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Evaluating Pharmacist-Driven Interventions in Multidisciplinary Diabetes Care: A Quasi-Experimental Study
Jiunn-Bey Pao1,2, Shu-Chuan Wu1, Ya-Wun Guo3
1Department of Pharmacy, Taipei City Hospital, Taipei City, Taiwan.
The Science of Diabetes Self-Management and Care
|August 21, 2025
Summary
Pharmacist-led care significantly improved health literacy and medication adherence in type 2 diabetes patients. This approach enhances self-management and offers valuable insights for chronic disease care.
Area of Science:
- Endocrinology
- Pharmacology
- Public Health
Background:
- Limited evidence exists on pharmacist-led multidisciplinary care for diabetes self-management in Taiwan.
- Type 2 diabetes management requires effective patient self-care strategies.
Purpose of the Study:
- To evaluate the impact of pharmacist-led multidisciplinary care on health literacy, medication adherence, and clinical outcomes in Taiwanese type 2 diabetes patients.
- To assess the effectiveness of integrating pharmacists into diabetes care teams.
Main Methods:
- A quasi-experimental pretest-posttest study involving 70 adults with type 2 diabetes at Taipei City Hospital.
- Intervention group received pharmacist-led care (medication management, education, follow-ups); control group received standard care.
- Generalized estimating equations analyzed changes in health literacy, medication adherence, weight, LDL-C, A1C, fasting glucose, and TC.
Main Results:
- The intervention group showed a significant 21.1% increase in health literacy and a 20.4% improvement in medication adherence (P < .01).
- Significant reductions were observed in patient weight (B = -0.16, P < .01) and low-density lipoprotein cholesterol (LDL-C) (B = -12.83, P = .02).
- No statistically significant differences were found in A1C, fasting glucose, or total cholesterol (TC), though trends suggested improvement.
Conclusions:
- Pharmacist-led multidisciplinary care demonstrably enhances health literacy and medication adherence in type 2 diabetes patients.
- This model of care shows potential for improving specific clinical markers like weight and LDL-C.
- Integrating pharmacists into multidisciplinary teams is crucial for optimizing chronic disease management and patient outcomes.
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