The improvement in morbidity and mortality observed with kidney transplantation is often curtailed by post-transplant weight gain, which is common among kidney transplant recipients (KTR). Post-transplant weight gain is associated with serious health issues such as cardiovascular disease, new onset diabetes after transplantation, and graft failure. Although these adverse effects of post-transplant weight gain are well recognized, interventions that target the modifiable risk factors of diet and physical activity to address post-transplantation weight gain are lacking. The purpose of this study is to test the feasibility of an in-home, televideo health coaching to increase the healthy behaviors of KTRs who are 6 months post-transplantation.

Inclusion Criteria:

• Age 18 years or older
• Between 6 and 12 months post kidney transplantation
• Kidney allograft only
• Functioning allograft (not on dialysis)
• BMI ≥ 22 kg/m2
• Available to participate in assessments over 6 months
• Ability to speak and understand English
• Able to report data weekly by at least one of three alternative methods: telephone, email, or fax
• Access to wireless internet

Exclusion Criteria:

• Multi-organ transplant recipient
• Uncontrolled diabetes (Hemoglobin A1c≥8%)
• Currently pregnant or planning on becoming pregnant during the study
• Participation in a formal weight management, nutrition, or physical activity program
• Diagnosis of a major psychiatric illness
• Major dietary restrictions
• Inability to perform moderate to vigorous physical activity
• Unwillingness to be randomized
• Receiving supplemental nutrition