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Preliminary Engagement of a Patient Advisory Board of African American Community Members with Type 2 Diabetes in a Peer-Led Medication Adherence Intervention

January 6, 2021
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Background

The Peers Supporting Health Literacy, Self-efficacy, Self-Advocacy, and Adherence (Peers LEAD) program is a culturally tailored educational-behavioral 8-week intervention that addressed psychosocial and sociocultural barriers to diabetes medication adherence in African Americans. A brief 3-week version of the Peers LEAD intervention used a community engagement approach to examine the feasibility and acceptability of the intervention amongst patient stakeholders.

Main body

African Americans who were adherent to their diabetes medicines were paired with those who were non-adherent to their medicines. Together, they participated in the group and phone-based medication adherence intervention. Input from this brief intervention was important for the design of the remainder weeks of the 8-week program. The intervention targeted negative beliefs about diabetes, use of diabetes medicines, and offering culturally tailored peer support to improve medication adherence in African Americans. To receive input in the development and implementation of the program, we worked with community advisors and a peer ambassador board of African Americans who were adherent to their diabetes medicines. The peer ambassador board and community advisors reviewed intervention materials to ensure they were understandable and appropriate for the community. As well, they provided feedback on the process for intervention delivery.

Conclusion

The active engagement of the peer ambassador board and community advisors led to a revised intervention process and materials for a medication adherence program for African Americans with type 2 diabetes.

Published

BMC Research Involvement and Engagement
BMC Research Involvement and Engagement journal cover

Cited by

This article is cited by 9 publications

  1. Tarfa, A., Nordin, J., Mott, M., Maurer, M., & Shiyanbola, O. (2023). A qualitative exploration of the experiences of peer leaders in an intervention to improve diabetes medication adherence in African Americans. BMC public health, 23(1), 144. https://doi.org/10.1186/s12889-023-15059-2
  2. Shiyanbola, O. O., Maurer, M., & Wen, M. J. (2022). Protocol for a Pilot Randomized Controlled Mixed Methods Feasibility Trial of a Culturally Adapted Peer Support and Self-Management Intervention for African Americans. Pharmacy (Basel, Switzerland), 11(1), 2. https://doi.org/10.3390/pharmacy11010002
  3. Shiyanbola, O. O., Maurer, M., Mott, M., Schwerer, L., Sarkarati, N., Sharp, L. K., & Ward, E. (2022). A feasibility pilot trial of a peer-support educational behavioral intervention to improve diabetes medication adherence in African Americans. Pilot and feasibility studies, 8(1), 240. https://doi.org/10.1186/s40814-022-01198-7
  4. Desta, R., Blumrosen, C., Laferriere, H. E., Saluja, A., Bruce, M. A., Elasy, T. A., Griffith, D. M., Norris, K. C., Cavanaugh, K. L., & Umeukeje, E. M. (2022). Interventions Incorporating Therapeutic Alliance to Improve Medication Adherence in Black Patients with Diabetes, Hypertension and Kidney Disease: A Systematic Review. Patient preference and adherence, 16, 3095–3110. https://doi.org/10.2147/PPA.S371162
  5. Shiyanbola, O. O., Maurer, M., Schwerer, L., Sarkarati, N., Wen, M. J., Salihu, E. Y., Nordin, J., Xiong, P., Egbujor, U. M., & Williams, S. D. (2022). A Culturally Tailored Diabetes Self-Management Intervention Incorporating Race-Congruent Peer Support to Address Beliefs, Medication Adherence and Diabetes Control in African Americans: A Pilot Feasibility Study. Patient preference and adherence, 16, 2893–2912. https://doi.org/10.2147/PPA.S384974