Given the existence of firmly entrenched and rapidly increasing health disparities, novel approaches are needed to improve the health of socioeconomically disadvantaged groups, including American Indian communities. In a prior study, we demonstrated that a home-based kidney care (HBKC) model of education and health care delivery with lifestyle intervention effectively improved patient activation in caring for their chronic kidney disease (CKD). Implementing such a disruptive intervention in other American Indian communities, where disparities exist in a number of health conditions, such as diabetes and CKD, has the potential to ultimately slow disease progression and reduce adverse outcomes. Implementing such interventions requires the significant personal involvement of patients with CKD. The high personal involvement encouraged by this intervention has already been proven to be effective in one American Indian community.
