ASSESSMENT OF PHARMACIST MEDIATED EDUCATION ON MEDICATION ADHERENCE BEHAVIOR IN TYPE 2 DIABETES MELLITUS PATIENTS IN SOUTH INDIAN RURAL POPULATION

  • Sai Pawan Ramesh Adepu Student, SAC College of Pharmacy, RGUHS Bangalore
  • Steny Sam Student, SAC College of Pharmacy, RGUHS Bangalore
  • Cuckoo Omanakuttan Student, SAC College of Pharmacy, RGUHS Bangalore
  • Ramanatha K V Associate Professor, SAC College of Pharmacy, RGUHS Bangalore
  • Yegurla Yashaswini Student, JSS College of Pharmacy, JSS University mysore

Abstract

Objective: To assess the influence of pharmacist mediated education on medication adherence behavior (MMAS-8) in rural patients with type 2 diabetes mellitus.

Methods: This is a prospective, randomized interventional study approved by the institutional ethics committee. Eligible type 2 diabetic patients with written informed consent were enrolled and randomized into control and test group. The MMAS-8 questionnaire was administered to all patients at baseline and three subsequent follow-ups. Patients in the test group received structured education at every follow-up, whereas the control group patients received education only at the final follow up. SPSS software was used to evaluate the data.

Results: Among the 72 patients enrolled, 35 were randomized into a control group and 37 into the test group. Majority of the study patients (65.2%) were males with an age range of 30 to 72 y and were from agriculture profession (34.72%) with school education (59.7%). The mean body mass index (BMI) of the study patients was 25.01. At baseline, the mean glycosylated hemoglobin (HbA1c) value of patients was 6.48±1.39% in the control group and 6.23±1.16% in the test group. During the last follow-up, a significant (p<0.05) improvement was observed in MMAS-8 scores in test group patients compared to control group patients which were supported by statistically significant (p<0.05) improvement in capillary blood glucose (CBG) values.

Conclusion: Pharmacist mediated structured education has shown a positive impact on medication adherence behavior of test group patients towards their disease management.

Keywords: Diabetes, Therapeutic outcome, Medication adherence behavior

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Author Biographies

Sai Pawan Ramesh Adepu, Student, SAC College of Pharmacy, RGUHS Bangalore
Department of Pharmacy Practice, Student
Steny Sam, Student, SAC College of Pharmacy, RGUHS Bangalore
Department of Pharmacy Practice, Student
Cuckoo Omanakuttan, Student, SAC College of Pharmacy, RGUHS Bangalore
Department of Pharmacy Practice, Student
Ramanatha K V, Associate Professor, SAC College of Pharmacy, RGUHS Bangalore
Associate Professor, Department of Pharmacy Practice
Yegurla Yashaswini, Student, JSS College of Pharmacy, JSS University mysore
Department of Pharmacy Practice, Student

References

1. American diabetes association, position statement, Diagnosis and Classification of Diabetes Mellitus. Diabetes Care 2004;27:5-10.
2. International diabetes federation. 6th edition. IDF Diabetes Atlas; 2013.
3. Sarah Wild, R Sicree. Global prevalence of diabetes. estimates for the year 2000 and projections for 2030. Diabetes Care 2004;27:5.
4. SS Gangwar, A Ahamed, I Patel. Assessment of medication knowledge and counselling in type 2 diabetes mellitus patients attending community pharmacy in rural North India. AJPSP 2013;4:47-57.
5. Malathy R, MP Narmadha, Ramesh S. Effect of a diabetes counselling programme on knowledge, attitude and practice among diabetic patients in erode district of South India. J Young Pharmacist 2011;3:65-72.
6. Stam DM, Graham JP. Important aspects of self-management education in patients with diabetes. Pharm Pract Manag Q 1997;17:12-25.
7. Mazzuca SA, Moorman NH, Wheeler Ml. The diabetes education study: a controlled trial of the effects of diabetes education. Diabetes Care 1986;9:1-10.
8. Mahesh PA, Parthasarathi G. Medication adherence, textbook of clinical pharmacy practice, essential concepts and skills. Parthasarathi G, Hansen KN, Nahata MC, Orient Longman, Pvt Ltd; 2004. p. 54-71.
9. SZ Inamdar, RV Kulkarni, SR Karajgi. Medication adherence in diabetes mellitus: an overview on pharmacist role. Am J Adv Drug Delivery 2013:3:238-50.
10. R Adepu, SM Ari. Influence of structured patient education on therapeutic outcomes in diabetes and hypertensive patients. Asian J Pharm Clin Res 2010;3:174-8.
11. Sapkota S, Brien JA, Greenfield J. A systematic review of interventions addressing adherence to anti-diabetic medications in patients with type 2 diabetes-impact on adherence. Plos One 2015;10:1-17.
12. Morisky DE, Ang A, Krousel Wood M. Predictive validity of a medication adherence measure for hypertension control. J Clin Hypertension 2008;10:348-54
13. Berlowitz DR, Foy CG, Kazis LE, Bolin L, Conroy LB, Fitzpatrick P, Gure TR, et al. for the SPRINT Study Research Group. Impact of intensive blood pressure therapy on patient-reported outcomes: outcomes results from the SPRINT study. N Engl J Med 2017;377:733-44.
14. Morisky DE, DiMatteo MR. Improving the measurement of self-reported medication nonadherence final response. J Clin Epidemio 2011;64:258-63.
15. KV Ramanath. Impact of clinical pharmacist provided patient education on qol outcome in type ii diabetes mellitus in rural population. Asian J Pharm Clin Res 2011;4:15-20.
16. R Adepu, A Rasheed. Effect of patient counselling on quality of life in type 2 Diabetes mellitus patients in two selected south Indian community pharmacies: a study. Indian J Pharm Sci 2007;69:519-24.
17. R Adepu, Betsy AB. Impact of community pharmacy-based patient education on quality of life in type 2 diabetes mellitus. Int J Phytomed 2009;2:43-51.
18. Shobana R, Snehalatha C. Dietary profile of Urban South Indians and its relations with glycaemic status. Diabetes Res Clin Pract 1998;42:181-6.
19. R Grant, K Kleinman, AS Adams. Relationship between patient medication adherence and subsequent clinical inertia in type 2 diabetes glycaemic management. Diabetes Care 2007;30:4.
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Adepu, S. P. R., S. Sam, C. Omanakuttan, R. K V, and Y. Yashaswini. “ASSESSMENT OF PHARMACIST MEDIATED EDUCATION ON MEDICATION ADHERENCE BEHAVIOR IN TYPE 2 DIABETES MELLITUS PATIENTS IN SOUTH INDIAN RURAL POPULATION”. International Journal of Pharmacy and Pharmaceutical Sciences, Vol. 10, no. 9, Sept. 2018, pp. 39-43, doi:10.22159/ijpps.2018v10i9.27543.
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