• Ajin K George Bapuji Pharmacy College
  • Jewel Vg Bapuji Pharmacy College
  • Meenu Manohar Bapuji Pharmacy College
  • Sarath P Kumar Bapuji Pharmacy College
  • Muneerudeen J Bapuji Pharmacy College


Objectives To evaluate the impact of counselling in terms of KAP outcomes.

Methodology A randomized prospective controlled study was conducted for a period of 6 months in the General Medicine OPD of SSIMS & RC. Patients enrolled were randomized into test and control groups. Suitably designed and validated KAP Questionnaire was applied at baseline and final follow up for both groups.


Results At the end of the study, knowledge and attitude levels were markedly improved in test group patients. The FBS of the patients in the test group were found to be significant (p<0.00) when compared from baseline to second assessement whereas in control group no significant changes were observed (*p> 0.05).

Conclusion The study concluded that the improved knowledge and attitude clearly indicates the benefits of pharmacist provided counselling, although they did not translate into improved practice outcomes. The study observed that, hospital pharmacists can play a key role in management of DM and patient care.


Keywords: KAP, Patient counselling, Type 2 DM.


1) Adepu R, Rasheed A, Nagavi B G. Effects of Patient Counselling on Quality of Life in Type-2 Diabetes Mellitus Patients in Two Selected South Indian Community Pharmacies: A Study. International Journal of Pharmaceutical Sciences. 2007 Jul; 69 (4): 519-24.
2) Michell G, Mary J, Rajesh I. Knowledge of Diabetes, Its Treatment and Complications amongst Diabetic Patients in a Tertiary Care Hospital. Indian Journal of Community Medicine. 2008;33(3):204-06
3) Mohan V, Sandeep S, Deepa R, Shah B, Varghese C. Epidemiology of Type 2 Diabetes: Indian Scenario. Indian Journal of Medical Research. 2007 Mar; 217-30.
4) Nicki R C, Brian R, W, Stuart H R. Davidsonï‚¢s Principles & Practices of Medicine. 21st ed. New York: Churchill Livingstone Elsevier; 2010. 21, Diabetes Mellitus; p.795-834.
5) Dan L G, Kaspir D L, Jameson J L, Fauci A S, Stephen L H, Loscalzo J. Harrisonï‚¢s Principles of Internal Medicine. 18th ed. San Francisco: McGraw Hill Medical; 2012. 344, Diabetes Mellitus; p.2968-3003.
6) Walker R, Whittlesea C. Clinical Pharmacy & Therapeutics. 5th ed. Toronto: Churchill Livingstone Elsevier; 2012. 44, Diabetes Mellitus; p.685-710.
7) Mohammed A, Syed S K, Qadri M R M, Mohammad N I, Taj Z A, Arshad H M, Anas R. A Cross-Sectional Study of Analysis of Knowledge of Diabetes in Diabetic Patients and Patient Counselling in Princess Esra Hospital, IOSR Journal of Pharmacy. 2014 Apr;4(4):80-93.
8) Parthasarathi G, Karin N, Nahata M C. A Textbook of Clinical Pharmacy Practice Essential Concepts and Skills. 2nd ed. Hyderabad: Universities Press; 2012.
9) Green C E. Can qualitative research produce reliable quantitative findings? Field Methods. Anthropology Matters Journal. 2001;13(3):3-19.
10) Nehring P, Beata M R, Monica K, Agnieszka S K, Rafal P, Grazina B, Waldemar K. Journal of Diabetes And Metabolic Diorders. 2014;79:1-5.
11) Manderson L, Aaby P. An Epidemic in the Field? Rapid Assessment Procedures and Health Research. Social Science and Medicine Journal. 1992;35(7):839-50.
12) Nichter M. Social Science Lessons from Research and their Application to ARI. Journal of the Society for Applied Anthropology. 1993;52(1):53-67.
13) Inhorn M C, Brown P J. The Anthropology of Infectious Diseases: Theory and Practice on Medical Anthropology and International Health. Amsterdam: Routledge Publishers; 1997.8, Key Informants, Pile Sortsor Surveys; Comparing Behavioural Research Methods; p.211-238.
14) Stone L, J G Campbell. The Use and Misuse of Surveys in International Development: An Experiment from Nepal. Journal of the Society for Applied Anthropology. 1984;43(1):27-34.
15) Annika L. How Much Can A KAP Survey Tell Us about People’s Knowledge, Attitudes and Practices? Some Observations from Medical Anthropology Research on Malaria in Pregnancy in Malawi. Anthropology Matters Journal. 2009;11(1):1-12.
16) Flavia F L R, Maria L S, Manoel A S, Tatiane A M, Valmi D S, Carla R S. Knowledge And Attitude: Important Components In Diabetes Education. Journal of Enterprise Resource Planning Studies. 2009;17(4):468-473.
17) Mohammad A, Prabhu M, Sreenivasan N, Radha R, Sasikala C, Syed A G. Assessment of the Influence of Patient Counselling on Knowledge, Attitude and Practice in Type-2 Diabetes Mellitus Patients in KolarDistrict of South India. International Journal of Pharmaceutical Research and Bioscience 2014 Dec 27;3(6):269-82.
18) Hrushikesh Y R, Ashok D K, Mallesh M, Purushothaman M. .Significance of Patient Counselling In Diabetes Mellitus; A Prospective Study. World Journal of Pharmacy and Pharmaceutical Sciences. 2015;4(8)1215-1226.
19) Upadhyay D K, Subish P, Shankar P R, Mishra P. Knowledge, Attitude and Practice about Diabetes among Diabetes Patients in Western Nepal. Rawal Medical Journal. 2008;33:8-11.
221 Views | 671 Downloads
How to Cite
George, A. K., J. Vg, M. Manohar, S. P. Kumar, and M. J. “IMPACT OF PATIENT COUNSELLING ON KNOWLEDGE, ATTITUDE, PRACTICES OF PATIENTS WITH TYPE 2 DM AT A TERTIARY CARE TEACHING HOSPITAL”. Asian Journal of Pharmaceutical and Clinical Research, Vol. 10, no. 5, May 2017, pp. 293-6, doi:10.22159/ajpcr.2017.v10i5.17637.
Original Article(s)