Abstract: FR-OR094
Community Health Worker Support for Latino Individuals on Dialysis: The Navigate-Kidney Randomized Clinical Trial
Session Information
- Late-Breaking Research Orals - 2
November 07, 2025 | Location: Grand Ballroom C, Convention Center
Abstract Time: 05:42 PM - 05:54 PM
Category: Diversity and Equity in Kidney Health
- 900 Diversity and Equity in Kidney Health
Authors
- Cervantes, Lilia, University of Colorado Anschutz Medical Campus School of Medicine, Aurora, Colorado, United States
- Robledo, Kayla, University of Colorado Anschutz Medical Campus School of Medicine, Aurora, Colorado, United States
- Chonchol, Michel, University of Colorado Anschutz Medical Campus School of Medicine, Aurora, Colorado, United States
Background
Latino individuals with dialysis-dependent kidney failure face social barriers (e.g., food insecurity, low health literacy) that may increase interdialytic weight gain (IDWG), a contributor to hospitalizations. Minimizing IDWG is a patient priority but remains common despite dietary education. We tested if community health worker (CHW) support reduces IDWG.
Methods
Design & Participants: This parallel group, unblinded RCT at 5 Colorado dialysis centers (Nov 2020-Aug 2022) included self-identified Latino adults on dialysis.
Intervention: Participants were randomized 1:1 to the Navigate-Kidney intervention or standard care (SC). CHWs followed a framework-driven protocol addressing social needs, health navigation, and kidney care education for 4 months, meeting participants biweekly.
Outcomes: The primary outcome was change in IDWG (% of estimated dry weight) from 90 days pre- to 180 days post-intervention. Secondary outcomes were missed/shortened sessions and patient activation. Between-group IDWG differences were estimated using piecewise linear mixed models.
Results
139 participants (mean age 57 [SD13]; 51% males) were randomized, 68 to Navigate-Kidney. Most were poor with low health literacy. Post-intervention IDWG trends differed between groups (p=0.01), with a -0.46% (95% CI: -0.78%, -0.14%) difference at 180 days. Navigate-Kidney also reduced shortened sessions (p=0.02) and improved patient activation (p=0.005).
Conclusion
CHW support is a practical way to improve outcomes in Latino patients on dialysis.
Funding
- NIDDK Support