The effects of multifactorial pharmacist-led intervention protocol on medication optimisation and adherence among patients with type 2 diabetes: A randomised control trial.

Autor:	El-Deyarbi M; Department of Pharmacy, Oud Al-Touba Diagnostic and Screening Clinic, Ambulatory Health Services, Abu Dhabi Health Services Co. SEHA, Al Ain, Abu Dhabi, 00971, United Arab Emirates.; Department of Pharmacology, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, Abu Dhabi, 00971, United Arab Emirates., Ahmed L; Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, Abu Dhabi, 00971, United Arab Emirates., King J; Department of Veterans Affairs, Department of Geriatrics and Extended Care, Greater Los Angeles Veterans Research and Education Foundation, Los Angeles, California, USA.; David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, USA., Abubackar S; Department of Pharmacy, Oud Al-Touba Diagnostic and Screening Clinic, Ambulatory Health Services, Abu Dhabi Health Services Co. SEHA, Al Ain, Abu Dhabi, 00971, United Arab Emirates., Al Juboori A; Division of Endocrinology, Oud Al-Touba Diagnostic and Screening Clinic, Ambulatory Health Services, Abu Dhabi Health Services Co. SEHA, Al Ain, Abu Dhabi, 00971, United Arab Emirates., Mansour NA; Division of Endocrinology, Oud Al-Touba Diagnostic and Screening Clinic, Ambulatory Health Services, Abu Dhabi Health Services Co. SEHA, Al Ain, Abu Dhabi, 00971, United Arab Emirates., Aburuz S; Department of Pharmacology, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, Abu Dhabi, 00971, United Arab Emirates.
Jazyk:	angličtina
Zdroj:	F1000Research [F1000Res] 2024 Sep 16; Vol. 13, pp. 493. Date of Electronic Publication: 2024 Sep 16 (Print Publication: 2024).
DOI:	10.12688/f1000research.146517.2
Abstrakt:	Background: Patient-related factors and limited medication adherence in patients with chronic diseases, are associated with poor clinical outcomes, long-term complications, and increased overall disease costs. Many methods have been tested with mixed results, and innovative approaches are needed to encourage patients to adhere to their prescribed drug regimens. Methods: This randomised controlled trial examined a new multifactorial pharmacist-led intervention protocol (MPIP), including a medication therapy management (MTM) program with face-to-face counselling, patient-specific medication booklets, and a mobile application, from July 2021 to September 2022 in the Oud Al Touba diagnostic and screening ambulatory centre in 192 patients with type 2 diabetes in the United Arab Emirates. Medication adherence was assessed using the fixed medication possession ratio of medication refills and the medication adherence questionnaire. Results: At 12 months follow-up, participants in the MPIP showed significant improvement in overall medication adherence with total (composite) medication possession ratio (MPRt) of mean (±SD) 0.95 (±0.09) compared to 0.92 (± 0.09) in the control group with mean difference of 0.03 (95%, CI 0.01-0.06), P =0.02. In addition, improvement trend was evident in the MPIP group for all medication regimens with P value <0.01. Comparable results were noticeable in adherence questionnaire scores at the end of the study, with 66 participants in the intervention group scored zero on the questionnaire, suggesting high adherence to medication compared to the control group (48 participants only). The MTM program performed 41 clinical interventions on drug-related problems, compared to six interventions in the control group, and the use of mobile application and medication booklet have increased to 45.7% compared to 21.4% before study exit. Conclusions: The pharmacy intervention protocol effectively improved medication adherence and optimised medication regimens in diabetic patients with chronic medication regimens in an ambulatory healthcare centre. Competing Interests: No competing interests were disclosed. (Copyright: © 2024 El-Deyarbi M et al.)
Databáze:	MEDLINE
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