Evaluation of pharmacist counseling in improving knowledge, attitude, and practice in chronic kidney disease patients

Abstract

Background:Chronic kidney disease is a public health problem with an increasing incidence and prevalence, poor outcomes, and high cost. Patient involvement forms the keystone in the management of chronic kidney disease. This study evaluated effects of pharmacist-provided counseling in dialysis patients in terms of their knowledge, attitude, and practice outcomes.Methods:A total of 64 patients with chronic kidney disease were enrolled into the prospective, pre–post study based on the inclusion and exclusion criteria. The knowledge, attitude, and practice of patients regarding chronic kidney disease were assessed and recorded via baseline questionnaire. Case group patients were counseled regarding chronic kidney disease, their medication, diet, and lifestyle, and they were also provided with informative leaflet, whereas in the control group patients, the pharmacist did not intervene. After 1-month intervention, knowledge, attitude, and practice scores of patients of both groups were measured using the same knowledge, attitude, and practice questionnaire. Effectiveness of counseling on case group patients was evaluated by comparing the mean knowledge, attitude, and practice scores before and after counseling by paired t-test.Results:Mean knowledge, attitude, and practice scores before intervention were 8.16 ± 4.378, 38.19 ± 3.217, and 6.69 ± 0.896, respectively, and these scores were changed to 13.75 ± 3.510, 38.78 ± 3.035, and 6.91 ± 0.777, respectively, after the intervention (p < 0.05).Conclusions:The pharmacist-provided counseling is effective in improving knowledge, attitude, and practice of patients toward the disease management.

Impact of pharmacists’ counseling on caregiver's knowledge in the management of pediatric atopic dermatitis

“…Pharmacist counseling has been shown to improve patient and parental knowledge on various chronic conditions . Education plays a vital role in AD management given its chronicity and treatment complexity .…”

“…Pharmacist counseling has been shown to improve patient and parental knowledge on various chronic conditions. 10,11 Education plays a vital role in AD management given its chronicity and treatment complexity. 14 Shin et al showed that knowledge scores of caregivers who received a structured educational program were significantly higher than those who did not.…”

“…Pharmacist counseling has been shown to improve patients’ and caregivers’ knowledge in various chronic conditions . Increase in knowledge can potentially improve treatment compliance, leading to disease improvement.…”

“…Pharmacist counseling has been shown to improve patients' and caregivers' knowledge in various chronic conditions. [10][11][12] Increase in knowledge can potentially improve treatment compliance, leading to disease improvement. We postulate that a pharmacist-led counseling service for caregivers of pediatric AD patients may lead to similar improvements in disease control.…”

Impact of a Pharmacist-Led Patient Education Initiative on Glycemic Control of Patients With Type 2 Diabetes Mellitus: A Single-Center Experience in West Jakarta, Indonesia

“…Education of patients about the management of DM was shown to lower the HbA1c level by 0.3-0.76% [4,5]. The purpose of this study was to assess the impact of pharmacist-led provision of drug-related information and patient education on treatment adherence by patients to achieve successful therapy.…”