Basic Needs Navigation Intervention to Address Multidimensional Adversity in African Americans With Diabetic Kidney Disease
Diabetic Nephropathies, Diabetes Mellitus, Type 2, Chronic Kidney Diseases
About this trial
This is an interventional health services research trial for Diabetic Nephropathies focused on measuring Social risk factors, Social determinants of health
Eligibility Criteria
Inclusion Criteria:
- self- report as AA/Non-Hispanic Black (NHB)
- age ≥18
- screen positive for 3 or more adversities using the Centers for Medicare and Medicaid Services Accountable Health Communities Health-Related Social Needs Screening tool
- low income =<138% based on household income and household size or Medicaid eligible
- diagnosed type 2 diabetes (T2DM) with HbA1c≥8
- chronic kidney disease (CKD) stage 3 or higher
- able to communicate in English.
Exclusion Criteria:
- does not identify as AA/NHB
- age <18
- no diagnosis of T2DM and CKD
- end stage renal disease or renal transplant recipient
- cognitive impairment at screening visit
- active psychosis
- active alcohol or drug abuse/dependency
- life expectancy <12 months
- participation in other diabetes/CKD trials
- unable to communicate in English.
Sites / Locations
- Medical College of WisconsinRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Intervention Group
Control group
Participants randomized to the intervention group will receive the manualized study intervention delivered by a health educator via telephone weekly for 12-weeks, followed by three monthly booster sessions resulting in a total of 6 months intervention.
Participants randomized to the control group will receive the manualized study intervention delivered by a health educator via telephone weekly for 12-weeks, followed by three monthly booster sessions resulting in a total of 6 months intervention.