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    Diabetes Medication Assistance Service: The pharmacist's role in supporting patient self-management of type 2 diabetes (T2DM) in Australia

    159717_159717.pdf (176.6Kb)
    Access Status
    Open access
    Authors
    Mitchell, B.
    Armour, C.
    Lee, M.
    Song, Y.
    Stewart, K.
    Peterson, G.
    Hughes, Jeffery
    Smith, L.
    Krass, I.
    Date
    2011
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Mitchell, Bernadette and Armour, Carol and Lee, Mary and Song, Yun Ju and Stewart, Kay and Peterson, Greg and Hughes, Jeff and Smith, Lorraine and Krass, Ines. 2011. Diabetes Medication Assistance Service: The pharmacist's role in supporting patient self-management of type 2 diabetes (T2DM) in Australia. Patient Education and Counselling. 83 (3): pp. 288-294.
    Source Title
    Patient Education and Counselling
    DOI
    10.1016/j.pec.2011.04.027
    ISSN
    0738-3991
    School
    School of Pharmacy
    URI
    http://hdl.handle.net/20.500.11937/20770
    Collection
    • Curtin Research Publications
    Abstract

    Objective. To evaluate the capacity and effectiveness of trained community pharmacists in delivering the Diabetes Medication Assistance Service (DMAS) via (1) number and types of self-management support interventions (SMSIs); (2) number of goals set and attained by patients and (3) patient outcomes (glycaemic control, medication adherence and satisfaction). Methods. Pharmacists (n = 109) from 90 community pharmacies in Australia were trained and credentialed to deliver the DMAS. The training focused on developing pharmacists’ knowledge and skills in supporting patients’ diabetes self-management. Results. A total of 387 patients completed the trial. The mean number of SMSIs per patient was 35 (SD ±31) and the majority (87%) had at least one documented goal that was fully or partially attained. There were significant health benefits for patients including improved glycaemic control and a reduced risk of non-adherence to medications. Over 90% of DMAS patients reported improvements in their knowledge about diabetes self-management.Conclusion. The DMAS provides self management support in the community pharmacy for people with T2DM which may result in improved clinical outcomes. Practice implication. Given appropriate training in diabetes care and behavior change strategies, community pharmacists can offer programs which provide self-management support to their patients with T2DM and improve their health outcomes.

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