Dr. Ebele Umeukeje is a Nephrologist and a Health Services Researcher at Vanderbilt University Medical Center. Her long-term career goal is to become a successful independent physician scientist with expertise in kidney disease disparities research focused on improving clinical outcomes in vulnerable kidney disease patients. In addition to demonstrating growth toward independence as a physician scientist, her short-term career goals with support from this R03 include : 1) To gain advanced skills in the development and implementation of novel culturally sensitive motivational strategies, and 2) To acquire critical preliminary data for an R01-funded phase II efficacy trial testing the use of these motivational strategies to improve dialysis treatment adherence. She is specifically interested in reducing the excessive re-hospitalizations in end-stage kidney disease (ESKD) by intervening upon dialysis treatment non-adherence. Excessive re-hospitalizations in ESKD has significant