The RaDIANT community study protocol: community-based participatory research for reducing disparities in access to kidney transplantation

Rachel E Patzer, Jennifer Gander, Leighann Sauls, M Ahinee Amamoo, Jenna Krisher, Laura L Mulloy, Eric Gibney, Teri Browne, Laura Plantinga, Stephen O Pastan, Southeastern Kidney Transplant Coalition, Cynthia Allison, Prabhakar Baliga, Alex Berlin, Shri Bharadwai, Noreen Carew, Doreen Church, Diana Clynes, Bradley H Collins, Matthew Ellis, Debbie Gibbs, JoVonn Givens, Jill Hall, Brian Hardin, Nancy A Kay, Linda Kluge, Leah Knowles, Tomsz Kozlowski, Jenna Krisher, Nancy Kutner, Leslie M McAllister, William McClellan, Sandy McMath, Leslie Mills, Suzette Mitchell, Linda Moore, Danielle Niedfeldt, Kathy Oliver, Sudeshna Paul, Jennie Perryman, Kim E Phillips, Lillian Pryor, Jason Rolls, Stephen R Smith, Amy D Waterman, Henry Well, John Jason White, Christina Wiggins, Amy Woodard, James Wynn, Rachel E Patzer, Jennifer Gander, Leighann Sauls, M Ahinee Amamoo, Jenna Krisher, Laura L Mulloy, Eric Gibney, Teri Browne, Laura Plantinga, Stephen O Pastan, Southeastern Kidney Transplant Coalition, Cynthia Allison, Prabhakar Baliga, Alex Berlin, Shri Bharadwai, Noreen Carew, Doreen Church, Diana Clynes, Bradley H Collins, Matthew Ellis, Debbie Gibbs, JoVonn Givens, Jill Hall, Brian Hardin, Nancy A Kay, Linda Kluge, Leah Knowles, Tomsz Kozlowski, Jenna Krisher, Nancy Kutner, Leslie M McAllister, William McClellan, Sandy McMath, Leslie Mills, Suzette Mitchell, Linda Moore, Danielle Niedfeldt, Kathy Oliver, Sudeshna Paul, Jennie Perryman, Kim E Phillips, Lillian Pryor, Jason Rolls, Stephen R Smith, Amy D Waterman, Henry Well, John Jason White, Christina Wiggins, Amy Woodard, James Wynn

Abstract

Background: The Southeastern United States has the lowest kidney transplant rates in the nation, and racial disparities in kidney transplant access are concentrated in this region. The Southeastern Kidney Transplant Coalition (SEKTC) of Georgia, North Carolina, and South Carolina is an academic and community partnership that was formed with the mission to improve access to kidney transplantation and reduce disparities among African American (AA) end stage renal disease (ESRD) patients in the Southeastern United States.

Methods/design: We describe the community-based participatory research (CBPR) process utilized in planning the Reducing Disparities In Access to kidNey Transplantation (RaDIANT) Community Study, a trial developed by the SEKTC to reduce health disparities in access to kidney transplantation among AA ESRD patients in Georgia, the state with the lowest kidney transplant rates in the nation. The SEKTC Coalition conducted a needs assessment of the ESRD population in the Southeast and used results to develop a multicomponent, dialysis facility-randomized, quality improvement intervention to improve transplant access among dialysis facilities in GA. A total of 134 dialysis facilities are randomized to receive either: (1) standard of care or "usual" transplant education, or (2) the multicomponent intervention consisting of transplant education and engagement activities targeting dialysis facility leadership, staff, and patients within dialysis facilities. The primary outcome is change in facility-level referral for kidney transplantation from baseline to 12 months; the secondary outcome is reduction in racial disparity in transplant referral.

Discussion: The RaDIANT Community Study aims to improve equity in access to kidney transplantation for ESRD patients in the Southeast.

Trial registration: Clinicaltrials.gov number NCT02092727.

Figures

Figure 1
Figure 1
RaDIANT community study flow diagram for dialysis facility selection.
Figure 2
Figure 2
Description of patient-, staff-, and facility-level interventions for RaDIANT community study.
Figure 3
Figure 3
Example kidney transplant referral feedback report for dialysis facilities.

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Pre-publication history
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