title: The RaDIANT community study protocol: community-based participatory research for reducing disparities in access to kidney transplantation.
abstract: BACKGROUND
  The Southeastern United States has the lowest kidney transplant rates in the nation, and racial disparities in kidney transplant access are concentrated in this region. The Southeastern Kidney Transplant Coalition (SEKTC) of Georgia, North Carolina, and South Carolina is an academic and community partnership that was formed with the mission to improve access to kidney transplantation and reduce disparities among African American (AA) end stage renal disease (ESRD) patients in the Southeastern United States.
  
  
  METHODS
  We describe the community-based participatory research (CBPR) process utilized in planning the Reducing Disparities In Access to kidNey Transplantation (RaDIANT) Community Study, a trial developed by the SEKTC to reduce health disparities in access to kidney transplantation among AA ESRD patients in Georgia, the state with the lowest kidney transplant rates in the nation. The SEKTC Coalition conducted a needs assessment of the ESRD population in the Southeast and used results to develop a multicomponent, dialysis facility-randomized, quality improvement intervention to improve transplant access among dialysis facilities in GA. A total of 134 dialysis facilities are randomized to receive either: (1) standard of care or "usual" transplant education, or (2) the multicomponent intervention consisting of transplant education and engagement activities targeting dialysis facility leadership, staff, and patients within dialysis facilities. The primary outcome is change in facility-level referral for kidney transplantation from baseline to 12 months; the secondary outcome is reduction in racial disparity in transplant referral.
  
  
  CONCLUSIONS
  The RaDIANT Community Study aims to improve equity in access to kidney transplantation for ESRD patients in the Southeast.
  
  
  BACKGROUND
  Clinicaltrials.gov number NCT02092727.
authors.affiliation: Department of Surgery, Division of Transplantation, Emory University School of Medicine, Atlanta, GA, USA. rpatzer@emory.edu.
authors.forename: Rachel E
authors.initials: RE
authors.lastname: Patzer
authors.forename: Jennifer
authors.initials: J
authors.lastname: Gander
authors.forename: Leighann
authors.initials: L
authors.lastname: Sauls
authors.forename: M Ahinee
authors.initials: MA
authors.lastname: Amamoo
authors.forename: Jenna
authors.initials: J
authors.lastname: Krisher
authors.forename: Laura L
authors.initials: LL
authors.lastname: Mulloy
authors.forename: Eric
authors.initials: E
authors.lastname: Gibney
authors.forename: Teri
authors.initials: T
authors.lastname: Browne
authors.forename: Laura
authors.initials: L
authors.lastname: Plantinga
authors.forename: Stephen O
authors.initials: SO
authors.lastname: Pastan
mesh_terms: D000554:Ambulatory Care Facilities / Q000706:statistics & numerical data; D001291:Attitude of Health Personnel; D044383:Black People / Q000706:statistics & numerical data*; D055812:Community-Based Participatory Research / Q000458:organization & administration; D005845:Georgia; D006282:Health Personnel / Q000523:psychology; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D054625:Healthcare Disparities / Q000208:ethnology; D006801:Humans; D019458:Insurance Coverage; D020407:Internet; D007676:Kidney Failure, Chronic / Q000601:surgery / Q000628:therapy; D016030:Kidney Transplantation / Q000706:statistics & numerical data; D017063:Outcome Assessment, Health Care; D010353:Patient Education as Topic; D058996:Quality Improvement; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D006435:Renal Dialysis; D059039:Standard of Care; D044465:White People / Q000706:statistics & numerical data*; D001741:Black or African American