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Week 1
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Discuss patient self-management goals and intervention details. Target negative illness beliefs with a focus on the cause and consequence of diabetes.
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A 2-h in-person group session with peer ambassador and peer buddy led by an African American diabetes educator
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Week 2
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Reframe medication beliefs to decrease medication concerns and increase the necessity of medicines. Address reasons for nonadherence.
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A 2-h in-person group session with peer ambassador and peer buddy led by an African American pharmacist
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Week 3
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Discuss self-efficacy, positive living, and coping with diabetes.
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A one-on-one phone call between paired peer ambassador and peer buddy
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Week 4
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Provide support for addressing fear, frustration, and emotional distress.
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A one-on-one phone call between paired peer ambassador and peer buddy
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Week 5
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Discuss self-advocacy in provider communication/relationship building.
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A one-on-one phone call between paired peer ambassador and peer buddy
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Week 6
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Discuss family/community bonding and maintaining cultural experiences.
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A one-on-one phone call between paired peer ambassador and peer buddy
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Week 7
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Discuss hemoglobin A1C as well as blood sugar, diet, and exercise.
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A one-on-one phone call between paired peer ambassador and peer buddy
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Week 8
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Re-examine patient goals.
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A one-on-one phone call between paired peer ambassador and peer buddy
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