Effect of Peer Mentorship on Hospitalizations among… : Journal of the American Society of Nephrology
emodialysis we performed a multi-center, pragmatic, randomized, controlled trial. Two hundred patient participants receiving hemodialysis at high risk for hospitalization were enrolled, 140 in Bronx, NY and 60 in Nashville, TN. Of these, 101 were randomized to the peer-mentor intervention and 99 were randomized to usual care. The intervention consisted of trained mentors, patients receiving hemodialysis, placing weekly telephone calls to their assigned patient participant mentees over a 3-month period. During telephone calls, mentors listened, provided emotional and informational support, and promoted self-management. During the intervention period and up to 15 months later, patient participants were observed for incidence of the primary outcome: monthly counts of unplanned hospitalizations and emergency department (ED) visits. Results: The mean age of all patient participants was 54 (SD 13) years, 100 (50%) were female, 110 (57%) were Black and 70 (39%) were Hispanic. The adjusted inc