The impact of medication-focused workshops in a diabetes educational program in jail: a pilot study
Tóm tắt
Background Correctional institutions have unique circumstances offering care and the opportunity to adopt healthy behaviours for populations suffering from chronic diseases such as diabetes. In view of their expertise on medication, pharmacists can contribute to multidisciplinary educational health programmes in prisons. Objective To assess the effectiveness of a pharmacist led diabetes medication-related workshops. Method Pharmacists led workshops about patients’ empowerment in their treatment within the educational program. On a prospective observational study basis, the impact was assessed in terms of relevance, learning outcomes and achievement transfer using the Kirkpatrick training assessment method. Hb1Ac was measured as glycemic control outcome. Results Fifteen patients involved in the workshops showed a significant decrease in HbA1c compared to the control group (−1.18 ± 0.52 vs. +0.26 ± 0.28 %; p < 0.001). Relevance: All participants were satisfied and ready to join other sessions. Learning outcomes: (LO) Postworkshop scores were significantly improved (LO1: 4.2 ± 0.9 vs. 2.2 ± 1.4; LO2: 4.5 ± 0.9 vs. 2.6 ± 1.3; p < 0.05). Decrease in HbA1c was correlated to increase in LO2’s scores. (Y = 0.946 − 1.134X; R = −0.692; p < 0.05). Achievement transfer: Key points from all LOs were reported. In case studies, 70 % of participants adopted healthy strategies (LO3). Conclusion These results highlight the positive impact of the workshops and the additive value of pharmacists’ involvement within the educational program in jail.
Tài liệu tham khảo
American Diabetes Association (ADA). Standard of medical care in diabetes—2014. Diabetes Care. 2014;37(1):14–80.
Ho PM, Rumsfeld JS, Masoudi FA, McClure DL, Plomondon ME, Steiner JF, et al. Effect of medication nonadherence on hospitalization and mortality among patients with diabetes mellitus. Arch Intern Med. 2006;166:1836–41.
Norris SL, Lau J, Smith SJ, Schmid CH, Engelgau MM. Self-management education for adults with type 2 diabetes: a meta-analysis of the effect on glycemic control. Diabetes Care. 2002;25:1159–71.
Remy AJ. Enquête de prévalence et de pratiques du diabète en milieu carcéral. Espace Info santé. 2008;18:2–4.
Kirkpatrick D, Kirkpatrick J. Transferring learning to behavior: using he four levels to improve performance. 1st ed. Oakland: Berrett-Koehler Publishers; 2005. ISBN 978-1576753255.
Antoine SL, Pieper D, Mathes T, Eikermann M. Improving the adherence of type 2 diabetes mellitus patients with pharmacy care: a systematic review of randomized controlled trials. BMC Endocr Disord. 2014;7:53–61.
Krug B, Cornet AS, Nonet V, Jamart J, Labar I, Gerard V, et al. Evaluation of the efficiency of an educational program on medical errors and patient safety. Int J Pers Cent Med. 2012;2:301–5.
Al Hamarneh YN, Charrois T, Lewanczuk R, Tsuyuki RT. Pharmacist intervention for glycaemic control in community (the RxING study). BMJ Open. 2013;3:e003154.
Farsaei S, Sabzghabaee AM, Zargarzadeh AH, Amini M. Effect of pharmacist-led patient education on glycemic control of type 2 diabetics: a randomized controlled trail. J Res Med Sci. 2011;16:43–9.
Trouilloud D, Regnier J. Therapeutic education among adults with type 2 diabetes: effects of a three-day intervention on perceived competence, self-management behaviours and glycaemic control. Glob Health Promot. 2013;20:94–8.