CHOOSE Home: Using community health workers to boost home dialysis and social care in CKD

Who could benefit from this research

What this research studies

This trial adds a dedicated Community Health Worker to an existing CKD clinic to improve social care navigation, patient engagement, and use of home dialysis. It will run as a pragmatic, randomized study to see if the CHW-supported CKD clinic increases home dialysis uptake and enhances care delivery. Participants are adults with chronic kidney disease or end-stage kidney disease receiving care in the outpatient setting, with a focus on social needs and education that influence treatment choices. The study builds on prior clinic efforts showing benefits from interdisciplinary care and aims to translate those gains into more patients choosing home-based therapies. Outcomes will include dialysis modality adoption, engagement measures, and health care utilization in a real-world setting.

Why it matters

Where this research is happening

• Albert Einstein College of Medicine
  Bronx, United States Active

Researchers

• Principal investigator: Johns, Tanya — Albert Einstein College of Medicine
• Study coordinator: Johns, Tanya

Related research

Other NIH-funded projects on the same topics.

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  NIH research Vanderbilt University Medical Center · Nashville, United States · NIH-11416784

• Blood sugar monitoring for people on maintenance dialysis

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  NIH research University of Washington · Seattle, United States · NIH-11416451

• Quality of life for people on home dialysis and their family caregivers

  This grant studies how living with home dialysis affects daily life and the well-being of patients and their family caregivers.

  NIH research Emory University · Atlanta, United States · NIH-11415021

• Patient-provider conversations and unequal access to home dialysis and kidney transplant

  This project explores how conversations between doctors and patients affect why some Black and Hispanic people with kidney disease don’t get home dialysis or preemptive kidney transplants as often as White or Asian patients.

  NIH research University of California, San Francisco · San Francisco, United States · NIH-11406134

• Home-based dialysis vs in-center care in ESRD patients

  This grant explores whether choosing home dialysis over in-center dialysis improves outcomes and costs for people with end-stage kidney disease.

  NIH research University of Michigan at Ann Arbor · Ann Arbor, United States · NIH-11379907

About this research

1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.