National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Age
18–any
Sex
ALL
Healthy volunteers
Not accepted
You may be eligible if
1. Receive care at nephrology clinics or dialysis centers associated with each site.
2. Have CKD stage IV, V (eGFR \< 30 mL/min/1.73m2), or be receiving chronic dialysis
3. Speak Spanish or English, and report at IPOS-Renal score of ≥ 3 on a screening survey.
4. Willing to be randomized to either study arm and to comply with the study procedures for the assigned group.
You may not be if
1. Unable to provide informed consent
2. Has received palliative care (inpatient or outpatient) in the last six months.
3. Enrolled in hospice
4. Has any urgent palliative care needs (i.e. severe pain, emotional distress) identified upon screening. Research staff will be trained to recognize these needs.
5. Non-English and Non-Spanish speakers to correspond with the populations most impacted by CKD in the US.
