Medication therapy management (MTM): an innovative approach to improve medication adherence in diabetics

Murali, Athira Bindu; Boban, Belsy; Shanmughan, Aswathy Karoor; Marimuthu, Kalisvar; Sreelatha, Aravind Ramakrishnan; Xavier, Augustine

doi:10.1515/dmpt-2016-0016

Cited by 11 publications

(19 citation statements)

References 15 publications

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“…A similar study conducted in a diabetic outpatient clinic in Jordan assessing self-reported medication adherence 6 months following intervention, revealed a higher proportion of adherent patients in the intervention group (71%), which was also significantly higher than that in the usual care control group (35%). [25] Another prospective interventional study conducted by Murali et al [26] over a 1-year period for diabetic patients showed very low adherence level to antidiabetic medications before intervention. Murali et al [26] showed that 24% of the patients became highly adherent and 68% reached medium adherence reflecting on the positive role of the pharmacist and the value of the MMR service.…”

Section: Discussionmentioning

confidence: 99%

“…[25] Another prospective interventional study conducted by Murali et al [26] over a 1-year period for diabetic patients showed very low adherence level to antidiabetic medications before intervention. Murali et al [26] showed that 24% of the patients became highly adherent and 68% reached medium adherence reflecting on the positive role of the pharmacist and the value of the MMR service. A prospective randomised controlled trial assessed the impact of pharmacist-managed clinic (similar to the HMMR service) on medication adherence in COPD patients.…”

Section: Discussionmentioning

confidence: 99%

“…over a 1‐year period for diabetic patients showed very low adherence level to antidiabetic medications before intervention. Murali et al . showed that 24% of the patients became highly adherent and 68% reached medium adherence reflecting on the positive role of the pharmacist and the value of the MMR service.…”

Section: Discussionmentioning

confidence: 99%

“…Previous research reported that inappropriate knowledge and inappropriate lifestyle, fear of medications and lack of information were the most common TRPs for patients with diabetes, asthma and angina . In a prospective interventional study for diabetic patients, for example, one of the main factors that affected adherence was age and educational status, as adherence was found to decrease with increasing age and lower education . Another study showed that clinical pharmacist's education improved patient adherence to warfarin, a crucial issue in warfarin medication management .…”

Section: Discussionmentioning

confidence: 99%

“…[14] In a prospective interventional study for diabetic patients, for example, one of the main factors that affected adherence was age and educational status, as adherence was found to decrease with increasing age and lower education. [26] Another study showed that clinical pharmacist's education improved patient adherence to warfarin, a crucial issue in warfarin medication management. [29] Hence, many studies, including the present study, confirm the common dilemma in the outpatient setting being patient adherence and medication knowledge.…”

Section: Discussionmentioning

confidence: 99%

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Impact of home medication management review on medication adherence among Jordanian patients

Alqudah

Bulatova

Obeidat

et al. 2018

J Pharm Health Serv Res

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Objectives This study was designed to evaluate the impact of Home Medication Management Review (HMMR) on self‐reported adherence, and to explore the effect of different patient factors on their medication adherence. Method Consecutive patients from outpatient clinics who were eligible for the study were recruited and randomly distributed into two groups. Patients in both groups were visited at home by the clinical pharmacist at baseline. For the intervention group only, the pharmacist delivered counselling regarding self‐reported adherence. After identifying treatment‐related problems (TRPs), the pharmacist sent a letter to the patients’ physician with certain recommendations (intervention group only). Both groups were reassessed for adherence after 3 months from baseline to measure the difference between the two groups. Key findings A total of 97 participants were included. Mean ages for the intervention and control groups were 63.13 and 58.39 respectively. The majority of patients were women. The study revealed significant association with the number of TRPs, and level of adherence in the intervention group at follow‐up (R2 = 0.348, P < 0.001). Adherence score for patients diagnosed with hypertension, diabetes and other chronic conditions indicates that more than 70% of the participants have ‘medium adherence score’ in comparison with <10% having ‘high adherence’ at baseline. Three months postbaseline, 33% of patients in the intervention group were found to have high adherence compared to 14% in the control group. Adherence score significantly decreases in ‘low scores of adherence’ and increases in ‘high scores of adherence’ (P < 0.001) at follow‐up in the intervention group. No significate association between adherence and patient factors was found. Conclusion HMMR service has resulted in significant improvements in patients’ adherence when compared to control group patients who did not receive the service. Besides receiving the service, no other patient factors played a role in patients’ improvement in adherence.

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Section: Discussionmentioning

confidence: 99%