The PROAKTIVE Trial

The PRO-Active rehabilitation prior to Kidney Transplantation to ImproVe patient-centered recovery Evaluation trial tests an approach where people are supported to exercise, improve diet, and receive emotional support at home before and after kidney transplant surgery to understand the ideal process and benefits.

Inclusion Criteria: * Age ≥18 years * Scheduled, or on the pathway, for kidney transplant surgery * Expected surgery date between at least 4 weeks from enrollment * Access to internet-enabled device * Email address Exclusion Criteria: * Inability to read and communicate in English * Cognitive impairment preventing ability to provide informed consent independently * No telephone/cell phone * Any of the following cardiovascular conditions: 1. Severe valvular heart disease that limits a patient's ability to ambulate on level ground, or is associated with syncope or dyspnea 2. Severe cardiac dysrhythmias that limit a patient's ability to ambulate on level ground, or is associated with syncope or dyspnea 3. Recent myocardial infarction (within 6 weeks prior to enrollment - based on the Heart and Stroke Foundation's HeartWalk program)