Original Investigation

Participant Experiences in a Kidney Failure Care Intervention in the Navigate-Kidney Study

JAMA Network Open 10.1001/jamanetworkopen.2025.48506

November 07, 2025 at 6:40 PM EST

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How did community health workers (CHWs) in the Navigate-Kidney trial support patients receiving dialysis in managing their health and navigating the health care system?In this qualitative study of 24 Latino individuals, patients described that CHWs fostered trust through empathy and reliability, addressed social and logistical barriers to care, provided culturally and linguistically tailored health education, and enhanced confidence in self-management, medication adherence, and dialysis attendance.These findings suggest that CHWs played a vital role in improving patient engagement, emotional well-being, and self-efficacy, suggesting their integration into dialysis care teams may enhance holistic, patient-centered care.

Corresponding Author: Lilia Cervantes, MD, University of Colorado Anschutz Medical Campus, 12401 E 17th Ave, Aurora, CO 80045 (Lilia.Cervantes@cuanschutz.edu).

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