Journal article
Effective Interventions for Diabetes Patients by Community Pharmacists: A Meta-analysis of Pharmaceutical Care Components
The Annals of pharmacotherapy, Vol.52(2), pp.198-211
02/2018
DOI: 10.1177/1060028017733272
PMID: 28948839
Abstract
To evaluate randomized controlled trials (RCTs) that included interventions provided by community pharmacists for patients with type 1 and 2 diabetes, the analysis of each component of the intervention(s), and the description of the training that the pharmacists received.
The literature research was conducted in PubMed and in the Cochrane Central Register of Controlled Trials (January 2000 to April 2016) for RCTs with interventions provided by community pharmacists for patients with diabetes. Corresponding authors were contacted about missing data and intervention and training design.
RCTs published in English or German were included if pharmaceutical care or medication therapy management was conducted by community pharmacists with diabetes patients. Basic information, intervention and training design data were extracted.
The literature research resulted in 11 eligible studies for further analysis. The corresponding authors of 6 studies responded to our request and sent their raw data. The calculated meta-analytical effect of 640 analyzed patients was a hemoglobin A
(A1C) difference of -0.66%, with a 95% CI of -0.86% to -0.45%. The analysis revealed that most intervention elements had a significant positive meta-analytical effect on the A1C values.
Our meta-analysis suggests that community pharmacist-led interventions can improve glycemic control in patients with type 1 and 2 diabetes. The most effective intervention components were patient centered and interdisciplinary. Pharmaceutical care interventions should, therefore, include the following components: sending feedback to the physician, setting individual goals, reviewing medication, and assessing patients' health beliefs and medication knowledge.
Details
- Title: Subtitle
- Effective Interventions for Diabetes Patients by Community Pharmacists: A Meta-analysis of Pharmaceutical Care Components
- Creators
- Maira Anna Deters - Heinrich Heine University DüsseldorfAnna Laven - Heinrich Heine University DüsseldorfAna Castejon - Nova Southeastern UniversityWilliam R Doucette - University of IowaLisiane Slveira Ev - Universidade Federal de Ouro PretoInes Krass - University of SydneyEls Mehuys - Ghent UniversityEmina Obarcanin - Heinrich Heine University DüsseldorfHolger Schwender - Heinrich Heine University DüsseldorfStephanie Laeer - Heinrich Heine University Düsseldorf
- Resource Type
- Journal article
- Publication Details
- The Annals of pharmacotherapy, Vol.52(2), pp.198-211
- DOI
- 10.1177/1060028017733272
- PMID
- 28948839
- ISSN
- 1060-0280
- eISSN
- 1542-6270
- Language
- English
- Date published
- 02/2018
- Academic Unit
- Pharmacy Practice and Science
- Record Identifier
- 9984366035902771
Metrics
11 Record Views