Barriers/Facilitators and Care Coordination of Native Hawaiians & Kidney Disease
University of Hawaii
Summary
Native Hawaiians (NH) are 9.5 times more likely to be on dialysis or need a kidney transplant compared to Whites. They have the highest end-stage kidney disease (ESKD) incidence rates in the nation, begin dialysis at younger ages (30-50 years), and one of the most under-studied racial/ethnic groups in chronic kidney disease (CKD) research. This project's outcome is to improve kidney disease follow-up among early stage NHs at high risk by aligning health equity with a culturally appropriate care coordination systems model.
Description
SPECIFIC AIMS Native Hawaiians (NH) are 9.5 times more likely to be on dialysis or need a kidney transplant as compared to those who identify race as White. NH have the highest rates of end-stage kidney disease in the United States (US) and begin dialysis at younger ages (30-50 years). NHs are also at high risk for diabetes, hypertension, cardiovascular disease, stroke, \& obesity which intersects with kidney disease. NHs are also one of the most under-studied racial/ethnic groups in chronic kidney disease (CKD) research.4 Therefore, there is a is critical need to examine and address kidney he…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
AIM 1 and AIM 2: Inclusion Criteria: Native Hawaiian (NH) participants from the NKFH KEDS program are: * greater or equal to 18 years * self-reported as Native Hawaiian * eGFR less than 60 ml/min/1.73m2 (Stage 3a-3b CKD) and/or greater or equal to 30 mg/g UACR * have participated in the NKFH KEDS Program within 3 months * able to read, write, and speak English. AIM 1 and AIM 2: Inclusion Criteria: NKFH and PCP staff are : * able to read, write, and speak English, * greater or equal to 18 years. Exclusion Criteria: None
Interventions
- Behavioralculturally informed care coordination intervention
Culturally Informed Care Coordination Strategies
- OtherNo Intervention - Usual Care Group
No Intervention - Usual Care Group
Location
- National Kidney Foundation of HawaiiHonolulu, Hawaii