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Peer coach delivered storytelling program improved diabetes medication adherence: A cluster randomized trial
Susan J Andreae1, Lynn J Andreae2, Andrea L Cherrington2
1Department of Kinesiology, University of Wisconsin-Madison, Madison, WI, United States of America.
A peer-delivered diabetes self-care program improved medication adherence and beliefs in adults with diabetes. While physiologic measures did not significantly change, the intervention boosted confidence in taking medications.
Area of Science:
- Behavioral science
- Public health
- Diabetes management
Background:
- Medication adherence is crucial for better diabetes outcomes.
- Despite numerous interventions, suboptimal adherence persists, necessitating further research.
- This study explored a novel intervention combining storytelling and peer support.
Purpose of the Study:
- To evaluate the effectiveness of a peer-delivered intervention on medication adherence.
- To assess the impact of the intervention on health outcomes in adults with diabetes.
- To investigate changes in medication beliefs and self-efficacy.
Main Methods:
- A cluster randomized controlled trial, 'Living Well with Diabetes,' was conducted.
- Intervention group received a 6-month phone-based diabetes self-care program.
- Control group received a general health program; outcomes included medication adherence and physiologic measures.
Main Results:
- Intervention participants showed significantly greater improvement in medication adherence compared to controls.
- No significant changes were observed in physiologic measures (HbA1c, blood pressure, cholesterol, BMI) in either group.
- The intervention group demonstrated improved beliefs about medication necessity, reduced concerns about negative effects, and increased medication use self-efficacy.
Conclusions:
- The 'Living Well' intervention effectively improved medication adherence and related beliefs.
- The intervention enhanced self-efficacy in medication use among participants with diabetes.
- While adherence and beliefs improved, the intervention did not significantly impact physiological risk factors.
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