Impact of clinical pharmacist video-based education on self-care and glycemic control in Sudanese adults with type 2 diabetes: A pre-post interventional study

IF 1.8 Q3 PHARMACOLOGY & PHARMACY

Exploratory research in clinical and social pharmacy Pub Date : 2025-05-27 DOI:10.1016/j.rcsop.2025.100617

Safaa Badi , Sara Zainelabdein Suliman , Rayan Almahdi , Mohammed A. Aldomah , Habab Khalid Elkheir , Mohamed Izham Mohamed Ibrahim , Mohamed H. Ahmed

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Abstract

Background

Diabetes affects various body systems, increasing the risk of complications.

Objectives

This study assessed the impact of clinical pharmacist-associated education on diabetes self-care practices and glycemic control in Sudanese individuals with Type 2 Diabetes Mellitus (T2DM).

Design and methods

This quasi-experimental study with no control group recruited 110 adults with T2DM from a diabetes clinic over 12 months using simple random sampling. We collected data through interviews and calls. Participants received 12 educational videos covering diabetes management. The intervention was video-based and delivered over 5 months. We analyzed data using SPSS version 28.

Results

The mean age of participants was 56.2 ± 10.3 years. Self-care practices significantly improved over time. Fasting blood glucose (FBG) levels decreased by 16.7 mg/dL at 6 months (p = 0.009) and 41.9 mg/dL at 12 months (p < 0.001). Two-hour postprandial glucose levels dropped by 18.7 mg/dL at 6 months (p = 0.006) and 61.8 mg/dL at 12 months (p < 0.001). HbA1c levels decreased by 1 % at6 months (p < 0.001) and 1.9 % at 12 months (p < 0.001). The effect size (Cohen's d) was increased from 0.26 at 6 months to 0.74 at 12 months. Similarly, it was increased for 2hrsPPG from 0.2 at 6 months to 0.74 at 12 months. For HbA1c, it was increased from 0.62 at 6 months to 1.25 at 12 months, indicating clinically meaningful improvement in long-term glycemic control following the pharmacist intervention. LDL decreased by 9.2 mg/dL at 12 months (p < 0.001), and HDL increased by 5.5 mg/dL at 12 months (p = 0.002). Changes in BUN and serum creatinine were insignificant.

Conclusion

Clinical pharmacist education improved diabetes self-care practices and metabolic outcomes, including glycemic control and lipid profiles, demonstrating its role in achieving therapeutic goals for patients with T2DM.

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临床药师视频教育对苏丹成人2型糖尿病患者自我护理和血糖控制的影响：一项干预前后研究

糖尿病会影响身体的各个系统，增加并发症的风险。目的：本研究评估临床药师相关教育对苏丹2型糖尿病（T2DM）患者糖尿病自我保健实践和血糖控制的影响。设计与方法本准实验研究无对照组，采用简单随机抽样方法，从糖尿病诊所招募110名成年2型糖尿病患者，为期12个月。我们通过采访和电话收集数据。参与者收到了12个有关糖尿病管理的教育视频。干预以视频为基础，持续时间超过5个月。我们使用SPSS 28版分析数据。结果患者平均年龄为56.2±10.3岁。随着时间的推移，自我护理的做法显著改善。6个月时空腹血糖（FBG）水平下降16.7 mg/dL (p = 0.009)， 12个月时下降41.9 mg/dL (p <；0.001)。餐后2小时血糖水平在6个月时下降了18.7 mg/dL (p = 0.006)，在12个月时下降了61.8 mg/dL (p <；0.001)。6个月时HbA1c水平下降1% (p <；0.001)， 12个月时为1.9% (p <；0.001)。效应量（Cohen’s d）从6个月时的0.26增加到12个月时的0.74。同样，2hrsPPG从6个月时的0.2增加到12个月时的0.74。HbA1c从6个月时的0.62上升到12个月时的1.25，表明药师干预后长期血糖控制有临床意义的改善。12个月时LDL降低9.2 mg/dL (p <；12个月时HDL升高5.5 mg/dL （p = 0.002）。BUN和血清肌酐变化不显著。结论临床药师教育改善了糖尿病患者的自我护理实践和代谢结果，包括血糖控制和脂质谱，证明了其在实现T2DM患者治疗目标中的作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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