Development, Feasibility, Impact and Acceptability of a Community Pharmacy-Based Diabetes Care Plan in a Low–Middle-Income Country
Informed by existing research, mostly from high-income countries, this study aimed to develop and test the feasibility of a community pharmacy person-centred goal-setting intervention for people living with type 2 diabetes in a low–middle-income country—Nigeria. The Medical Research Council (MRC) gu...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-06-01
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| Series: | Pharmacy |
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| Online Access: | https://www.mdpi.com/2226-4787/11/4/109 |
| _version_ | 1797583505415208960 |
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| author | Fatima S. Abdulhakeem Ikolaba Ellen I. Schafheutle Douglas Steinke |
| author_facet | Fatima S. Abdulhakeem Ikolaba Ellen I. Schafheutle Douglas Steinke |
| author_sort | Fatima S. Abdulhakeem Ikolaba |
| collection | DOAJ |
| description | Informed by existing research, mostly from high-income countries, this study aimed to develop and test the feasibility of a community pharmacy person-centred goal-setting intervention for people living with type 2 diabetes in a low–middle-income country—Nigeria. The Medical Research Council (MRC) guidance for developing complex interventions framed the intervention development. Patients participated in monthly community pharmacist consultations over six months. Self-reported and clinical outcome measures were collected at baseline and study completion and analysed in STATA V.14. Twenty pharmacists in 20 pharmacies completed the research and enrolled 104 patients. Of these, 89 patients had complete study data, and 70 patients also completed a post-study evaluation questionnaire. In addition, 15 patients and 10 pharmacists were interviewed. All outcome measures showed statistically significant improvements (<i>p</i> < 0.05). Clinical outcomes (BMI, waist circumference, and fasting plasma glucose) improved significantly. Mean patient activation measure (PAM©), quality of life (EQ-VAS©), and medication adherence improved from baseline to study completion. Eighty-eight per cent of questionnaire respondents were satisfied with the service. Interviews indicated care plan acceptability, patient satisfaction, empowerment, and service enthusiasm. Identified barriers to the consultations included time and technology. This study developed a feasible, effective, well-perceived community pharmacy diabetes care plan in Nigeria. |
| first_indexed | 2024-03-10T23:38:53Z |
| format | Article |
| id | doaj.art-b9e80b8f0d434902b92b710c1f2caaaa |
| institution | Directory Open Access Journal |
| issn | 2226-4787 |
| language | English |
| last_indexed | 2024-03-10T23:38:53Z |
| publishDate | 2023-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Pharmacy |
| spelling | doaj.art-b9e80b8f0d434902b92b710c1f2caaaa2023-11-19T02:38:02ZengMDPI AGPharmacy2226-47872023-06-0111410910.3390/pharmacy11040109Development, Feasibility, Impact and Acceptability of a Community Pharmacy-Based Diabetes Care Plan in a Low–Middle-Income CountryFatima S. Abdulhakeem Ikolaba0Ellen I. Schafheutle1Douglas Steinke2Division of Pharmacy and Optometry, School of Health Sciences, The University of Manchester, Manchester M13 9PT, UKDivision of Pharmacy and Optometry, School of Health Sciences, The University of Manchester, Manchester M13 9PT, UKDivision of Pharmacy and Optometry, School of Health Sciences, The University of Manchester, Manchester M13 9PT, UKInformed by existing research, mostly from high-income countries, this study aimed to develop and test the feasibility of a community pharmacy person-centred goal-setting intervention for people living with type 2 diabetes in a low–middle-income country—Nigeria. The Medical Research Council (MRC) guidance for developing complex interventions framed the intervention development. Patients participated in monthly community pharmacist consultations over six months. Self-reported and clinical outcome measures were collected at baseline and study completion and analysed in STATA V.14. Twenty pharmacists in 20 pharmacies completed the research and enrolled 104 patients. Of these, 89 patients had complete study data, and 70 patients also completed a post-study evaluation questionnaire. In addition, 15 patients and 10 pharmacists were interviewed. All outcome measures showed statistically significant improvements (<i>p</i> < 0.05). Clinical outcomes (BMI, waist circumference, and fasting plasma glucose) improved significantly. Mean patient activation measure (PAM©), quality of life (EQ-VAS©), and medication adherence improved from baseline to study completion. Eighty-eight per cent of questionnaire respondents were satisfied with the service. Interviews indicated care plan acceptability, patient satisfaction, empowerment, and service enthusiasm. Identified barriers to the consultations included time and technology. This study developed a feasible, effective, well-perceived community pharmacy diabetes care plan in Nigeria.https://www.mdpi.com/2226-4787/11/4/109person-centred carediabetescommunity pharmacygoal settingmotivational interviewingpharmacy practice research |
| spellingShingle | Fatima S. Abdulhakeem Ikolaba Ellen I. Schafheutle Douglas Steinke Development, Feasibility, Impact and Acceptability of a Community Pharmacy-Based Diabetes Care Plan in a Low–Middle-Income Country Pharmacy person-centred care diabetes community pharmacy goal setting motivational interviewing pharmacy practice research |
| title | Development, Feasibility, Impact and Acceptability of a Community Pharmacy-Based Diabetes Care Plan in a Low–Middle-Income Country |
| title_full | Development, Feasibility, Impact and Acceptability of a Community Pharmacy-Based Diabetes Care Plan in a Low–Middle-Income Country |
| title_fullStr | Development, Feasibility, Impact and Acceptability of a Community Pharmacy-Based Diabetes Care Plan in a Low–Middle-Income Country |
| title_full_unstemmed | Development, Feasibility, Impact and Acceptability of a Community Pharmacy-Based Diabetes Care Plan in a Low–Middle-Income Country |
| title_short | Development, Feasibility, Impact and Acceptability of a Community Pharmacy-Based Diabetes Care Plan in a Low–Middle-Income Country |
| title_sort | development feasibility impact and acceptability of a community pharmacy based diabetes care plan in a low middle income country |
| topic | person-centred care diabetes community pharmacy goal setting motivational interviewing pharmacy practice research |
| url | https://www.mdpi.com/2226-4787/11/4/109 |
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