Pharmacists' perspectives about their role in care of patients with diabetes observing Ramadan

Almansour, Hadi A.; Chaar, Betty; Saini, Bandana

doi:10.1016/j.sapharm.2016.02.006

Cited by 23 publications

(15 citation statements)

References 39 publications

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“…In a specific case question pertaining to antidiabetic medication adjustment, only 43% of sample pharmacists provided the correct response. Several barriers were identified but there was an overall desire to assume greater roles in assisting patients with diabetes fasting during RamadanAlmansour et al [32]Australia, SydneyCS; analyzed pharmacists’ perspectives regarding their role in care of patients with T2D who choose to fast during RamadanConvenience sample obtained from areas of ethnic diversity in Sydney21 pharmacists75%Most participants encountered fasting patients and were willing to engage in diabetes care services. However, thematic analyses indicated reactive counselling, lack of perceived need for counselling patients or delegation of patient care (to physicians) in a few instances as well as organizational issues as a practice barrier.…”

Section: Resultsmentioning

confidence: 99%

“…However, there has not been much research conducted in Australia on fasting patients with diabetes, nor are there specific medical/allied health professional guidelines for the management of T2D in patients observing Ramadan in Australia. The first exploratory study into pharmacists’ perspectives about their role in care of patients with diabetes observing Ramadan was conducted in 2015 [32]. Findings of this qualitative work indicated that pharmacists do not proactively provide care for T2D Ramadan observers, but are keen to do so if supported by training and practice frameworks [32].…”

Section: Introductionmentioning

confidence: 99%

“…The first exploratory study into pharmacists’ perspectives about their role in care of patients with diabetes observing Ramadan was conducted in 2015 [32]. Findings of this qualitative work indicated that pharmacists do not proactively provide care for T2D Ramadan observers, but are keen to do so if supported by training and practice frameworks [32]. To develop guidelines and interventions to optimize diabetes management during Ramadan in Australia, an important step would be to utilize research from international settings.…”

Section: Introductionmentioning

confidence: 99%

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Fasting, Diabetes, and Optimizing Health Outcomes for Ramadan Observers: A Literature Review

2017

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IntroductionGlobally, and in Australia, diabetes has become a common chronic health condition. Diabetes is also quite prevalent in culturally and linguistically diverse pockets of the Australian population, including Muslims. There are over 90 million Muslims with diabetes worldwide. Diabetes management and medication use can be affected by religious practices such as fasting during Ramadan. During Ramadan, Muslims refrain from oral or intravenous substances from sunrise to sunset. This may lead to many potential health or medication-related risks for patients with diabetes who observe this religious practice. This literature review aimed to explore (1) health care-related interventions and (2) intentions, perspectives, or needs of health care professionals (HCPs) to provide clinical services to patients with diabetes while fasting during Ramadan with a view to improve health outcomes for those patients.MethodsUsing a scoping review approach, a comprehensive search was conducted. Databases searched systematically included PubMed, Medline, Embase, and International Pharmaceutical Abstracts. Studies published in English that described interventions or intentions to provide interventions regarding diabetes and Ramadan fasting were included.ResultsFourteen published articles that met the inclusion criteria were retrieved and content analyzed. Of those, nine intervention studies regarded diabetes management education. Five studies described professional service intention, four of which were related to the role of pharmacists in diabetes management in Qatar, Australia, and Egypt, and one French study examined the general practitioners’ (GPs) experiences in diabetes management for Ramadan observers. The intervention studies had promising outcomes for diabetes management during Ramadan. Effect sizes for improvement in HbA1c post intervention ranged widely from −1.14 to 1.7. Pharmacists appeared to be willing to participate in programs to help fasting patients with diabetes achieve a safe therapeutic outcome. Service intention studies highlighted pharmacists’ and GPs’ need for training prior to providing services from a clinical as well as cultural competence perspective.ConclusionInterventions research in this area requires robustly designed and structured interventions that can be tested in different contexts. This literature review revealed many gaps regarding diabetes management in Ramadan. Health professionals are willing to provide services for fasting diabetes patients, but need upskilling.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Fasting, Diabetes, and Optimizing Health Outcomes for Ramadan Observers: A Literature Review

