Enhancing medication adherence in marginalized and minoritized communities: A brief training approach for pharmacy technicians and community health workers

Background: Medication non-adherence is a pervasive issue, with especially severe consequences for marginalized and minoritized populations. Engaging pharmacy technicians and community health workers (CHWs) to address medication adherence in collaboration with pharmacists could be an effective strat...

Full description

Saved in:
Bibliographic Details
Main Authors: Richard Segal, Michelle L. Zeigler, Jordan L. Wallace, Folakemi T. Odedina
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Exploratory Research in Clinical and Social Pharmacy
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S266727662500023X
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849321678112292864
author Richard Segal
Michelle L. Zeigler
Jordan L. Wallace
Folakemi T. Odedina
author_facet Richard Segal
Michelle L. Zeigler
Jordan L. Wallace
Folakemi T. Odedina
author_sort Richard Segal
collection DOAJ
description Background: Medication non-adherence is a pervasive issue, with especially severe consequences for marginalized and minoritized populations. Engaging pharmacy technicians and community health workers (CHWs) to address medication adherence in collaboration with pharmacists could be an effective strategy since they may be better positioned to build trust and rapport with patients compared to pharmacists alone. Objectives: This study aimed to evaluate and compare the effectiveness of a brief training program for pharmacy technicians and community health workers in improving medication adherence. Methods: A hybrid model training program, including pre-recorded video lectures to be watched at home followed by an in-person session, was developed and delivered to 19 pharmacy technicians and 109 CHWs, focusing on key skills related to enhancing medication adherence. Participants' knowledge and self-efficacy were assessed using pre- and post-program questionnaires. Results: The training program yielded significant improvements in participants' knowledge and confidence in performing activities to improve medication adherence. Notably, post-training scores did not differ significantly between pharmacy technicians and community health workers, indicating that both groups achieved similar levels of knowledge and self-efficacy. Furthermore, pharmacy technicians demonstrated significant gains in understanding cultural competence and health disparities. Conclusion: A targeted, brief training program can significantly enhance the knowledge and self-efficacy of pharmacy technicians and community health workers in addressing medication adherence. Engaging these frontline healthcare workers could be a crucial strategy for improving medication adherence, particularly in marginalized communities. Future research is necessary to assess the impact of this training on patient adherence outcomes.
format Article
id doaj-art-2b4d3676a2694c74a70d064a2dadc45a
institution Kabale University
issn 2667-2766
language English
publishDate 2025-06-01
publisher Elsevier
record_format Article
series Exploratory Research in Clinical and Social Pharmacy
spelling doaj-art-2b4d3676a2694c74a70d064a2dadc45a2025-08-20T03:49:41ZengElsevierExploratory Research in Clinical and Social Pharmacy2667-27662025-06-011810058210.1016/j.rcsop.2025.100582Enhancing medication adherence in marginalized and minoritized communities: A brief training approach for pharmacy technicians and community health workersRichard Segal0Michelle L. Zeigler1Jordan L. Wallace2Folakemi T. Odedina3Department of Pharmaceutical Outcomes and Policy, College of Pharmacy, University of Florida, 1889 Museum Road, Suite 6300, Gainesville, FL 32611, USA; Corresponding author at: University of Florida, 1889 Museum Road, Box 100496, Gainesville, FL 32611, USA.Medication Management Pharmacist, Aledade, Inc., Gainesville, FL, USAPediatric Oncology Pharmacy Clinical Specialist, Department of Pharmacy, Golisano Children's Hospital, 9981 S. Healthpark Drive, Fort Myers, FL 33908, USACancer Prevention, Survivorship and Care Delivery (CPSCD) Research Program and iCCaRE for Black Men Consortium, Mayo Clinic Comprehensive Cancer Center, Jacksonville, FL, USA; Prostate Cancer Transatlantic Consortium (CaPTC), 4500 San Pablo Road S, Jacksonville, FL 32224, USABackground: Medication non-adherence is a pervasive issue, with especially severe consequences for marginalized and minoritized populations. Engaging pharmacy technicians and community health workers (CHWs) to address medication adherence in collaboration with pharmacists could be an effective strategy since they may be better positioned to build trust and rapport with patients compared to pharmacists alone. Objectives: This study aimed to evaluate and compare the effectiveness of a brief training program for pharmacy technicians and community health workers in improving medication adherence. Methods: A hybrid model training program, including pre-recorded video lectures to be watched at home followed by an in-person session, was developed and delivered to 19 pharmacy technicians and 109 CHWs, focusing on key skills related to enhancing medication adherence. Participants' knowledge and self-efficacy were assessed using pre- and post-program questionnaires. Results: The training program yielded significant improvements in participants' knowledge and confidence in performing activities to improve medication adherence. Notably, post-training scores did not differ significantly between pharmacy technicians and community health workers, indicating that both groups achieved similar levels of knowledge and self-efficacy. Furthermore, pharmacy technicians demonstrated significant gains in understanding cultural competence and health disparities. Conclusion: A targeted, brief training program can significantly enhance the knowledge and self-efficacy of pharmacy technicians and community health workers in addressing medication adherence. Engaging these frontline healthcare workers could be a crucial strategy for improving medication adherence, particularly in marginalized communities. Future research is necessary to assess the impact of this training on patient adherence outcomes.http://www.sciencedirect.com/science/article/pii/S266727662500023XMedication adherencePharmacy techniciansCommunity health workersTraining programMarginalized populations
spellingShingle Richard Segal
Michelle L. Zeigler
Jordan L. Wallace
Folakemi T. Odedina
Enhancing medication adherence in marginalized and minoritized communities: A brief training approach for pharmacy technicians and community health workers
Exploratory Research in Clinical and Social Pharmacy
Medication adherence
Pharmacy technicians
Community health workers
Training program
Marginalized populations
title Enhancing medication adherence in marginalized and minoritized communities: A brief training approach for pharmacy technicians and community health workers
title_full Enhancing medication adherence in marginalized and minoritized communities: A brief training approach for pharmacy technicians and community health workers
title_fullStr Enhancing medication adherence in marginalized and minoritized communities: A brief training approach for pharmacy technicians and community health workers
title_full_unstemmed Enhancing medication adherence in marginalized and minoritized communities: A brief training approach for pharmacy technicians and community health workers
title_short Enhancing medication adherence in marginalized and minoritized communities: A brief training approach for pharmacy technicians and community health workers
title_sort enhancing medication adherence in marginalized and minoritized communities a brief training approach for pharmacy technicians and community health workers
topic Medication adherence
Pharmacy technicians
Community health workers
Training program
Marginalized populations
url http://www.sciencedirect.com/science/article/pii/S266727662500023X
work_keys_str_mv AT richardsegal enhancingmedicationadherenceinmarginalizedandminoritizedcommunitiesabrieftrainingapproachforpharmacytechniciansandcommunityhealthworkers
AT michellelzeigler enhancingmedicationadherenceinmarginalizedandminoritizedcommunitiesabrieftrainingapproachforpharmacytechniciansandcommunityhealthworkers
AT jordanlwallace enhancingmedicationadherenceinmarginalizedandminoritizedcommunitiesabrieftrainingapproachforpharmacytechniciansandcommunityhealthworkers
AT folakemitodedina enhancingmedicationadherenceinmarginalizedandminoritizedcommunitiesabrieftrainingapproachforpharmacytechniciansandcommunityhealthworkers