Protocol for the IMPACT Trial: Improving Healthcare Outcomes in American Transplant Recipients Using Culturally-Tailored Novel Technology
Claudia M. Rice, Center for Healthcare Equity in Kidney Disease (CHEK-D), University of New Mexico Health Science Center, New Mexico
Pooja P. Singh, Nephrology Division, Department of Internal Medicine, University of New Mexico, School of Medicine, New Mexico
Nila S. Judd, Center for Healthcare Equity in Kidney Disease (CHEK-D), University of New Mexico Health Science Center, New Mexico
Elizabeth Yakes Jimenez, Departments of Pediatrics and Internal Medicine and College of Population Health, University of New Mexico Health Sciences Center, New Mexico; Academy of Nutrition and Dietetics, Chicago, Illinois
Cindy K. Blair, Division of Epidemiology, Biostatistics, and Preventive Medicine, Department of Internal Medicine, University of New Mexico, New Mexico; University of New Mexico Comprehensive Cancer Center, New Mexico
Amy Washburn, Center for Healthcare Equity in Kidney Disease (CHEK-D), University of New Mexico Health Science Center, New Mexico; Presbyterian Healthcare Services, New Mexico
Christine Calvin, Center for Healthcare Equity in Kidney Disease (CHEK-D), University of New Mexico Health Science Center, New Mexico; Center for Diabetes and Nutrition Education, University of New Mexico Health Sciences Center, New Mexico
Alison Steiber, Academy of Nutrition and Dietetics, Chicago, Illinois
Yiliang Zhu, Division of Epidemiology, Biostatistics, and Preventive Medicine, Department of Internal Medicine, University of New Mexico, New Mexico
Christos Argyropoulos, Nephrology Division, Department of Internal Medicine, University of New Mexico, School of Medicine, New Mexico
Mark Unruh, Nephrology Division, Department of Internal Medicine, University of New Mexico, School of Medicine, New Mexico
Mary Amanda Dew, Department of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania; Departments of Epidemiology and Biostatistics, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania; Department of Psychology, University of Pittsburgh, Pittsburgh, Pennsylvania; Department of Acute and Tertiary Care, School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania
Larissa Myaskovsky, Center for Healthcare Equity in Kidney Disease (CHEK-D), University of New Mexico Health Science Center, New Mexico; Nephrology Division, Department of Internal Medicine, University of New Mexico, School of Medicine, New Mexico
- PMCID: PMC9058226 (available on 2023-05-01)
Abstract
Kidney transplant (KT) recipients face post-transplant health issues. Immunosuppressive agents can cause hyperlipidemia, hypertension, post-transplant diabetes, and glomerulopathy. Post-transplant weight gain and decreased activity are associated with poor quality of life, sleep, and cardiometabolic outcomes. This study will test the feasibility and acceptability of a culturally tailored diet and exercise intervention for KT patients delivered immediately post-transplant using novel technology. A registered dietitian nutritionist (RDN) and physical rehabilitation therapist will examine participants' cultural background, preferences, and health-related obstacles (with consultation from the transplant team) to create an individualized exercise and meal plan. The RDN will provide medical nutrition therapy via the nutrition care process throughout the course of the intervention. The Twistle Patient Engagement Platform will be used to deliver and collect survey data, communicate with participants, and promote retention. Outcomes to be assessed include intervention feasibility and acceptability and intervention efficacy on patients' adherence, medical, quality of life, and occupational outcomes.
