{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T04:16:08Z","timestamp":1781928968366,"version":"3.54.5"},"reference-count":33,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100006093","name":"Patient-Centered Outcomes Research Institute","doi-asserted-by":"publisher","award":["IHS-2020C1-19350"],"award-info":[{"award-number":["IHS-2020C1-19350"]}],"id":[{"id":"10.13039\/100006093","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006093","name":"Patient-Centered Outcomes Research Institute","doi-asserted-by":"publisher","award":["IHS-2020C1-19350-IC"],"award-info":[{"award-number":["IHS-2020C1-19350-IC"]}],"id":[{"id":"10.13039\/100006093","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["1U01DK127918-01"],"award-info":[{"award-number":["1U01DK127918-01"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","award":["$7,026,371"],"award-info":[{"award-number":["$7,026,371"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006093","name":"PCORI","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006093","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Board of Governors or Methodology Committee"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>In the United States, health inequities persist in the management of chronic kidney disease and end-stage kidney disease, including unequal access to kidney transplantation. These disparities are deeply rooted in complex social and structural determinants of health, including socioeconomic status, race, geographic location, and healthcare access. Addressing these inequities necessitates a patient-centered interdisciplinary approach to improve outcomes and promote transplant access equity. This article describes the conceptualization and design of the System Interventions to Achieve Early and Equitable Transplants (STEPS) intervention. The STEPS intervention was developed by patients, family members, professional and community stakeholders, social workers, nurses, physicians, and other health professionals to address multifactorial barriers to kidney transplantation in three large health systems in Mississippi, North Carolina, and Pennsylvania. By addressing transplant barriers through collaborative interdisciplinary interventions provided by social workers and transplant nurses, STEPS aims to empower individuals and promote systemic changes in healthcare delivery and access to kidney transplants. This intervention can be used as a model for other interdisciplinary approaches to address social and structural determinants of health to improve access to care and promote health equity.<\/jats:p>","DOI":"10.1093\/hsw\/hlaf028","type":"journal-article","created":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T13:48:31Z","timestamp":1751377711000},"page":"219-227","source":"Crossref","is-referenced-by-count":2,"title":["Designing a Patient-Centered Interdisciplinary Intervention to Promote Equitable Access to Kidney Transplantation across Health Systems: The STEPS Study"],"prefix":"10.1093","volume":"50","author":[{"given":"Teri","family":"Browne","sequence":"first","affiliation":[{"name":"College of Social Work, University of South Carolina Teri Browne, PhD, MSW, is dean and professor, , 1512 Pendleton Street, Columbia, SC 29208, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clarissa J","family":"Diamantidis","sequence":"additional","affiliation":[{"name":"Maya Angelou Research Center for Healthy Communities, School of Medicine, Wake Forest University Clarissa J. Diamantidis, MD, MHS, is professor of medicine, general internal medicine, nephrology, and epidemiology and prevention; and interim director, , Winston-Salem, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamie A","family":"Green","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences Jamie A. Green, MD, MS, is associate professor, , and codirector, Center for Kidney Health Research, Geisinger College of Health Sciences, Danville, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patti L","family":"Ephraim","sequence":"additional","affiliation":[{"name":"Feinstein Institute for Medical Research Patti L. Ephraim, MPH, is director of clinical research and prevention programs, , Manhasset, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julisa","family":"Tindall","sequence":"additional","affiliation":[{"name":"College of Social Work, University of South Carolina, Columbia Julisa Tindall, MSW, LISW-CP, is PhD student, , SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley","family":"Cabacungan","sequence":"additional","affiliation":[{"name":"Maya Angelou Research Center for Healthy Communities, School of Medicine, Wake Forest University Ashley Cabacungan, BS, is program manager II, , Winston-Salem, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tariq","family":"Shafi","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Baylor Scott & White Health Tariq Shafi, MD, MHS, is director, , Temple, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George L","family":"Jackson","sequence":"additional","affiliation":[{"name":"Department of Health Economics, Systems, and Policy, and director, Advancing Implementation & Improvement Science Program, Peter O\u2019Donnell Jr. School of Public Health George L. Jackson, PhD, MHA, is professor, ; professor, Division of General Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA; and research health scientist, Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily L","family":"Obermiller","sequence":"additional","affiliation":[{"name":"Clinical and Translational Science Institute, Wake Forest University School of Medicine Emily L. Obermiller, BS, MEd, is clinical protocol and grant writer, , Winston-Salem, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ranee","family":"Chatterjee","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Department of Medicine Ranee Chatterjee, MD, MPH, is associate professor and vice chief of research, , and director, Primary Care Research Consortium, Duke University; and primary care doctor, Duke Primary Care South Durham, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tyffany","family":"Locklear","sequence":"additional","affiliation":[{"name":"Duke General Internal Medicine, and clinical research coordinator, Department of Medicine, Duke University School of Medicine Tyffany Locklear, MMCi, BS, BA, is research program leader, , Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sherri","family":"Swan-Nesbit","sequence":"additional","affiliation":[{"name":"Duke University Medical Center Sherri Swan-Nesbit, MSN, is lead nurse research coordinator, , , Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennie","family":"Riley","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences, School of Medicine, Duke University Jennie Riley is research interventionist, , Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Brubaker","sequence":"additional","affiliation":[{"name":"Center for Kidney Health Research Lauren Brubaker, MPH, is research project manager II, , , Danville, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Autumn","family":"Bayoumi","sequence":"additional","affiliation":[{"name":"Geisinger Medical Center Autumn Bayoumi, LSW, is social worker, , Danville, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Szczepanik-Riley","sequence":"additional","affiliation":[{"name":"Geisinger Medical Center Karen Szczepanik-Riley, BSN, RN, is transplant nurse coordinator, , Danville, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pradeep K","family":"Vaitla","sequence":"additional","affiliation":[{"name":"School of Medicine, Department of Medicine Pradeep K. 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