Pharmacist-led interventional programs for diabetic patients in Arab countries: A systematic review study

Mikhael, Ehab Mudher; Hassali, Mohamed Azmi; Hussain, Saad Abdulrahman; Nouri, Ahmed Ibrahim; Shawky, Nizar

doi:10.1007/s13410-019-00720-7

Cited by 5 publications

(8 citation statements)

References 39 publications

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“…This outcome was consistent with results of studies conducted in both developed and developing countries. 5,6,10,[28][29][30][31][32][33][34] Particularly, some systematic reviews and meta-analysis conducted between 2014 and 2020, reported mean difference in A1C between -0.18% and -2.33% and FBG reduction of between -2.4 mmol/L and -2.9mmol/L respectively, in patients who received pharmacist intervention. [32][33][34][35] The result of this study was slightly better than that of another study conducted in Northern Cyprus, where patients who received pharmacist-led care had -0.74% A1C reduction and only 16% achieved good glycaemic control.…”

Section: Discussionmentioning

confidence: 99%

“…5,6,10,[28][29][30][31][32][33][34] Particularly, some systematic reviews and meta-analysis conducted between 2014 and 2020, reported mean difference in A1C between -0.18% and -2.33% and FBG reduction of between -2.4 mmol/L and -2.9mmol/L respectively, in patients who received pharmacist intervention. [32][33][34][35] The result of this study was slightly better than that of another study conducted in Northern Cyprus, where patients who received pharmacist-led care had -0.74% A1C reduction and only 16% achieved good glycaemic control. 30 Similar to the current study, Adibe and colleagues observed 0.755% mean A1C reduction in research conducted 2014 in Southeast Nigeria, but the proportion of patients who attained A1C target was less compared to what was observed in this study (42.6% vs 27.07%).…”

Section: Discussionmentioning

confidence: 99%

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Impact of pharmacist-led care on glycaemic control of patients with uncontrolled type 2 diabetes: a randomised controlled trial in Nigeria

David¹,

Soremekun²,

Abah³

et al. 2021

Pharm Pract (Granada)

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Background: Diabetes mellitus is a chronic, degenerative disease, requiring a multi-dimensional, multi-professional care by healthcare providers and substantial self-care by the patients, to achieve treatment goals. Objective: To evaluate the impact of pharmacist-led care on glycaemic control in patients with uncontrolled Type 2 Diabetes Methods: In a parallel group, single-blind randomised controlled study; type 2 diabetic patients, with greater than 7% glycated haemoglobin (A1C) were randomised into intervention and usual care groups and followed for six months. Glycated haemoglobin analyzer, lipid analyzer and blood pressure monitor/apparatus were used to measure patients’ laboratory parameters at baseline and six months. Intervention group patients received pharmacist-structured care, made up of patient education and phone calls, in addition to usual care. In an intention to treat analysis, Mann-Whitney U test was used to compare median change at six months in the primary (A1C) and secondary outcome measures. Effect size was computed and proportion of patients that reached target laboratory parameters were compared in both arms. Results: All enrolled participants (108) completed the study, 54 in each arm. Mean age was 51 (SD 11.75) and majority were females (68.5%). Participants in the intervention group had significant reduction in A1C of -0.75%, compared with an increase of 0.15% in the usual care group (p<0.001; eta-square= 0.144). The proportion of those that achieved target A1C of <7% at 6 months in the intervention and usual care group was 42.6% vs 20.8% (p=0.02). Furthermore, intervention patients were about 3 times more likely to have better glucose control; A1C<7% (aOR 2.72, 95%CI: 1.14-6.46) compared to usual care group, adjusted for sex, age, and duration of diabetes. Conclusions: Pharmacist-led care significantly improved glycaemic control in patients with uncontrolled T2DM.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Impact of pharmacist-led care on glycaemic control of patients with uncontrolled type 2 diabetes: a randomised controlled trial in Nigeria

David¹,

Soremekun²,

Abah³

et al. 2021

Pharm Pract (Granada)

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“…17 These studies showed significant improvements in adherence, patient's knowledge and clinical outcomes. 17 One systematic review examined public attitudes in Arabic-speaking Middle Eastern countries towards the community pharmacists' role and services, highlighting the public's general perception that these provide business-orientated services. 18 Additionally, it was seen that the public perception of the role of the pharmacist in clinically orientated services was low.…”

