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Interventions to improve adherence to medication in people with type 2 diabetes mellitus: a review of the literature on the role of pharmacists
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Lindenmeyer, Antje, Hearnshaw, H., Vermeire, E., Van Royen, P., Wens, J. and Biot, Y. (2006) Interventions to improve adherence to medication in people with type 2 diabetes mellitus: a review of the literature on the role of pharmacists. Journal of Clinical Pharmacy and Therapeutics, 31 (5). pp. 409-419. ISSN 0269-4727
Full text not available from this repository.Abstract
Background and objective: Pharmacists are now adopting a crucial role in the management of chronic illness in primary care, providing diabetes care and advice. This review aims to show whether a range of diabetes care interventions delivered by pharmacists is successful in improving adherence to medication. Methods: The studies reviewed formed a subgroup of a Cochrane review on interventions to improve adherence to medication in people with type 2 diabetes. Search terms were 'type 2 diabetes mellitus' and 'compliance' or 'adherence'. Studies were included if they assessed adherence to medical treatment specifically, rather than other aspects of self-management. Out of the 21 studies selected for review, five described an intervention delivered by a pharmacist. Results and discussion: Two studies reported on attempts to improve adherence focused on the taking of medication. A system of reminders and packaging improved medication adherence, but measuring medicine taking through pill counts or Medication Event Monitoring System was not effective. Three studies evaluated pharmacist-led integrated management and education programmes designed to improve glycaemic control for under-served patient populations. They all succeeded in lowering glycated haemoglobin, but it remains unclear whether this resulted from improved patient adherence. Conclusion: This review indicates a potential benefit of pharmacist interventions to improve medication adherence in diabetes, especially in providing patient education.
| Item Type: | Journal Item |
|---|---|
| Subjects: | R Medicine > RS Pharmacy and materia medica |
| Journal or Publication Title: | Journal of Clinical Pharmacy and Therapeutics |
| Publisher: | Wiley-Blackwell Publishing Ltd. |
| ISSN: | 0269-4727 |
| Date: | October 2006 |
| Volume: | 31 |
| Number: | 5 |
| Number of Pages: | 11 |
| Page Range: | pp. 409-419 |
| Identification Number: | 10.1111/j.1365-2710.2006.00759.x |
| Publication Status: | Published |
| URI: | http://wrap.warwick.ac.uk/id/eprint/33121 |
Data sourced from Thomson Reuters' Web of Knowledge
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