CAPABLE Transplant

CAPABLE is a multicomponent goal-directed program that reduces physical disability by working with the person and environment but has not been explored in prehabilitation research. The purpose of this study is to adapt CAPABLE, an existing evidence-based program for functionally and socio-economically vulnerable older adults, as a prehabilitation intervention for people with frailty awaiting KT.

As in CAPABLE, the delivery characteristics of CAPABLE Kidney Transplant consist of an assessment-driven, individually tailored package of interventions delivered over the course of 4 months by an occupational therapist (OT) (\~6 home visits for ≤ 1hour), a registered nurse (RN) (\~4 home visits for ≤ 1hour) and a handy worker (HW).

In earlier phases, research team members conducted preliminary activities to design the CAPABLE Kidney Transplant intervention using Human-Centered Design techniques.

This study will seek to accomplish two aims:

1. To iteratively refine the CAPABLE -Transplant prototype for those currently KT inactive or those who are active and low-income on the waitlist. 2. To pilot test the CAPABLE-Transplant intervention

The investigators will collect feedback during the open label pilot to further refine the intervention that will be tested as part of the randomized control trial.

• Change in self-efficacy as assessed by the Coping Self-Efficacy Instrument [Срок оценки: Baseline, 16 weeks, 32 weeks]
• Change in self-efficacy as assessed by the Self-Efficacy of Chronic Disease Management Instrument [Срок оценки: Baseline, 16 weeks, 32 weeks]
• Change in Pain as assessed by the Brief Pain Inventory [Срок оценки: Baseline, 16 weeks, 32 weeks]
• Change in Depression as assessed by the Patient Health Questionnaire Depression Scale (PHQ-8) [Срок оценки: Baseline, 16 weeks, 32 weeks]
• Change in Social engagement as assessed by the Lubben Social Network Scale [Срок оценки: Baseline, 16 weeks, 32 weeks]
• Change in Social engagement as assessed by the Krause-Borawski-Clark Support Interactions Scale [Срок оценки: Baseline, 16 weeks, 32 weeks]
• Change in Fatigue/Quality of Life as assessed by the Kidney disease Quality of Life Scale [Срок оценки: Baseline, 16 weeks, 32 weeks]
• Change in Frailty as assessed by the Fried Frailty Phenotype [Срок оценки: Baseline, 16 weeks, 32 weeks]
• Change in Health Team Communication as assessed by the CollaboRATE Scale Measure [Срок оценки: Baseline, 16 weeks, 32 weeks]
• Change in Function as assessed by Lawton & Brody's assessment of Instrumental Activities of Daily Living Scale [Срок оценки: Baseline, 16 weeks, 32 weeks]
• Change in Function as assessed by the Katz Index of Independence in Activities of Daily Living [Срок оценки: Baseline, 16 weeks, 32 weeks]