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Completed

NCT Number: NCT02092727

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

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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Key information

Age range

18 year–69 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Dialysis Facilities throughout the State of Georgia, ESRD Network 6

Atlanta, Georgia, 30322, United States

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

Behavioral Interventions for Dialysis Facilities

Behavioral
  • 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

  1. Referral for Kidney Transplantation

    Time frame: One Year

    Following a multicomponent intervention at the dialysis facility level, change in referral for kidney transplantation from baseline to follow-up (at one year) will be calculated.

Secondary outcomes

  1. Reduction in Racial Disparity

    Time frame: One Year

    Following a multicomponent intervention at the dialysis facility level, reduction in racial disparity (African American vs. Caucasian) of referral for transplantation (from baseline to one year follow up) will be calculated.

Sponsors and collaborators

Lead sponsor

Emory University

Other

Collaborators

  • National Institute on Minority Health and Health Disparities (NIMHD)

Registry information

Acronym: RaDIANT

Important dates

Study start
2014
Primary completion
2016
Study completion
2018
First posted
Mar 20, 2014
Registry last updated
Feb 22, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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