Addressing Inactive Kidney Transplant Waitlist Status Through Adapting a Tailored Psycho-Social-Environmental Program

What this Trial Is About

Researchers are evaluating CAPABLE Transplant, an adapted version of an evidence-based program designed to reduce physical disability and improve function in socio-economically vulnerable older adults. This study focuses on people with frailty who are waiting for a kidney transplant and aims to overcome barriers to being classified as active on the kidney transplant waitlist. It includes two phases: an open-label pilot and a randomized waitlist control trial, and also tests the feasibility and acceptance of CAPABLE Transplant among low-income active kidney transplant candidates. The intervention involves a personalized and assessment-driven program delivered over four months by a team consisting of an occupational therapist, a registered nurse, and a handy worker. Participants receive approximately six home visits from the occupational therapist and four home visits from the nurse, each lasting up to one hour, along with support from the handy worker. The open-label pilot tests the initial CAPABLE Transplant intervention and gathers feedback to refine the program. Following this, 40 participants are randomized into either an immediate intervention group or a waitlist control group, with all participants eventually receiving the intervention. Participants will be assessed at baseline, after the four-month intervention, and following the waitlist control period. Researchers will monitor waitlist status through data from the National Kidney Registry and track changes in self-efficacy, pain, depression, social engagement, fatigue, frailty, health team communication, and daily functioning using various validated scales. This comprehensive evaluation will help determine the program's impact on symptom management and waitlist-specific outcomes over the course of the study.

CAPABLE Transplant