Faculty, Staff and Student Publications
Language
English
Publication Date
1-1-2025
Journal
Kidney360
DOI
10.34067/KID.0000000642
PMID
39531314
PMCID
PMC11793184
PubMedCentral® Posted Date
11-12-2024
PubMedCentral® Full Text Version
Post-print
Abstract
Key Points:
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Individual-level advocacy to overcome structural barriers to home dialysis is key in improving home dialysis access for Latinx individuals.
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Acknowledging patient influences on dialysis modality choice is critical for Latinx individuals with kidney failure.
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Early, repeated education from a trusted source is important for Latinx individuals with kidney failure.
Background: Latinx individuals experience two times the incidence of kidney failure compared with non-Latinx individuals and are less likely to use home dialysis therapies. In this qualitative study, interdisciplinary home dialysis clinicians were interviewed to understand the key factors and strategies used by clinicians to improve home dialysis uptake among the Latinx community.
Methods: One-to-one, semistructured interviews were conducted between November 2021 and March 2023 with 25 home dialysis interdisciplinary clinicians in Denver, Colorado, and Houston, Texas. Interviews were audio-recorded, transcribed, and analyzed using thematic analysis.
Results: We identified three themes that focus on different levels of clinician advocacy in home dialysis uptake for the Latinx community: (1) individual patient-level advocacy (helping patients overcome social challenges to home dialysis, cultivating personalized relationships, educating patients with in-person versus phone language interpretation, understanding cultural differences in communication), (2) understanding patient influences on modality decision-making (acknowledging the importance of cultural concordance with clinician educator and patient peers, incorporating the patient lived experience, connecting with a patient's social support network, highlighting greater flexibility for employment, underscoring flexibility with culturally concordant foods), and (3) changes to education at the dialysis facility level (standardizing routine and repeated modality education, promoting early and patient-centered education).
Conclusions: Clinicians outlined efforts to improve access to home dialysis for Latinx groups on the patient and system level; in particular, individual-level and system-level advocacy was grounded in trusting relationships and personalized education. A future intervention that improves the quality and personalization of dialysis modality education incorporating Latinx cultural values may improve access to home dialysis for Latinx people with kidney disease.
Keywords
health equity, diversity, and inclusion; minority health and disparities; peritoneal dialysis
Published Open-Access
yes
Recommended Citation
Rizzolo, Katherine; Jauregui, Rebeca Gonzalez; Teakell, Jade; et al., "Home Dialysis for Latinx Individuals Living with Kidney Failure: A Qualitative Study of Interdisciplinary Dialysis Clinicians" (2025). Faculty, Staff and Student Publications. 689.
https://digitalcommons.library.tmc.edu/uthmed_docs/689
Graphical Abstract
Included in
Diseases Commons, Internal Medicine Commons, Nephrology Commons, Palliative Care Commons