Table 1.

Vascular access clinical support program components

ComponentPurposeDescription
Targeting patient barriers
 Vascular access–specific educationImprove vascular access knowledge Format: Individual or small group sessions dedicated to vascular access education (in person, telephone)
Content: Vascular access types and related terms, assocated care process steps, acknowledgement of common emotions and complications
Materials: investigator-developed and AAKP brochures
 Needs and barriers assessmentIdentify barriers to vascular access care and provide targeted resourcesAssessment of financial, transportation, emotional, and other barriers to vascular access care; assessment of preferred communication mode; and provision of appropriate resources (referrals, support, etc.)
Opportunity to reinforce vascular access education content
 Peer mentoringProvide emotional support and practical care navigation tipsPeer-to-peer supportive interaction (in person, telephone, email)
Frequency and mode of interaction selected by mentees and mentors
Mentors underwent vascular access education and peer mentorship training before mentee connection
Targeting health system barriers
 Vascular access care navigationProvide care coordination supportIdentify patients in need of vascular access planning and secure nephrologist agreement for patient enrollment
Facilitate care coordination, appointment scheduling and reminders, and peer mentor program enrollment
Prompt providers to communicate with each other
Address patient questions and concerns and provide education reinforcement
 Vascular access–specific electronic dashboardEnable efficient patient monitoring and care planningEnable monitoring of patients through vascular access care steps
Organized by care step to facilitate identification of upcoming or missed appointments, unscheduled referrals, and study results
  • AAKP, American Association of Kidney Patients.