View Article

  • Impact Of Pharmacist Intervention In Educating Type 2 Diabetes Mellitus Patients Having Lower Medication Adherence To Attain Higher Medication Adherence And Improved Quality Of Life: A Community Based Prospective Interventional Study
  • 1 Department of Pharmaceutics, Srinivas College of Pharmacy, Mangalore, Karnataka, INDIA. 
    2 Department of Pharmacy Practice, Srinivas College of Pharmacy, Mangalore, Karnataka, INDIA.
     

Abstract

Diabetes mellitus (DM) is a worldwide health concern that necessitates efficient management to mitigate complications. Despite the critical role of medication adherence, non-compliance persists, especially among Type 2 DM patients. This prospective interventional study in Dakshina Kannada, India, aimed to assess and improve medication adherence in 100 Type 2 DM patients through pharmacist interventions over six months (January to June 2022). Collected data included demographics, social and medical history. The Morisky Medication Adherence Scale (MMAS-8) assessed adherence, with pharmacist interventions comprising education, counseling, and patient information leaflets. Pre-intervention, 56% exhibited low adherence, correlated with age, gender, education, employment, and treatment duration. Post-intervention, high adherence rose from 16% to 35%, medium adherence from 28% to 54%, and low adherence decreased to 11%. Influential factors included age, gender, education, employment, and treatment duration. Pharmacist interventions significantly improved adherence, underscoring the pivotal role of education and counseling. This study provides insights for managing chronic conditions and underscores the importance of tailored interventions for diverse patient profiles.

Keywords

Type 2 diabetes mellitus, Medication adherence, Pharmacist intervention, Morisky Medication Adherence Scale, Prospective study, Patient education, Health outcomes.

Reference

  1. Amit S, Priyanka B. Diabetes Mellitus. StatPearls Publishing. 2022; 39(6): 243-56.
  2. A Ramachandran. Know the signs and symptoms of diabetes. Indian J Med Res.2014; 140(5): 579–81.
  3. Brown MT, Bussell JK. Medication adherence: WHO cares? In Mayo clinic proceedings. 2011; 86(4):304-14.
  4. Abdul M, Muhammad Rehman, Iltaf H, Imran, Saleem MU, Saeed H. The Impact of Treatment Adherence on Quality of Life Among Type 2 Diabetes Mellitus Patients – Findings from a Cross-Sectional Study. Patient Prefer Adherence. 2021; 15: 475–81.
  5. McGovern A, Tippu Z, Hinton W, Munro N, Whyte M, De Lusignan S. Systematic review of adherence rates by medication class in type 2 diabetes: a study protocol. BMJ Open. 2016 ;6(2)
  6. Currie CJ, Peyrot M, Morgan CL, Poole CD, Jenkins-Jones S, Rubin RR, Burton CM, Evans M. The impact of treatment non-compliance on mortality in people with type 1 diabetes. Journal of Diabetes and its Complications. 2013 May 1;27(3):219-23.
  7. Burkhart PV, Sabaté E. Adherence to long-term therapies: evidence for action. J Nurs Scholarsh. 2003;35(3):207-11
  8. Pradeepa R, Mohan V. Epidemiology of type 2 diabetes in India. Indian J Ophthalmol. 2021; 69(11):232-38.
  9. SR Mehta, AS Kashyap, S Das. Diabetes Mellitus in India: The Modern Scourge. Med J Armed Forces India. 2009;65(1):50-4
  10. Polonsky WH, Henry RR. Poor medication adherence in type 2 diabetes: recognizing the scope of the problem and its key contributors. Patient preference and adherence. 2016 Jul 22:1299-307.
  11. Besemah NA, Sartika RAD, Sauriasari R. Effect of Pharmacist Intervention on Medication Adherence and Clinical Outcomes of Type 2 Diabetes Mellitus Outpatients in Primary Healthcare in Indonesia. J Res Pharm Pract.;9(4):186-195
  12. Sapkota S, Brien JA, Greenfield J, Aslani P. A systematic review of interventions addressing adherence to anti-diabetic medications in patients with type 2 diabetes—impact on adherence. PloS one. 10(2):e0118296.
  13. Demoz GT, Wahdey S, Bahrey D, Kahsay H, Woldu G, Niriayo YL et al., Predictors of poor adherence to antidiabetic therapy in patients with type 2 diabetes: a cross-sectional study insight from Ethiopia. Diabetol Metab Syndr. 2020;.
  14. Khan II, Pulock OS, Pinky SD, Barua B, Dola TA, Chowdhury P, Seal T, Salekin S, Quader TU, Mitra A, Chowdhury MH. Treatment noncompliance level among patients with type 2 diabetes mellitus: A hospital based cross-sectional study in Bangladesh. Plos one. 2022;17(9).
  15. Presley B, Groot W, Pavlova M. Pharmacy-led interventions to improve medication adherence among adults with diabetes: a systematic review and meta-analysis. Research in Social and Administrative Pharmacy. 2019 Sep 1;15(9):1057-67

