Improvement in medication adherence and self-management of diabetes with a clinical pharmacy program: a randomized controlled trial in patients with type 2 diabetes undergoing insulin therapy at a teaching hospital

Clinics
Catarina Gomes CaniMárcia Nery

Abstract

To evaluate the impact of a clinical pharmacy program on health outcomes in patients with type 2 diabetes undergoing insulin therapy at a teaching hospital in Brazil. A randomized controlled trial with a 6-month follow-up period was performed in 70 adults, aged 45 years or older, with type 2 diabetes who were taking insulin and who had an HbA1c level ≥8%. Patients in the control group (CG) (n = 36) received standard care, patients in the intervention group (IG) (n = 34) received an individualized pharmacotherapeutic care plan and diabetes education. The primary outcome measure was change in HbA1c. Secondary outcomes included diabetes and medication knowledge, adherence to medication, insulin injection and home blood glucose monitoring techniques and diabetes-related quality of life. Outcomes were evaluated at baseline and 6 months using questionnaires. Diabetes knowledge, medication knowledge, adherence to medication and correct insulin injection and home blood glucose monitoring techniques significantly improved in the intervention group but remained unchanged in the control group. At the end of the study, mean HbA1c values in the control group remained unchanged but were significantly reduced in the intervention group. Diabet...Continue Reading

Citations

Sep 14, 2016·BMC Gastroenterology·Kelly L HaywardElizabeth E Powell
Jun 23, 2016·Clinical Medicine Insights. Endocrinology and Diabetes·Wafaa AlSaggafJaakko Tuomilehto
Sep 5, 2018·The Cochrane Database of Systematic Reviews·Mícheál de BarraMargaret C Watson
Oct 29, 2018·International Journal of Clinical Practice·Melanie Yee Lee Siaw, Joyce Yu-Chia Lee
Oct 18, 2019·Journal of Pharmacy & Bioallied Sciences·Muhammad Z IqbalSyed Azhar Syed Sulaiman
Jul 20, 2017·Current Diabetes Reports·Elizabeth KaselitzMichele Heisler
May 31, 2019·International Journal of Preventive Medicine·Maryam JahanbakhshShekoufeh Afkhami
Jan 21, 2021·Diabetic Medicine : a Journal of the British Diabetic Association·Tigestu A DesseElizabeth Manias
Feb 15, 2020·Research in Social & Administrative Pharmacy : RSAP·Lauren CadelSara J T Guilcher
Aug 18, 2021·Saudi Pharmaceutical Journal : SPJ : the Official Publication of the Saudi Pharmaceutical Society·Selvakumari SelvaduraiLina Mariana Mohd Ali
Nov 13, 2018·Value in Health Regional Issues·Zeinab Jannoo, Naushad Mamode Khan

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Methods Mentioned

BETA
pharmacotherapy

Software Mentioned

Statistical Analysis System ( SAS )
Statistical Package for the Social Sciences ( SPSS )

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