Kidney transplant recipients (KTR) are at greater risk of weight gain, diabetes and cardiovascular events post-transplant; but medications are limited in their effectiveness, and patients may face contraindications and unwanted side effects, given their complex post-transplant immunosuppression regimen. The investigators will pilot a randomized-controlled trial to test the feasibility and acceptability of a culturally-appropriate, multi-behavior (diet and exercise) lifestyle intervention for 20 American Indian, Hispanic/Latino(a), and White KTRs. Critical components of the pilot trial include: (a) an individually tailored exercise and diet plan with a physical therapist/exercise physiologist and a registered dietitian nutritionist, who will work closely with the post-transplant team to carefully monitor patient stability; and, (b) the use of the Twistle Patient Engagement Platform to follow-up with participants between their scheduled appointments and to collect all questionnaire data.
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Intervention Acceptability: Satisfaction
Timeframe: 12 months
Intervention Acceptability: Usability
Timeframe: 12 months
Intervention feasibility: Retention
Timeframe: Through study completion, an average of 1 year
Intervention feasibility: Missing data
Timeframe: Through study completion, an average of 1 year
Intervention feasibility: Attrition
Timeframe: Through study completion, an average of 1 year
Intervention feasibility: Participation
Timeframe: Through study completion, an average of 1 year