Improving Screening and Therapy for Hispanic/Latinx at Risk for CKD

Study Overview
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Brief Summary
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In this study, the investigators will utilize community organizations to screen Hispanics/Latino(a)s for kidney disease, diabetes, and other risk factors, and refer them for care with a PCP. Additionally, the investigators will implement an intervention in local health clinics to assist PCPs with screening and treating patients with diabetes. Completion of the project will hopefully slow progression of kidney disease among Hispanic/Latino(a) patients in Durham, and the information gained will allow the investigators to eventually perform the intervention on a larger scale.

Detailed Description
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The goals of this study are to (1) Increase rates of screening and monitoring of CKD and CKD risk factors for Hispanic/Latinx community members in Durham by utilizing existing community resources and screening events and (2) Pilot test a PCP-facing intervention to promote guideline concordant testing and evidence-based therapy provision for Hispanics/Latinx with T2D at community health centers, utilizing clinical champions and pharmacists. The investigators anticipate the study will identify patients with CKD or CKD risk factors and establish feasibility of the pilot intervention, which the investigators plan to ultimately apply on a large scale to reduce inequities and improve clinical outcomes among Hispanics/Latinx.

Official Title
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Improving Screening and Therapy Provision Among Hispanics/Latinx at Risk for Chronic Kidney Disease

Conditions
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Type 2 Diabetes, Chronic Kidney Diseases

Intervention / Treatment
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* Diagnostic Test: BP
* Diagnostic Test: HbA1c
* Behavioral: PCP Guidelines for Screening and Monitoring Hispanic/Latinx patients for CKD


Participation Criteria
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Eligibility Criteria
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Aim 1: Inclusion Criteria: Age 18 or older at time of screening Self-identifying as Hispanic/Latinx ethnicity. Exclusion Criteria: Unable to be reached by telephone

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Hispanic/Latinx patients at risk for CKD<br>Adult patients in the Hispanic/Latinx Durham community screened for CKD | Diagnostic Test: BP<br>* Blood pressure measurements and HbA1c tests will be conducted to identify participants with or at risk for high blood pressure and/or Type 2 Diabetes. Those identified will be referred to PCP for follow up/treatment.<br>Diagnostic Test: HbA1c<br>* HbA1c will screen to identify patients with Type 2 diabetes<br>|
| PCPs caring for Hispanic Latinx patients screened for CKD in the Durham Community<br>Primary Care Providers (PCPs) caring for Hispanic Latinx patients who agree to use the study guidelines and interventions for screening and monitoring their patients for CKD. | Behavioral: PCP Guidelines for Screening and Monitoring Hispanic/Latinx patients for CKD<br>* Guidelines will be developed and provided to PCPs to use with their Hispanic/Latinx patients with or at risk for CKD.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of patients referred to PCPs (Primary Care Providers) for CKD screening | Increase rates of screening and monitoring of Chronic Kidney Disease (CKD) and CKD risk factors for Hispanic/Latinx community members in Durham by utilizing existing community resources and screening events | 3 months from referral |