Table 1.

Major domains of barriers and facilitators of community screening for kidney disease in blacks

Barriers	Facilitators
Knowledge themes	Increased knowledge
Limited understanding of kidney disease	Kidney disease education and testing from providers
Poor understanding of risk factors
Low health literacy
No belief that screening has benefits
Lack of kidney disease education and testing from clinicians
Ignorance is bliss
Cultural issues	Culturally sensitive strategies
Low trust in health care activities	Influence of church leaders
Limited value for health	Positive peer pressure
Strong spirituality beliefs	Integration of small group sessions
Fear of side effects, ego, and machismo	Increased participation from younger people
Emotions	Enhanced communication strategies
Explicit kidney disease–related fear	Critical role of physicians as communicators
Embarrassment and privacy	Tailored mode of communication
	Communication of relevant statistics and information
Environmental/socioeconomic issues	Convenience
Financial burden	Timing
Lack of convenience	Location
Poor or trivial advertisement	Onsite benefits
Lack of onsite incentives

Modified from ref. 8, with permission.