six percent.
* The presence of a racial disparity was based on the crude referral risk difference and the standardized referral risk difference.
* The remaining facilities had a calculated 6-month crude referral risk mean of 0.06 and all facilities with a crude referral risk less than the mean were selected for inclusion.
* The final pool of 134 facilities were randomized to either the intervention or control group using a one to one ratio.

Exclusion:

* Facilities with a 6-month population (from June-December 2012) of less than 13 End Stage Renal Disease patients \<70 years of age within a facility were excluded.

Minimum Eligible Age

18 Years

Maximum Eligible Age

69 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes