Impact of clinical pharmacist-mediated pharmaceutical care using WHO medication safety programme through dispensing covers and auxiliary labeling- A randomized control trial

Abstract

Aim & Objective: The aim of this study was to assess the impact of clinical pharmacist-mediated2 care on medication knowledge in Type II Diabetes Mellitus (T2 DM) patients and medication adherence. Methodology: A forward-looking observational study was undertaken in the General Medicine departments, encompassing both inpatients and outpatients. Departments at GGH, Kadapa. for six months by recruiting 112 subjects and having two follow-up visits. Subjects with Type 2 diabetes who were provided with written informed consent were included and divided into Groups A and B. Subjects in Group B received education using dispensing covers and leaflets at each follow-up, whereas no structured education to subjects in Group A. The questionnaire used was the Morisky Scale (MMAS-8) for Medication Adherence at baseline and the following follow-ups. Data were evaluated using the Graph Pad Prism software. Results: Among 112 subjects who participated in the study, 56 were Grouped as A and the other 56 Group B. Most of the study subjects were males (69%), with the majority between 61 and 65. At baseline, the mean fasting blood sugar (FBS) values of subjects in group A were 151.89 ± 52.751 and 166.60 ± 56.25 in group B. During the most recent follow-up, the blood sugar levels during fasting (FBS) and postprandial (PPBS)in group B subjects were comparatively lower (p<0.05) than those in group A subjects. Conclusion: The findings of this study imply that clinical pharmacist-mediated structured education has a beneficial effect on medication knowledge and adherence, which is a key factor in diabetes management.