Virtually Supervised Exercise for Kidney Transplant Candidates

Inclusion Criteria:

* ≥ 18 years old
* Listed for kidney transplant
* Positive answers (e.g. yes) to one of the following:

* current difficulty with climbing up 10 stairs,
* has changed in the past year how they climb 10 stairs
* current difficulty with walking a 0.5 mile (5-6 blocks)
* has changed in past year in how they walk 0.5 mile (5-6 blocks)
* documented performance of 430 meters or less on the six minute walk test in the past 12 months
* documented performance of 9 points or less on the Short Physical Performance Battery in the past 24 months
* documented performance of less than 3 points or less on the five times sit to stand test in the past 24 months
* Demonstrated ability to stand up independently from a seated position and then sit back down without using their arms or an assistive device in the past 24 months

Exclusion Criteria:

* Does not speak English or Spanish
* Nursing home resident
* Severe low vision (≥20/200 with corrective lens)
* Severe hearing loss even with use of amplification preventing communication
* Unstable angina or uncontrolled arrhythmia
* Supplemental oxygen therapy
* Myocardial infarction, major heart surgery, stroke, venous thromboembolism, hip fracture, hip or knee replacement in past six months (temporary exclusion)
* ≥ 3 errors on the Six Item Screener