Perspectives on the Implementation of a Peer-mentoring Program for Kidney Transplant Recipients From Underrepresented...

Area of Science:

• Transplantation research
• Health disparities
• Patient support systems

Background:

• Kidney transplant recipients (KTRs) from underrepresented racial/ethnic groups face unique challenges due to cultural differences in healthcare.
• Peer support may offer a culturally sensitive approach to navigate the complexities of kidney transplantation.
• Evaluating patient and provider perspectives is crucial for developing effective KTR peer-mentoring programs.

Purpose of the Study:

• To assess patient and provider views on a peer-mentoring program designed for underrepresented KTRs.
• To identify key elements for successful peer-mentoring program development and implementation.
• To understand the perceived relevance, mentor characteristics, and program expectations from KTRs' and providers' viewpoints.

Main Methods:

• A single-center mixed-methods study involving focus groups and surveys with 12 Black and Hispanic KTRs.
• Exploration of four domains: peer-mentoring relevance, mentor characteristics, program expectations, and success factors.
• Interprofessional content analysis and deductive thematic analysis for patient data; separate survey for transplant providers (n=17).

Main Results:

• KTRs highlighted the need for early peer mentorship, valuing empathetic role models for addressing fears, waitlist, and medication concerns.
• Culturally tailored approaches are essential, with KTRs prioritizing mentor attitude (90%) and life experiences (67%) for matching.
• Providers strongly supported the program (94%), identifying mentor training, language, and selection as facilitators, while noting confidentiality and health literacy as barriers.

Conclusions:

• Both patients and providers strongly endorse peer-mentoring programs for underrepresented KTRs to manage medical, psychosocial, and cultural transplant challenges.
• Insights gained will guide the development and implementation of effective, culturally sensitive peer-mentoring initiatives.
• Peer support is a valuable adjunct for improving the transplant journey for diverse KTR populations.