A Pilot Study on the Impact of Pharmacist Intervention in Type-2 Diabetes Mellitus Counselling Program in a Rural Community

Kandasamy, Krishnaveni; Konakalla, M; Sam, R; Sebastián, J.L.; Rajagopal, Shanmuga Sundaram; Ramanathan, Shanthi

doi:10.4172/pharmaceutical-sciences.1000282

Cited by 3 publications

(4 citation statements)

References 6 publications

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“…Our findings indicate that individualized and comprehensive counseling sessions by Pharmacists can be beneficial to enhance the patient’s knowledge regarding their disease. Similar results were also reported by a study in India, with a significant rise in knowledge scores following pharmacist-led T2DM counseling programs [ 10 , 16 , 17 ].…”

Section: Discussionsupporting

confidence: 88%

Evaluation of Impact of a Pharmacist-Led Educational Campaign on Disease Knowledge, Practices and Medication Adherence for Type-2 Diabetic Patients: A Prospective Pre- and Post-Analysis

Khan

Alzarea

Alotaibi

et al. 2022

IJERPH

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Type 2 Diabetes mellitus is a major public health concern with an alarming global growth rate. According to the World Health Organization (WHO), Saudi Arabia ranks seventh in the world and second in the Middle East for the largest estimated burden of diabetic cases. Evidence shows that pharmacist-led care programs can be beneficial for the effective treatment of diabetes mellitus. Current study was aimed to evaluate the impact of Pharmacist-Based Diabetic Intervention (PDIM) for Type 2 Diabetes patients on knowledge of the disease, adherence to medications and self-care practices during the first wave of COVID-19. A multi-arm pre-post study was conducted among type 2 diabetic patients from April to October 2021 in Sakaka, Saudi Arabia. Patients were randomly divided into an intervention and a control group. The intervention group received the PDIM, whereas the control group only received the usual care. The pharmacist-based diabetes intervention model consisted of a diabetic educational module and medication improvement strategies. Furthermore, the intervention group also received specific telepharmacy services (calls, messages or emails) to address their medication-related problems, inquire about medication adherence and follow-up. At the end of six months, disease knowledge, self-care practices, and medication adherence score were analyzed. Furthermore, HbA1c and lipid profile were also compared. A total of 109 patients were included in the study. A significant difference was observed in the knowledge score between the intervention and control group (16.89 ± 2.01 versus 15.24 ± 2.03, p-value < 0.001). Similarly, self-care practices also improved in the intervention group as compared to the control group (4.39 ± 1.10 versus 3.16 ± 0.97, p-value < 0.001). Furthermore, the medication adherence and HbA1c significantly improved during between the group analysis (p < 0.05). Our study demonstrates that pharmacist-based diabetes intervention model is effective in improving patients’ knowledge of diabetes, self-care practices, medication adherence and glycemic control.

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Section: Discussionsupporting

confidence: 88%

Evaluation of Impact of a Pharmacist-Led Educational Campaign on Disease Knowledge, Practices and Medication Adherence for Type-2 Diabetic Patients: A Prospective Pre- and Post-Analysis

Khan

Alzarea

Alotaibi

et al. 2022

IJERPH

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“…This study found that DM patients exposed to counseling had lowered FBS levels. It is similar to Kandasamy et al (2017) who emphasize a drop in mean blood glucose levels in the treatment group after receiving…”

Section: Discussionsupporting

confidence: 76%

Effects of modified brief counseling-5A on illness perception, compliance with medication, and fasting blood sugar levels of diabetes mellitus patients

Probosiwi

Akrom

Hidayati³

et al. 2020

Pharmaciana

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Diabetes mellitus is a degenerative disease with persistently increasing prevalence. When patients lack knowledge of their illness and compliance with oral drug therapy, it can lead to treatment failure. This study aims to determine the effect of counseling on disease perception and medication adherence for patients with diabetes mellitus. This prospective observational cohort study aimed to determine the effects of counseling on illness perception and adherence to medication among patients with diabetes mellitus. A sample of 72 patients was selected by consecutive sampling technique and, then, evenly divided into two, namely counseling group and non-counseling group. The data were collected prospectively through observation, interview, brief counseling with the 5A strategies, and questionnaire survey. The result show that counseling had a significant effect on illness perception (p=0.000). Counseling had a significant effect on adherence to medication (p=0.027). Counseling had a significant effect on lowered blood sugar levels (p=0.028). Conclusion: counseling is believed to be able to reduce patients' negative perceptions of diabetes mellitus and, consequently, increase adherence to oral drug consumption.

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“…By age, most of the T2DM patients were at the age range of 56-65 years and older. There was a similar study conducted in Helvetia primary health centre in Medan, Indonesia [16], in the rural areas of Kumarapalayam, India [17] and Alimosho general hospital, Nigeria [18]. This finding also supported the statement of the American Diabetes Association, that people at the age of 45 years or older are more prone to develop T2DM [22].…”

Section: Discussionsupporting

confidence: 70%

“…A study on T2DM patients conducted in Indonesia also revealed that most (66%) of T2DM patients were females [16]. Previous studies undertaken in India in the rural areas of Kumarapalayam and Alimosho general hospital, Nigeria revealed that the proportion of female T2DM patients were 60% and 72,4%, respectively [17], [18]. On the other hand, another study conducted in 2016 revealed that there was no significant difference in the prevalence of the disease between male and female [19].…”

Section: Discussionmentioning

confidence: 99%

Impact of Pharmacist Intervention on Improving the Quality of Life of Patients with Type 2 Diabetes Mellitus

Syarifuddin

Nasution

Dalimunthe

et al. 2019

Open Access Maced J Med Sci

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AIM: To analyse the characteristics, and analyse the impact of pharmacist intervention on quality of life (QOL) outpatients with type 2 diabetes mellitus (T2DM). METHODS: This six-month analytical cohort study was conducted by assessing the patients’ characteristics and their quality of life by distributing a questionnaire, and the 36-Item short form instrument to the patients with T2DM (n = 45) admitted to the Tertiary hospital in Tebing Tinggi. Patients who had mental disorders, HIV-AIDS, liver disease, stage 4 chronic kidney disease, and pregnant women were excluded from the study. The patients’ quality of life was measured before and after interventions and analysed using the paired t-test. All analyses were performed using the Statistical Package for the Social Sciences (SPSS, version 22, Chicago, IL, USA) (p < 0.05 was considered significant). RESULTS: The mean age of the patients was 61.96 ± 6.45 (years). Most (66.7%) of them were females. The mean QOL (in the score) of the patients: before the intervention, 61.07 ± 15.13; after the intervention, 70.15 ± 14.23, there was a significant difference between groups with and without interventions, p < 0.001. CONCLUSION: Active contribution of pharmacists in the management of T2DM patients is urgent and important to improve the patients’ QOL.

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A Pilot Study on the Impact of Pharmacist Intervention in Type-2 Diabetes Mellitus Counselling Program in a Rural Community

Cited by 3 publications

References 6 publications

Evaluation of Impact of a Pharmacist-Led Educational Campaign on Disease Knowledge, Practices and Medication Adherence for Type-2 Diabetic Patients: A Prospective Pre- and Post-Analysis

Evaluation of Impact of a Pharmacist-Led Educational Campaign on Disease Knowledge, Practices and Medication Adherence for Type-2 Diabetic Patients: A Prospective Pre- and Post-Analysis

Effects of modified brief counseling-5A on illness perception, compliance with medication, and fasting blood sugar levels of diabetes mellitus patients

Impact of Pharmacist Intervention on Improving the Quality of Life of Patients with Type 2 Diabetes Mellitus

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