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Evaluation of community pharmacist follow-up supported by the use of healthcare technology for type 2 diabetes patients

BACKGROUND: Prevalence of type 2 diabetes is high in Belgium (estimated at over 10%, 1 patient out of 3 being unaware of their diagnosis). Management based on a change of lifestyle and the adoption of health-promoting behaviors, supplemented when needed with drug treatment, prevents complications, i...

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Autores principales: Lallemand, A., Verrue, C., Santi, A., Delhaye, N., Willaert, M., Attipoe, A., Tomas, M., Philippe, G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10514548/
https://www.ncbi.nlm.nih.gov/pubmed/37743852
http://dx.doi.org/10.1016/j.rcsop.2023.100330
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author Lallemand, A.
Verrue, C.
Santi, A.
Delhaye, N.
Willaert, M.
Attipoe, A.
Tomas, M.
Philippe, G.
author_facet Lallemand, A.
Verrue, C.
Santi, A.
Delhaye, N.
Willaert, M.
Attipoe, A.
Tomas, M.
Philippe, G.
author_sort Lallemand, A.
collection PubMed
description BACKGROUND: Prevalence of type 2 diabetes is high in Belgium (estimated at over 10%, 1 patient out of 3 being unaware of their diagnosis). Management based on a change of lifestyle and the adoption of health-promoting behaviors, supplemented when needed with drug treatment, prevents complications, improves the patient's quality of life and reduces mortality. Multidisciplinary patient support is essential. In this, pharmacists have a key role, e.g. through therapeutic patient education activities, in which they are increasingly involved. Moreover, research suggests that the use of mobile technologies can be a useful tool for helping patients with their daily life and disease management. OBJECTIVES: This study aims at exploring the benefits of community pharmacist follow-up supported by the use of mobile technologies in the monitoring of individuals with type 2 diabetes. The presented intervention aimed to reinforce the patients' willingness to actively participate in the management of their disease and to adopt favorable health behaviors, in order to increase their level of medication adherence. METHODS: A quantitative quasi-experimental study was conducted in community pharmacies throughout Belgium over a 6-month period with 3 data collection periods (before, during and after the intervention). Primary outcomes, related to the level of medication adherence, and secondary outcomes, considered as markers of the patient's overall health, were analyzed. In addition, qualitative data concerning participants' opinions on their experience were collected. RESULTS: 66 patients participated in the study, with 50 remaining after 3 months and 46 completing the entire study. Statistical analyses did not show an improvement in the level of medication adherence. This parameter was high from the beginning, reflecting patients with controlled diabetes. However, statistically significant results were observed for systolic blood pressure and waist circumference (both improved), while other outcomes showed a positive trend or remained stable. Patient follow-up by the pharmacist was a positive experience for both parties which noted their interest and satisfaction for the project. CONCLUSIONS: Although clinical results are not conclusive, patients were motivated and the attrition rate was low. Participants showed their interest in participating in this kind of project, opening up opportunities for further studies in the community pharmacy setting. As front-line health professionals, community pharmacists certainly have a key-role to play in therapeutic patient education and mobile technologies could be additional tools in this process.
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spelling pubmed-105145482023-09-23 Evaluation of community pharmacist follow-up supported by the use of healthcare technology for type 2 diabetes patients Lallemand, A. Verrue, C. Santi, A. Delhaye, N. Willaert, M. Attipoe, A. Tomas, M. Philippe, G. Explor Res Clin Soc Pharm Article BACKGROUND: Prevalence of type 2 diabetes is high in Belgium (estimated at over 10%, 1 patient out of 3 being unaware of their diagnosis). Management based on a change of lifestyle and the adoption of health-promoting behaviors, supplemented when needed with drug treatment, prevents complications, improves the patient's quality of life and reduces mortality. Multidisciplinary patient support is essential. In this, pharmacists have a key role, e.g. through therapeutic patient education activities, in which they are increasingly involved. Moreover, research suggests that the use of mobile technologies can be a useful tool for helping patients with their daily life and disease management. OBJECTIVES: This study aims at exploring the benefits of community pharmacist follow-up supported by the use of mobile technologies in the monitoring of individuals with type 2 diabetes. The presented intervention aimed to reinforce the patients' willingness to actively participate in the management of their disease and to adopt favorable health behaviors, in order to increase their level of medication adherence. METHODS: A quantitative quasi-experimental study was conducted in community pharmacies throughout Belgium over a 6-month period with 3 data collection periods (before, during and after the intervention). Primary outcomes, related to the level of medication adherence, and secondary outcomes, considered as markers of the patient's overall health, were analyzed. In addition, qualitative data concerning participants' opinions on their experience were collected. RESULTS: 66 patients participated in the study, with 50 remaining after 3 months and 46 completing the entire study. Statistical analyses did not show an improvement in the level of medication adherence. This parameter was high from the beginning, reflecting patients with controlled diabetes. However, statistically significant results were observed for systolic blood pressure and waist circumference (both improved), while other outcomes showed a positive trend or remained stable. Patient follow-up by the pharmacist was a positive experience for both parties which noted their interest and satisfaction for the project. CONCLUSIONS: Although clinical results are not conclusive, patients were motivated and the attrition rate was low. Participants showed their interest in participating in this kind of project, opening up opportunities for further studies in the community pharmacy setting. As front-line health professionals, community pharmacists certainly have a key-role to play in therapeutic patient education and mobile technologies could be additional tools in this process. Elsevier 2023-09-07 /pmc/articles/PMC10514548/ /pubmed/37743852 http://dx.doi.org/10.1016/j.rcsop.2023.100330 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Lallemand, A.
Verrue, C.
Santi, A.
Delhaye, N.
Willaert, M.
Attipoe, A.
Tomas, M.
Philippe, G.
Evaluation of community pharmacist follow-up supported by the use of healthcare technology for type 2 diabetes patients
title Evaluation of community pharmacist follow-up supported by the use of healthcare technology for type 2 diabetes patients
title_full Evaluation of community pharmacist follow-up supported by the use of healthcare technology for type 2 diabetes patients
title_fullStr Evaluation of community pharmacist follow-up supported by the use of healthcare technology for type 2 diabetes patients
title_full_unstemmed Evaluation of community pharmacist follow-up supported by the use of healthcare technology for type 2 diabetes patients
title_short Evaluation of community pharmacist follow-up supported by the use of healthcare technology for type 2 diabetes patients
title_sort evaluation of community pharmacist follow-up supported by the use of healthcare technology for type 2 diabetes patients
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10514548/
https://www.ncbi.nlm.nih.gov/pubmed/37743852
http://dx.doi.org/10.1016/j.rcsop.2023.100330
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