Community health workers helping adults with chronic kidney disease access home dialysis
Official title: Community Health Workers in an Interdisciplinary Outpatient CKD Clinic to Optimize Social Care Navigation, Patient Engagement, and Home Dialysis Utilization- the CHOOSE Home trial
Funded at Albert Einstein College of Medicine · NIH-11158979 · Data updated 2026-11-12
Community health workers will join kidney clinics to help adults with chronic kidney disease get social support, learn about home dialysis, and increase use of home dialysis.
Quick facts
| Grant type | R01 grant |
|---|---|
| Study type | NIH-funded research |
| Funding institution | Albert Einstein College of Medicine NIH-funded |
| Lab location | 1 site (Bronx, United States) |
| Project start | August 1, 2024 |
| Project end | May 31, 2027 |
| Funding year | 2025 |
| Award (this year) | $504,247 |
| NIH project number | 5R01DK140574-02 |
| Project ID | NIH-11158979 on NIH RePORTER |
Who could benefit from this research
✓Could help
Adults with chronic kidney disease approaching end-stage kidney disease, particularly Black and Hispanic patients who face social risk factors, are ideal candidates.
✕Less likely to help
Patients who already have stable in-center dialysis plans, who lack social barriers, or who are medically unable to perform home dialysis may not receive direct benefit.
What this research studies
You would receive care in an outpatient kidney clinic where nurses, nurse practitioners, and a community health worker work together to support you. The community health worker helps address social needs like housing, transportation, food, and insurance and connects you to resources that make home dialysis more possible. The program aims to boost your engagement in care and increase the number of patients who choose and start home dialysis. Researchers will follow clinic patients to see whether this combined approach leads to higher home dialysis uptake and better navigation of social needs.
Why it matters
Potential benefit: If successful, more patients—especially Black and Hispanic adults—could learn about, prepare for, and start home dialysis with better social supports.
How similar studies have gone: Previous interdisciplinary clinic and care-coordination efforts have shown promise improving care delivery, but combining these clinics with community health workers specifically to increase home dialysis uptake is relatively new.
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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How dialysis facility growth affects care for people with end-stage kidney disease
New research will examine whether the spread of dialysis centers and new treatment technologies benefit patients with end-stage kidney disease, and whether benefits reach all communities.
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MOVE Trial: Tailored motivational support to help African Americans stick with dialysis
A study tests a customized motivational interviewing approach to help African American dialysis patients stay adherent to their treatment, aiming to reduce hospitalizations and improve health.
-
Blood sugar monitoring for people on maintenance dialysis
This project tests how continuous glucose monitoring can better track blood sugar in people on dialysis to improve diabetes care and prevent complications.
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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.
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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.
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CHOOSE Home: Using community health workers to boost home dialysis and social care in CKD
A real-world trial tests adding community health workers to an interdisciplinary CKD clinic to help patients access home dialysis options.
About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page.