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Facilitating Medical Care for Latinx Individuals at Risk for CKD: A Pilot Intervention
Tessa K Novick1,2, Francisco Barrios2, Michelle Osuna2
1Division of Nephrology, University of Texas at Austin, Dell Medical School, Austin, TX.
Kidney Medicine
|July 31, 2023
Summary
A community health worker intervention showed promise in connecting Latinx individuals with kidney disease risk factors to medical care. The program was acceptable to participants, though feasibility challenges were identified.
Area of Science:
- Public Health
- Nephrology
- Health Disparities
Background:
- Latinx individuals face higher kidney failure rates but receive less pre-failure care.
- Community screening identified Latinx adults with kidney disease risk factors or albuminuria.
Purpose of the Study:
- To determine the feasibility and acceptability of a community health worker (CHW) intervention.
- To facilitate access to medical care for Latinx individuals at risk for kidney disease.
Main Methods:
- A 6-month CHW intervention was piloted in Austin, Texas.
- Intervention components included insurance acquisition, care coordination, kidney disease education, and resource connection.
- Study design was a single-arm prospective study.
Main Results:
- 49 Latinx adults participated; 41% completed the intervention.
- 57% completed at least one CHW visit.
- 7 participants obtained insurance, and 75% scheduled primary care appointments.
Conclusions:
- The CHW intervention demonstrated acceptability among participants.
- Feasibility challenges were encountered and strategies for overcoming them were identified.
- Further research is needed to evaluate the impact of CHW interventions on kidney health outcomes and disparities.
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