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Determining Effective Diabetic Care; A Multicentre - Longitudinal Interventional Study
1Clinical Pharmacy Department, College of Pharmacy, Taibah University, Al- Madinah Al- Munavwara, Kingdom of Saudi Arabia (KSA).
Current Pharmaceutical Design
|August 17, 2016
Summary
Pharmacist intervention significantly improved glycemic control and reduced adverse events in type 2 diabetes patients compared to telemonitoring and usual care. This home care program enhanced patient knowledge and self-care practices.
Area of Science:
- Endocrinology
- Pharmacology
- Public Health
Background:
- Rising prevalence of chronic diseases, including diabetes, poses a significant global health challenge.
- Developing countries face a disproportionate burden of chronic diseases, with projected deaths reaching 50 million by 2020.
- Effective management strategies are crucial to mitigate the impact of diabetes on patient outcomes and healthcare systems.
Purpose of the Study:
- To evaluate and compare the effectiveness of telemonitoring via wireless mobile devices versus pharmacist intervention and usual care.
- To assess the impact of these interventions on glycemic control and clinical outcomes in patients with type 2 diabetes mellitus.
- To determine the optimal approach for managing type 2 diabetes in an outpatient setting.
Main Methods:
- A six-month, parallel-group, interventional, longitudinal, multi-center study with a control arm.
- 150 participants diagnosed with type 2 diabetes mellitus were enrolled from outpatient departments.
- Data analysis utilized IBM SPSS Statistics version 22, with protocol approval from the Ministry of Health Malaysia and the Clinical Research Committee.
Main Results:
- Pharmacist intervention demonstrated significant improvements (p<0.001) in glycemic control compared to telemonitoring and usual care.
- A mean reduction of 2.72% in HbA1c was observed in the pharmacist intervention group over six months.
- The pharmacist intervention group experienced significantly fewer hypoglycemic/hyperglycemic events (OR: 2.1381; 95% CI: 3.0267-1.6059, p<0.001).
Conclusions:
- Pharmacist-led educational home care programs significantly enhance patient knowledge and self-care practices in diabetes management.
- These programs lead to a significant reduction in adverse events, improving overall clinical outcomes.
- Pharmacist intervention emerges as a superior strategy for managing type 2 diabetes compared to telemonitoring and usual care.
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