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Pharmacist-led Intervention in Treatment Non-adherence and Associated Direct Costs of Management Among Ambulatory Patients With Type 2 Diabetes in Southwestern Nigeria
Background: Non-adherence to recommended therapy remains a challenge to achieving optimal clinical outcome with resultant economic implications. Objective: To evaluate the effect of a pharmacist-led intervention on treatment non-adherence and direct costs of management among patients with type 2 dia...
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| Format: | Article |
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2021
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| LEADER | 00000njm a2000000a 4500 | ||
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| 001 | oai:repository.ui.edu.ng:123456789/9735 | ||
| 042 | |a dc | ||
| 720 | |a Ipingbemi, A .E |e author | ||
| 720 | |a Erhun,W . O . |e author | ||
| 720 | |a Adisa, R. |e author | ||
| 260 | |c 2021 | ||
| 520 | |a Background: Non-adherence to recommended therapy remains a challenge to achieving optimal clinical outcome with resultant economic implications. Objective: To evaluate the effect of a pharmacist-led intervention on treatment non-adherence and direct costs of management among patients with type 2 diabetes (T2D). Method: A quasi-experimental study among 201-patients with T2D recruited from two-tertiary healthcare facilities in southwestern Nigeria using semi-structured interview. Patients were assigned into control (HbA1c < 7%, n = 95) and intervention (HbA1c ≥ 7%, n = 106) groups. Baseline questionnaire comprised modified 4-item Medication Adherence Questions (MAQ), Perceived Dietary Adherence Questionnaire (PDAQ) and International Physical Activity Questionnaire, to assess participants’ adherence to medications, diet and physical activity, respectively. Postbaseline, participants were followed-up for 6-month with patient-specific educational intervention provided to resolve adherence discrepancies in the intervention group only, while control group continued to receive usual care. Subsequently, direct costs of management for 6-month pre-baseline and 6-month post-baseline were estimated for both groups. Data were summarized using descriptive statistics. Chi-square, McNemar and paired t-test were used to evaluate categorical and continuous variables at p < 0.05 | ||
| 024 | 8 | |a BMC Health Services Research, 2021; 21(1000)Pp. 1-16 | |
| 024 | 8 | |a https://repository.ui.edu.ng/handle/123456789/9735 | |
| 653 | |a Pharmacist-led Intervention in Treatment Non-adherence and Associated Direct Costs of Management Among Ambulatory Patients With Type 2 Diabetes in Southwestern Nigeria | ||
| 245 | 0 | 0 | |a Pharmacist-led Intervention in Treatment Non-adherence and Associated Direct Costs of Management Among Ambulatory Patients With Type 2 Diabetes in Southwestern Nigeria |