{"title":"Evaluating Pharmacist-Driven Interventions in Multidisciplinary Diabetes Care: A Quasi-Experimental Study.","authors":"Jiunn-Bey Pao, Shu-Chuan Wu, Ya-Wun Guo, Wei-Hsiang Huang","doi":"10.1177/26350106251361368","DOIUrl":null,"url":null,"abstract":"<p><p>BackgroundPharmacist-led multidisciplinary care may enhance diabetes self-management, yet evidence from Taiwan is limited. This study evaluates the impact of such interventions on health literacy, medication adherence, and clinical outcomes in patients with type 2 diabetes.MethodsA quasi-experimental pretest-posttest study was conducted at Taipei City Hospital (April to December 2021) with 70 adults allocated into a pharmacist-led care group or standard care group. The intervention included medication management, diabetes education, and structured follow-ups. Generalized estimating equations analyzed changes in health literacy, medication adherence, weight, low-density lipoprotein cholesterol (LDL-C), A1C, fasting glucose, and total cholesterol (TC).ResultsThe intervention group achieved a 21.1% increase in health literacy and a 20.4% improvement in medication adherence (<i>P</i> < .01). Significant reductions were observed in weight (<i>B</i> = -0.16, <i>P</i> < .01) and LDL-C (<i>B</i> = -12.83, <i>P</i> = .02). Differences in A1C, fasting glucose, and TC were not statistically significant, although time effects suggested overall improvement.ConclusionsPharmacist-led care significantly improved health literacy, adherence, and some clinical outcomes in patients with type 2 diabetes. These findings highlight the value of integrating pharmacists into multidisciplinary teams to enhance chronic disease management.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"462-475"},"PeriodicalIF":2.2000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The science of diabetes self-management and care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/26350106251361368","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/8/21 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
BackgroundPharmacist-led multidisciplinary care may enhance diabetes self-management, yet evidence from Taiwan is limited. This study evaluates the impact of such interventions on health literacy, medication adherence, and clinical outcomes in patients with type 2 diabetes.MethodsA quasi-experimental pretest-posttest study was conducted at Taipei City Hospital (April to December 2021) with 70 adults allocated into a pharmacist-led care group or standard care group. The intervention included medication management, diabetes education, and structured follow-ups. Generalized estimating equations analyzed changes in health literacy, medication adherence, weight, low-density lipoprotein cholesterol (LDL-C), A1C, fasting glucose, and total cholesterol (TC).ResultsThe intervention group achieved a 21.1% increase in health literacy and a 20.4% improvement in medication adherence (P < .01). Significant reductions were observed in weight (B = -0.16, P < .01) and LDL-C (B = -12.83, P = .02). Differences in A1C, fasting glucose, and TC were not statistically significant, although time effects suggested overall improvement.ConclusionsPharmacist-led care significantly improved health literacy, adherence, and some clinical outcomes in patients with type 2 diabetes. These findings highlight the value of integrating pharmacists into multidisciplinary teams to enhance chronic disease management.
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