Appendix Table A1. Framework for Peer Navigator Visit by Domain

Social support			Mental health support
Advance care planning	Care coordination	Diet support
• Discuss values and goals using motivation interviewing through empathy and reflective listening. • Review advance directive and hospice educational materials • Use motivational interviewing to help patient complete advance directives and/or have advance care planning conversations with family and clinicians.	• Discuss concerns related to health, finances, housing, transportation, and family. • Provide support with connection to community resources, clinic appointments, language interpretation, and logistical issues.	• Accommodate cultural dietary preferences with renal restriction. • Provide recipes that are culturally and linguistically congruent. • Activate patient to troubleshoot diet issues.	• Explore patient methods for coping and adjustment to illness. • Use motivational interviewing, and help patient obtain mental health support.