Shiyanbola Olayinka O, Kaiser Betty L, Thomas Gay R, Tarfa Adati
Social and Administrative Sciences, University of Wisconsin-Madison School of Pharmacy, 777 Highland Avenue, Madison, WI, 53705, USA.
Wisconsin Network for Research Support, University of Wisconsin-Madison School of Nursing, 701 Highland Avenue, Madison, WI, 53705, USA.
Res Involv Engagem. 2021 Jan 6;7(1):4. doi: 10.1186/s40900-020-00245-y.
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.
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.
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.
同伴支持健康素养、自我效能、自我倡导及依从性（Peers LEAD）项目是一项为期8周的文化定制教育行为干预措施，旨在解决非裔美国人在糖尿病药物治疗依从性方面的心理社会和社会文化障碍。Peers LEAD干预措施的一个简短的3周版本采用社区参与方法，以检验该干预措施在患者利益相关者中的可行性和可接受性。
坚持服用糖尿病药物的非裔美国人与不坚持服药的非裔美国人配对。他们共同参与了基于小组和电话的药物治疗依从性干预。这一简短干预的反馈对于8周项目剩余几周的设计很重要。该干预针对对糖尿病、糖尿病药物使用的负面信念，并提供文化定制的同伴支持，以提高非裔美国人的药物治疗依从性。为了在项目的开发和实施过程中获得反馈，我们与社区顾问以及坚持服用糖尿病药物的非裔美国人同伴大使委员会合作。同伴大使委员会和社区顾问审查了干预材料，以确保其易于理解且适合该社区。此外，他们还对干预实施过程提供了反馈。
同伴大使委员会和社区顾问的积极参与促成了针对2型糖尿病非裔美国人的药物治疗依从性项目的干预过程和材料的修订。