Photo
Abhirami Jayaram
Corresponding author

Department of Pharmacy Practice, Srinivas College of Pharmacy, Valachil, Mangalore

Photo
K. Vineetha
Co-author

Department of Pharmacy Practice, Srinivas College of Pharmacy, Valachil, Mangalore

Photo
A. R. Shabaraya
Co-author

Department of Pharmacy Practice, Srinivas College of Pharmacy, Mangalore, Karnataka, INDIA.

K Vineetha, Abhirami Jayaram*, A R Shabaraya, Impact of pharmacist intervention in educating type 2 diabetes mellitus patients having lower medication adherence to attain higher medication adherence and improved quality of life: A community based Prospective interventional study, Int. J. in Pharm. Sci., 2023, Vol 1, Issue 12, 670-677. https://doi.org/10.5281/zenodo.10423716

More related articles
A Comprehensive Review on Ethical Considerations i...
Nurjamal Hoque, Ilias Uddin, Halema Khatun, Jafar Sharif, Sanjoy ...
Comprehensive Review on Phytochemistry and Ethanom...
Vineeta Arya , Tirath Kumar , Priyanka Joshi , Jigyasa Jaiswal , ...
Managing Urinary Tract Infections In Pregnant Wome...
Jeena Susan Saji , Arun C, Arya Krishna , Banupriya D, Bhuvaneshw...
Ashwagandha (Withania somnifera), Taxonomy, Pharmacological Properties and Its R...
Yash Srivastav , Samsher Bahadur Bind, Aditya Srivastav, ...
Role of Hospital Administrator in Medical and Clinical Operations in The Hospita...
Parth Kumar Pandey, Gopal, Shivshankar Tiwari, Ishani Debnath, Mansi Gupta, ...
Overview of Parkinson Disease...
Swati Rithe , Shivprasad Deokar , Dr. Kawade Rajendra , ...
Related Articles
A Comprehensive Review On: Role Of Artificial Intelligence In Pharmaceutical Tec...
Yuthika Sudhir Ovhal, Ashwini Gavit, Kiran Makhija, N. S. Vyawhare, ...
Formulation and Evaluation of Mucoadhesive Buccal Tablet of Simvastatin ...
Someshwar Suresh More, Pranav Pramod Mahamuni, Dr. V. M. satpute, S. R. Ghodake, ...
Overcoming The Limitations Of Hydrogels: Exploring Superior Materials For Improv...
Kajal Kumari, K. Rajeswar Dutt, Arnab Roy, Abrarul Haque, Nur Hasan, Maheshwar Prasad Deep, Manav Ku...
Development And Validation of RP HPLC Method For Simultaneous Estimation of Amlo...
Shinde Mahesh, Jondhale Vidhyatai, Pingale A. P., Dhikale G. K., Derle D. V., ...
A Comprehensive Review on Ethical Considerations in Biomarker Research and Appli...
Nurjamal Hoque, Ilias Uddin, Halema Khatun, Jafar Sharif, Sanjoy Chungkrang, Nafeesa Roza, Dhiraj Ba...
More related articles
A Comprehensive Review on Ethical Considerations in Biomarker Research and Appli...
Nurjamal Hoque, Ilias Uddin, Halema Khatun, Jafar Sharif, Sanjoy Chungkrang, Nafeesa Roza, Dhiraj Ba...
Comprehensive Review on Phytochemistry and Ethanomedicinal uses of Malvaviscus a...
Vineeta Arya , Tirath Kumar , Priyanka Joshi , Jigyasa Jaiswal , ...
Managing Urinary Tract Infections In Pregnant Women: Pathogens, Risks, And Antib...
Jeena Susan Saji , Arun C, Arya Krishna , Banupriya D, Bhuvaneshwari C, C Povindhar , ...
A Comprehensive Review on Ethical Considerations in Biomarker Research and Appli...
Nurjamal Hoque, Ilias Uddin, Halema Khatun, Jafar Sharif, Sanjoy Chungkrang, Nafeesa Roza, Dhiraj Ba...
Comprehensive Review on Phytochemistry and Ethanomedicinal uses of Malvaviscus a...
Vineeta Arya , Tirath Kumar , Priyanka Joshi , Jigyasa Jaiswal , ...
Managing Urinary Tract Infections In Pregnant Women: Pathogens, Risks, And Antib...
Jeena Susan Saji , Arun C, Arya Krishna , Banupriya D, Bhuvaneshwari C, C Povindhar , ...