Study of assessment of knowledge and understanding for coping with sick days among patients with diabetes in community pharmacy: a cluster randomized controlled trial (SAKURA trial)

Journal of Pharmaceutical Policy and Practice

Research

Takeo Nakayama¹  Hiroshi Okada¹  Shota Suzuki²  Keisuke Kado³  Miho Takahashi³  Masako Satake³  Toru Yamazaki³  Mie Yamamoto³  Mayumi Kurosawa³ 

[1] Department of Health Informatics, Graduate School of Medicine and School of Public Health, Kyoto University Yoshida-Konoe-cho, Sakyo-ku, 606-8501, Kyoto, Japan;Department of Health Informatics, Graduate School of Medicine and School of Public Health, Kyoto University Yoshida-Konoe-cho, Sakyo-ku, 606-8501, Kyoto, Japan;Institute for Clinical and Translational Science, Nara Medical University Hospital, 840 Shijo-cho, 634-8522, Kashihara, Japan;KRAFT Inc. Kyouikukikakubu, Palace Building 10F, 1-1-1 Marunouchi, Chiyoda-ku, 100-8225, Tokyo, Japan;

关键词: Community pharmacy;    Diabetes;    Education intervention;    Implementation research;    Randomized controlled trial;    Sick day;   

DOI  :  10.1186/s40545-023-00614-4

 received in 2023-03-03, accepted in 2023-09-16,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundAwareness regarding coping with sick days among patients with diabetes is limited. Thus, we evaluated the effectiveness of sick-day education by community pharmacists among patients with type 2 diabetes (T2D) using sick-day educational materials (sick-day cards).MethodsA cluster randomized controlled trial was conducted. Pharmacists in the intervention group educated patients with T2D on coping with sick days (adjusting medication dosage and seeking medical advice) using sick-day cards compared with the usual counseling. Differences in questionnaire scores (“Anxiety”, “Intention”, “Attitude”, and “Knowledge” about sick days) before and after the intervention were compared between the groups.ResultsOverall, 318 patients with T2D (intervention, 119; control, 199) participated in this study, and 270 (intervention, 92; control, 178) patients were examined. There were no significant differences in “Anxiety”, “Intention”, or “Attitude” scores between the two groups, but “Knowledge” scores improved in the intervention group. For all intervention groups (92/92), a physician reviewed and approved medication and adjustment doses for sick days on the cards.ConclusionsAccording to patients’ responses, sick-day education using teaching materials improved patient knowledge. This may help patients and their caregivers cope with sick days appropriately through medication dose adjustment and fluid intake.Research registration number: UMIN000043161 (February 1, 2021), https://center6.umin.ac.jp/cgi-open-bin/ctr/ctr.cgifunction=brows&action=brows&recptno=R000048124&type=summary&language=J

【 授权许可】

CC BY   
© Dr. Zaheer-Ud-Din Babar and Auckland UniServices Ltd. 2023

【 图 表 】

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Fig. 4