Section: What Is K Nown and Objec Tivementioning

confidence: 96%

Section: What Is Known and Objectivementioning

confidence: 99%

“…Another systematic review investigating pharmacists’ intervention programs in patients with diabetes, in Arab countries, identified six studies from Jordan, UAE, Sudan and Iraq 17 . These studies showed significant improvements in adherence, patient's knowledge and clinical outcomes 17 . One systematic review examined public attitudes in Arabic‐speaking Middle Eastern countries towards the community pharmacists’ role and services, highlighting the public's general perception that these provide business‐orientated services 18 .…”

Section: What Is Known and Objectivementioning

confidence: 99%

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A systematic review on the impact of pharmacist‐provided services on patients’ health outcomes in Arab countries

El-Awaisi

Al-Shaibi

Al-Ansari

et al. 2022

Clinical Pharmacy Therapeu

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Factors influencing diabetes self-management in adults: an umbrella review of systematic reviews

Alexandre

Campbell

Bugnon

et al. 2021

JBI Evidence Synthesis

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Objective: The objective of this review was to identify and describe the factors influencing diabetes self-management in adults by summarizing the available evidence concerning their types, categories, and relative importance. Introduction: A wide range of factors, acting simultaneously, influence diabetes self-management and interfere with its actual application by patients. There is a variety of systematic reviews of these factors; however, a more thorough examination of their influences was lacking. Inclusion criteria: Systematic reviews of qualitative or quantitative literature focusing on factors influencing adult diabetes self-management in general or on individual behaviors (ie, management of oral antidiabetic medication and insulin injections, self-monitoring of blood glucose, foot care, healthy eating, regular exercise, and smoking cessation) will be included. Methods: We performed an extensive search of 11 bibliographic databases, including gray literature, up to June 2019. Quantitative and qualitative findings were summarized separately and labeled according to their types (eg, facilitator/barrier, strength and direction of association), categories (eg, demographic, social), and frequency of occurrence. Results: We identified 51 types of factors within 114 systematic reviews, which mostly addressed medication-taking behavior. Thirty-two (62.7%) factors were reported in both qualitative and quantitative literature. The predominant influences were psychological factors and behavioral attributes/skills factors. The most frequently reported facilitators of diabetes self-management were motivation to diabetes self-management, a favorable attitude to diabetes self-management, knowledge about the disease, medication and behaviors associated with diabetes self-management, skills, and self-efficacy/perceived behavioral control. The predominant barriers were the presence of depression, and polypharmacy or drug regimen complexity. The demographic factor of female sex was frequently reported for its negative influence on diabetes self-management, whereas older age was a positive factor. The social/cultural and physical environment were the least-studied categories. Other factors such as social support from family, friends, or networks; interventions led by health professionals; and a strong community environment with good social services favoring diabetes self-management were reported as major facilitators of diabetes self-management. Conclusions: Essential components of interventions to promote effective diabetes self-management should aim to help adults manage the effects of specific factors related to their psychological and practical self-management experience. Screening for depression, in particular, should become an integral part of the support for adult diabetes self-management, as depression is a particular obstacle to the effectiveness of diabetes self-management. Future studies should more deeply examine the influence of factors identified in the sociocultural and physical environment categories. Research should properly consider and invest efforts in strengthening social support and innovative community care approaches, including pharmacist- and nurse-led care models for encouraging and improving adult diabetes self-management. Finally, researchers should examine non-modifiable factors – age, sex, or socioeconomic status – in the light of factors from other categories in order to deepen understanding of their real-world patterns of action on adult diabetes self-management. Systematic review registration number: PROSPERO CRD42018084665

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Pharmacist-led interventional programs for diabetic patients in Arab countries: A systematic review study

Cited by 5 publications

References 39 publications

Impact of pharmacist-led care on glycaemic control of patients with uncontrolled type 2 diabetes: a randomised controlled trial in Nigeria

Impact of pharmacist-led care on glycaemic control of patients with uncontrolled type 2 diabetes: a randomised controlled trial in Nigeria

A systematic review on the impact of pharmacist‐provided services on patients’ health outcomes in Arab countries

Factors influencing diabetes self-management in adults: an umbrella review of systematic reviews

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