Assessment Of Pharmacist Initiated Medication Therapy Management Program In Improving Disease Related Knowledge, Medication Adherence And Health Related Quality Of Life Among Type 2 Diabetic Patients In Sargodha, Pakistan
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Date
2016-03
Authors
Nazir, Saeed- Ur -Rashid
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Abstract
The Medication Therapy Management Program is an innovative, pharmacist-led and delivered service that intends to resolve drug therapy problems, enhance patient education and improve adherence to the therapeutic regimen. The present study was therefore aimed to assess the impact of pharmacist initiated Medication Therapy Management Program on diabetes related knowledge, medication adherence, glycemic control and Health Related Quality of Life outcomes among Type 2 Diabetes Mellitus patients in Sargodha, Pakistan. This was a three phase study whereby a pre-intervention analysis of patients’ diabetes related knowledge, medication adherence, glycemic control and present status of Health Related Quality of Life was undertaken by using pre-validated tools. Three hundred and ninety two Type 2 Diabetes Mellitus patients were included to explore above stated objectives. The pre-intervention assessment phase revealed that study participants had average diabetes related knowledge (8.02±2.58 out of 14), low medication adherence (4.43±1.78 out of 8), poor glycemic control (9.44±1.58) and Health Related Quality of Life (0.4715±0.336 and 64.77±6.57). Other than knowledge and medication adherence, moderate significant correlations (r<0.3, p<0.05) were observed among all dependent variables. The pre-intervention analysis was followed by randomization of
the study participants and implementation of the educational intervention by the pharmacist. The post intervention data were available from 161 subjects of intervention group and 164 participants in the control group. Diabetes related knowledge, medication adherence and Health Related Quality of Life scores were significantly associated (p<0.001) when intervention group and control group were compared at the end of the intervention. There was an increase in diabetes related knowledge score (10.55±2.56), medication adherence score (5.24±1.48) and Health Related Quality of Life (0.6115±0.286 and 68.37±14.094) among the participants of intervention group. The mean HbA1c mean reduced to 8.97±1.362. Furthermore, a significant difference (p<0.05) was also observed between the pre- and post- intra group (interventional arm) was also reported. In conclusion, the present research demonstrated that pharmacist initiated Medication Therapy Management Program had a positive impact on selected therapeutic outcomes. Therefore, the role of pharmacists in patient self-management education must be recognized as an integral part of the health care system and must be promoted to promote the concept of quality of care.
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Keywords
Therapy Management Program on diabetes related knowledge , medication adherence, glycemic control and Health Related Quality of Life