Pharmacist led intervention towards management of type 2 diabetes mellitus and assessment of patient satisfaction of care - A prospective, randomized controlled study.

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  • Additional Information
    • Source:
      Publisher: Elsevier Ltd Country of Publication: Netherlands NLM ID: 101462250 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-0334 (Electronic) Linking ISSN: 18714021 NLM ISO Abbreviation: Diabetes Metab Syndr Subsets: MEDLINE
    • Publication Information:
      Original Publication: Amsterdam : Elsevier Ltd.
    • Subject Terms:
      Patient Satisfaction* ; Quality of Life*; Biomarkers/*blood ; Diabetes Mellitus, Type 2/*drug therapy ; Hypoglycemic Agents/*therapeutic use ; Medication Adherence/*statistics & numerical data ; Pharmacists/*statistics & numerical data; Adult ; Aged ; Aged, 80 and over ; Blood Glucose/analysis ; Female ; Follow-Up Studies ; Glycated Hemoglobin/analysis ; Humans ; Male ; Middle Aged ; Prognosis ; Prospective Studies
    • Abstract:
      Background: Diabetes mellitus, a metabolic disorder characterized by hyperglycaemia is due to impaired insulin secretion and deficiency. Though effective current drug therapies are available for diabetes, yet glycaemic maintenance remains a challenge without medication adherence. This necessitates a holistic approach to improve clinical outcomes for a better patient health care.
      Methods: A prospective, interventional, randomized controlled study was conducted among 97 type 2 diabetic patients for 6 months. The primary outcome measures included patient satisfaction of care assessment by diabetes treatment satisfaction questionnaire (DTSQ) and medication adherence by medication adherence rating scale (MARS). Secondary outcomes included assessment of knowledge, attitude, and perception and laboratory parameters. The collected data was analyzed using paired and unpaired T-test.
      Results: Of 97 patients randomized to group A (n = 49) and group B (n = 48), there were 3 and 1 drop-out in group A and B, respectively. The mean age of patients was found to be 56.82 ± 4.06 years. At the 6 th month follow up, significant improvement of glycaemic parameters was observed in group A vs B. Mean MARS and DTSQ scores also improved in group A vs. B (P-value <0.05).
      Conclusion: Pharmacist-provided counselling improves patient compliance, quality of life and satisfaction of care in diabetic patients.
      Competing Interests: Declaration of competing interest The authors declare no competing interests.
      (Copyright © 2021. Published by Elsevier Ltd.)
    • Contributed Indexing:
      Keywords: Chronic care model; Holistic care; Multifaceted intervention; Type 2 diabetes mellitus
    • Accession Number:
      0 (Biomarkers)
      0 (Blood Glucose)
      0 (Glycated Hemoglobin A)
      0 (Hypoglycemic Agents)
      0 (hemoglobin A1c protein, human)
    • Publication Date:
      Date Created: 20210723 Date Completed: 20220124 Latest Revision: 20221207
    • Publication Date:
      20231215
    • Accession Number:
      10.1016/j.dsx.2021.102208
    • Accession Number:
      34298274