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. 2024 Aug 27;14(9):750.
doi: 10.3390/bs14090750.

Patients' Perspectives on the Acceptability and Effectiveness of a Community Health Worker-Led Intervention to Increase Chronic Kidney Disease Knowledge and Screening among Underserved Latine Adults: The CARE 2.0 Study

Janet Diaz-Martinez  1   2 , Ivan Delgado-Enciso  2   3   4 , Carlos Duran  5 , Laura Kallus  6 , Aydeivis Jean-Pierre  6 , Brenda Lopez  6 , Jessica Mancilla  6 , Yoel Madruga  6 , Gustavo A Hernandez-Fuentes  3 , Wayne Kotzker  5 , Osiris Delgado-Enciso  3 , Eric Wagner  1   2 , Michelle Hospital  1   2
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Patients' Perspectives on the Acceptability and Effectiveness of a Community Health Worker-Led Intervention to Increase Chronic Kidney Disease Knowledge and Screening among Underserved Latine Adults: The CARE 2.0 Study

Janet Diaz-Martinez et al. Behav Sci (Basel). .

Abstract

In the United States, Chronic Kidney Disease (CKD) affects approximately 1 in 7 adults. Despite its significant impact, CKD awareness, education, and screening are often lacking among underserved Latine populations, leading to poorer health outcomes and higher mortality rates. Various studies highlight the crucial role of Community Health Workers (CHWs) in improving health outcomes within minority communities both domestically and globally. However, there remains a gap in research on the acceptance and effectiveness of CHW-led interventions targeting CKD. This prospective intervention study employed a pre-post quasi-experimental design to evaluate a CHW-led educational program aimed at enhancing CKD knowledge, screening, and monitoring among Latines with low health literacy and English proficiency. CHWs utilized a culturally tailored CKD Flipchart, and 100 underserved patients received the intervention. Feedback from 85 participants who completed post-intervention surveys indicated high satisfaction with the program's relevance and the professionalism of the CHWs. Importantly, 85% expressed a positive intention to seek kidney care following the intervention. Preliminary analysis of medical records before and after the intervention showed improvements in glycemic control (median change = -18.0, p = 0.014) and triglyceride levels (median change = -29.0, p = 0.035), suggesting the program's effectiveness in managing CKD risk factors. These findings highlight the potential of CHW-led interventions to reduce kidney health disparities among underserved communities.

Keywords: CKD awareness; CKD screening and monitoring; Hispanic; acceptability; chronic kidney disease; community health workers; community-engaged research; culturally tailored patient education materials; effectiveness; intention–behavior.

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Conflict of interest statement

The authors declare no conflict of interest. The authors, Carlos Duran and Wayne Kotzker, are from Florida Kidney Physicians (Boca Raton, FL 33431, USA). However, the experimental data and results of the study have nothing to do with that institution. Laura Kallus, Aydeivis Jean-Pierre, Brenda Lopez, Jessica Mancilla, and Yoel Madruga are from Caridad Center (Boynton Beach, FL 33472, USA), which is a nonprofit organization, and were not involved in the decision to publish the study results.

Figures

Figure 1
Figure 1
Flow chart of study participation.
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References

    1. Centers for Disease Control and Prevention Centers for Disease Control and Prevention. [(accessed on 10 June 2023)];Chronic Kidney Disease Surveillance System—United States. Available online: https://www.cdc.gov/kidney-disease/php/data-research/index.html.
    1. Murphy D., McCulloch C.E., Lin F., Banerjee T., Bragg-Gresham J.L., Eberhardt M.S., Morgenstern H., Pavkov M.E., Saran R., Powe N.R., et al. Trends in Prevalence of Chronic Kidney Disease in the United States. Ann. Intern. Med. 2016;165:473. doi: 10.7326/M16-0273. - DOI - PMC - PubMed
    1. Chu C.D., McCulloch C.E., Banerjee T., Pavkov M.E., Burrows N.R., Gillespie B.W., Saran R., Shlipak M.G., Powe N.R., Tuot D.S., et al. CKD Awareness among US Adults by Future Risk of Kidney Failure. Am. J. Kidney Dis. 2020;76:174–183. doi: 10.1053/j.ajkd.2020.01.007. - DOI - PMC - PubMed
    1. Shlipak M.G., Tummalapalli S.L., Boulware L.E., Grams M.E., Ix J.H., Jha V., Kengne A.-P., Madero M., Mihaylova B., Tangri N., et al. The Case for Early Identification and Intervention of Chronic Kidney Disease: Conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference. Kidney Int. 2021;99:34–47. doi: 10.1016/j.kint.2020.10.012. - DOI - PubMed
    1. National Kidney Foundation Inc Facts about Chronic Kidney Disease. [(accessed on 23 May 2024)]. Available online: https://www.kidney.org/atoz/content/about-chronic-kidney-disease.

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