Kidney Week

Abstract: TH-PO1207

Exploring Factors Affecting Implementation of a Kidney Health Screening Program for Children and Youth in Indigenous Communities of Alberta

Session Information

• Pediatric Nephrology: CV Health, CKD, AKI, Dialysis, Transplantation, and Health Services Research
  October 22, 2026 | Location: Exhibit Hall A, Convention Center
  Abstract Time: 10:00 AM - 12:00 PM

Category: Pediatric Nephrology

• 1800 Pediatric Nephrology

Authors

• Hedin, Erin, University of Alberta Faculty of Medicine & Dentistry, Edmonton, Alberta, Canada

Erin Hedin, MD

• Thompson, Stephanie E., University of Alberta Faculty of Medicine & Dentistry, Edmonton, Alberta, Canada

Stephanie E. Thompson, MD, PhD

• Dart, Allison, University of Manitoba, Winnipeg, Manitoba, Canada

Allison Dart, MD

• Morgan, Catherine, University of Alberta Faculty of Medicine & Dentistry, Edmonton, Alberta, Canada

Catherine Morgan, MD

• Woods, Cathy, Can-SOLVE CKD Network, Winnepeg, Manitoba, Canada

Cathy Woods

• Bello, Aminu K., University of Alberta Faculty of Medicine & Dentistry, Edmonton, Alberta, Canada

Aminu K. Bello, MD, PhD, FASN

Background

A community-based kidney screening initiative implemented in rural and remote First Nations communities in Manitoba identified a high burden of chronic kidney disease (CKD) risk factors among children aged 10 years and older. This initiative, known as the Kidney Check program, is being expanded across Indigenous communities in Canada to support early detection of kidney disease and improve access to care. This study explored how the Kidney Check program can be implemented in an acceptable, culturally appropriate, and effective manner for children and youth in rural and remote Indigenous communities in Alberta.

Methods

We used a qualitative descriptive methodology involving focus groups and semi-structured interviews. We recruited local healthcare workers, educators, and Elders as well as Indigenous research experts and individuals with prior experience implementing the Kidney Check program in youth populations. Data were analyzed inductively using thematic analysis.

Results

Between June 2025 and January 2026, 26 participants took part the study. Three major barriers to implementation were identified: limited awareness of kidney health and CKD risk factors, fears and concerns surrounding screening, and challenges related to the social determinants of health. Participants also identified several facilitators for successful implementation, including building trust through sustained community engagement and strong relationships, increasing awareness and education about kidney health, involving local Elders, healthcare workers and community leaders, and offering culturally appropriate incentives to encourage participation.

Conclusion

Optimal implementation of the Kidney Check program for children and youth in Indigenous communities of Alberta will require culturally safe, and community-centered approaches. Key strategies include improving kidney health education for children and youth, addressing fears and misconceptions related to screening, fostering strong and trusting relationships through meaningful community engagement, and following community-specific protocols with active involvement of local Elders.

Funding

• Government Support – Non-U.S.