This trial is active, not recruiting.

Condition kidney disease
Treatment behavioral interventions for dialysis facilities
Sponsor Emory University
Collaborator National Institute on Minority Health and Health Disparities (NIMHD)
Start date February 2014
End date December 2016
Trial size 134 participants
Trial identifier NCT02092727, 1R24MD008077-01, IRB00056381


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.

United States No locations recruiting
Other countries No locations recruiting

Study Design

Allocation randomized
Endpoint classification efficacy study
Intervention model parallel assignment
Masking open label
Primary purpose health services research
(No Intervention)
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.
A variety of dialysis facility-level, behavioral interventions will be examined.
behavioral interventions for dialysis facilities
Educational seminars and monthly educational webinars Peer-to-peer mentoring program Bulletin boards about transplantation Facility-specific feedback reports detailing transplant referral data for their center compared to state average Formulate a facility-specific improvement plan to increase transplant referrals. Requirement to form a Patient and Family Advisory Group to increase outreach about transplant education within the facility. Monthly monitoring and reporting of patient referrals to ESRD Network Conduct a patient and family education session about transplantation Host a movie day to show Living ACTS (About Choices in Transplantation & Sharing) video

Primary Outcomes

Referral for Kidney Transplantation
time frame: One Year

Secondary Outcomes

Reduction in Racial Disparity
time frame: One Year

Eligibility Criteria

All participants from 18 years up to 69 years old.

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.

Additional Information

Official title The Reducing Disparities in Access to kidNey Transplantation (RaDIANT) Community Study
Principal investigator Rachel E Patzer, PhD, MPH
Trial information was received from ClinicalTrials.gov and was last updated in January 2017.
Information provided to ClinicalTrials.gov by Emory University.