CommunityRx-Kidney Health

Summary

In the United States, the burden of chronic kidney disease (CKD) rests disproportionately on rural communities. This study evaluates the implementation and effectiveness of CommunityRx-Kidney Health (CRx-K); this health information technology intervention integrates medical, social, and self-care resources to improve CKD management in rural eastern North Carolina. Through a partnership among local primary care centers, community organizations, and researchers, CRx-K will strengthen rural care networks, improve CKD management, and enhance the well-being of rural communities.

Conditions

• Chronic Kidney Disease (Stages 1-4)

Interventions

BEHAVIORAL

CommunityRx-Kidney Health

CommunityRx-Kidney Health (CRx-K) is an evidence-based, low-intensity, health information technology-driven intervention designed to support chronic kidney disease management in rural eastern North Carolina. CRx-K integrates medical (e.g., blood pressure and glucose monitoring, eye and foot care), social (food, housing, transportation), and self-care (weight and stress management, exercise) resources. CRx-K comprises three components: brief education on integrated chronic kidney disease needs, a personalized community resource referral list (HealtheRx), and clinic navigator-led, longitudinal support (12 months) for chronic kidney disease patients.

Sponsors & Collaborators

• National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

  collaborator NIH

• Goshen Medical Center

  collaborator UNKNOWN

• James McFarlin Community Development, Inc.

  collaborator OTHER

• Johns Hopkins University

  collaborator OTHER

• Project GRACE

  collaborator UNKNOWN

• Project Momentum, Inc.

  collaborator INDUSTRY

• UniteUs

  collaborator UNKNOWN

• University of Chicago

  collaborator OTHER

• University of North Carolina, Chapel Hill

  lead OTHER

Principal Investigators

• Gaurav J Dave, MBBS, MPH, DrPH · University of North Carolina, Chapel Hill

• Abhijit V Kshirsagar, MD, MPH · University of North Carolina, Chapel Hill

• Stacy Tessler Lindau, MD, MA · University of Chicago

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2026-04-13

Primary Completion

2028-06-30

Completion

2028-06-30

Countries

• United States

Study Locations