In this pilot trial, investigators will pilot test a cognitive behavioral intervention for acceptability and proof of concept for a larger future trial to be submitted for federal funding. This is a one-group design with qualitative and quantitative data collection integrated into the intervention.

Inclusion Criteria:

• Interest in participating in a fatigue study
• Age ≥18 years old
• Estimated glomerular filtration rate (eGFR) 15-44 mL/min/1.73 m2
• Ability and willingness to provide informed consent
• Ability to speak English
• Ability to walk
• Ability to join remote study sessions via WebEx

Exclusion Criteria:

• Current involvement in an activity/exercise program
• High likelihood of a kidney transplant within 6 months (assessed via the medical record)
• Any safety concerns about increased walking (assessed via the medical record)

The de-identified participant data from the final research dataset will be shared upon reasonable request beginning 9 to 36 months after publication or as required by a condition of awards or supporting agreements, provided the requesting investigator executes a data use agreement with NYU Langone Health. This instance of data sharing will also require separate IRB review as well as review from NYU Langone's Data Sharing Strategy Board (DSSB). Requests should be directed to: Daniel.Cukor@nyulangone.org. The protocol will be posted on Clinicaltrials.gov only as required by federal regulation or supporting awards and agreements.

Beginning 9 months and ending 36 months following article publication or as required by a condition of awards and agreements supporting the research.

The investigator who proposed to use the data will be granted access upon reasonable request. Requests should be directed to Daniel.Cukor@nyulangone.org. To gain access, data requestors will need to sign a data access agreement. This instance of data sharing will also require separate IRB review as well as review from NYU Langone's DSSB.