Tailored mHealth Coaching and Social Resource Support in Kidney Transplantation

The purpose of this study is to learn if a mobile app, personalized coaching, and assistance from social workers can help improve outcomes for kidney transplant patients. Participants in this study will be randomized to one of 3 groups: usual care, use of mHealth app, or use of mHealth plus a dedicated social worker. Participants assigned to use the mHealth app will be required to download the app to their phone. All participants will complete surveys about their experience and symptoms at study enrollment then at 3 months and 6 months after study enrollment. Some participants may also be asked to participate in a semi-structured interview after the 6-month visit.

Inclusion Criteria: * Residence in a neighborhood with medium to high SVI score. * Age 18 to 65 * Stable allograft function at minimum 1 month post-transplantation * Ability to communicate proficiently in English * On sirolimus and/or tacrolimus-based immunosuppression Exclusion Criteria: * Cognitive impairment/dementia * Active rejection * End stage kidney disease * Multiple organs transplanted