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Table 1 The Peers Supporting Health Literacy, Self-efficacy, Self-Advocacy, and Adherence (Peers LEAD) program 8-week intervention

From: Preliminary engagement of a patient advisory board of African American community members with type 2 diabetes in a peer-led medication adherence intervention

Week

Intervention

Details of intervention delivery

Week 1

Discuss patient self-management goals and intervention details. Target negative illness beliefs with a focus on the cause and consequence of diabetes.

A 2-h in-person group session with peer ambassador and peer buddy led by an African American diabetes educator

Week 2

Reframe medication beliefs to decrease medication concerns and increase the necessity of medicines. Address reasons for nonadherence.

A 2-h in-person group session with peer ambassador and peer buddy led by an African American pharmacist

Week 3

Discuss self-efficacy, positive living, and coping with diabetes.

A one-on-one phone call between paired peer ambassador and peer buddy

Week 4

Provide support for addressing fear, frustration, and emotional distress.

A one-on-one phone call between paired peer ambassador and peer buddy

Week 5

Discuss self-advocacy in provider communication/relationship building.

A one-on-one phone call between paired peer ambassador and peer buddy

Week 6

Discuss family/community bonding and maintaining cultural experiences.

A one-on-one phone call between paired peer ambassador and peer buddy

Week 7

Discuss hemoglobin A1C as well as blood sugar, diet, and exercise.

A one-on-one phone call between paired peer ambassador and peer buddy

Week 8

Re-examine patient goals.

A one-on-one phone call between paired peer ambassador and peer buddy

  1. The bolded data show emphasis of the 3-week intervention conducted in this study