2017

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“…13 Recent research from Australia found that pharmacists are generally willing to counsel patients during Ramadan but tend to perceive that there is little need for intervention unless directly asked. 14 In the predominantly Muslim country of Egypt, by comparison, most pharmacists adjust medications during Ramadan, including the frequency of dosing (most common), the dose, the dosage form and the medication itself (least common). 15 That said, research in other predominantly Muslim countries, such as Qatar and Pakistan, has shown that pharmacists and physicians with a good knowledge of Islam still have knowledge gaps about how to adjust medications safely.…”

Section: Role Of the Pharmacistmentioning

confidence: 99%

Managing medications during Ramadan fasting

Grindrod

Alsabbagh

2017

Can Pharm J

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Fasting during RamadanRamadan is a warm, community celebration for practising Muslims that involves a month of fasting, worship and feasting. Over the month of Ramadan, between dawn and sunset, individuals refrain from eating, drinking, smoking, intercourse and taking oral medications. For Muslims, the goal is to improve their spiritual and physical state and to fortify their relationship with God.Each day of Ramadan begins with a predawn meal known as Suhoor that includes enough food and water to sustain the individual over a long day of fasting. At sunset, families break the fast together during a celebratory evening meal known as Iftar, often eating with neighbours and extended family. Iftar is usually rich in calories and is taken with a large amount of fluids.Every year, Ramadan falls on the ninth month of the lunar Islamic calendar, which means it moves ahead by a couple of weeks on the Western (Gregorian) calendar. For the next few years, Ramadan will fall over the longest days of the year in May and June. For Muslims in Canada, this means that fasting can last up to 17 hours a day.

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“…So, many reports have proved that pharmacist oriented counseling services played the key roles on such regions as chronic conditions self-medication managements, [13,14] adverse drug event reduction, [15] over-the-counter therapy management, [16] and so on. Otherwise, Wibowo et al [17] also found some barriers that influenced the pharmacist services.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of counseling environmental alteration on pharmacy–patient communication qualifications

Sun²,

Jin³

et al. 2016

Medicine

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The closed pharmaceutical counseling room was so hard to be established for most of hospitals in China since limited space in the out-patient lobby, which dramatically affected the qualification of medication consultant. Few reports studied the importance of closed pharmaceutical counseling room construction.To investigate the necessary of closed pharmaceutical counseling room construction in the outpatient lobby.The closed pharmaceutical counseling room was established and equipped with hospital electronic information system, patient education flashes, and we-Chat in web. We collected the pharmaceutical counseling records before and after counseling room establishment and analyzed the results systematically.After the consulting venue transferred to the closed space, methods adopted by pharmacists in patient educations were diversification. Numbers of counseling people were increasing 4 folds after room establishment and questions were transferred from drug information supply to high professional pharmaceutical relation such as the usage of respiratory devices, drug–drug interaction, and so on.The alterations of consultant space provided a powerful platform on security, properly and suitable of patients’ medication usage, keep the medication errors and poor compliance out of the serious consequence, and improve hospital satisfaction. Therefore, it is necessary in outpatient lobby to develop the independent room for medication service.

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Pharmacists' perspectives about their role in care of patients with diabetes observing Ramadan

Cited by 23 publications

References 39 publications

Fasting, Diabetes, and Optimizing Health Outcomes for Ramadan Observers: A Literature Review

Fasting, Diabetes, and Optimizing Health Outcomes for Ramadan Observers: A Literature Review

Managing medications during Ramadan fasting

Evaluation of counseling environmental alteration on pharmacy–patient communication qualifications

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