Recruiting

CommunityRx-Kidney Health

Sponsor:

University of North Carolina, Chapel Hill

Code:

NCT07237295

Conditions

Chronic Kidney Disease (Stages 1-4)

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

CommunityRx-Kidney Health

Study Details

Brief 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)

Study ID

NCT07237295

Start date

Apr 13, 2026

Status verified date

Apr, 2026

Completion date

Jun, 2028

Anticipated

Primary completion date

Jun, 2028

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • Diagnosis of chronic kidney disease defined as ≥1 ICD-10 CKD codes (excluding end-stage kidney disease) or CKD biomarkers (estimated glomerular filtration rate ≤ 60 ml/min, albuminuria ≥30 mg/24h)
  • At least one clinic visit at Goshen Medical Center in 12 months before enrollment

Exclusion Criteria:

  • Limited life expectancy (e.g., advanced cancer, end-stage liver disease, hospice)
  • Active cancer treatment
  • Living in a skilled nursing facility
  • Dementia/other significant cognitive impairment/inability to participate in the informed consent process

Study Design

Enrollment

634 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Health Services Research

Interventions and Outcome Measures

Arms

experimental: Intervention + usual care

This arm will receive the intervention in addition to usual care.

no intervention: Usual care only

This arm will not receive the intervention.

Interventions

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.

Primary outcome measure

  • Acute healthcare utilization [ Time Frame: 12 months ]

Central Contacts and Locations

Central contacts

Kristen D Witkemper, MPH

910-939-1879CRx-K@med.unc.edu

Locations

Goshen Medical Center

Recruiting

Beulaville, North Carolina, United States, 28518

Contacts

Donna K Sanderson, RN, BSN, CLHP

910-298-3125dsanderson@goshenmed.com

Principal Investigator:

Donna K Sanderson, RN, BSN, CLHP

More Information

Sponsor

University of North Carolina, Chapel Hill

Last update posted

Apr 30, 2026

Last verified

Apr, 2026

Keywords

  • Chronic disease management
  • Community resource referral
  • Health-related social needs
  • Healthcare services
  • Kidney health
  • Longitudinal navigation support
  • Rural health
  • Self-efficacy

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by University of North Carolina, Chapel Hill on 2026-04-30.