Family-based intervention by pharmacists for type 2 diabetes: A randomised controlled trial |
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Authors: | Urawan Withidpanyawong Sanguan Lerkiatbundit Woranuch Saengcharoen |
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Affiliation: | 1. Pharmacy Division, Thepha Hospital, Lam Phai Thepha Road, Thepha, Songkhla, 90150, Thailand;2. Department of Pharmacy Administration, Faculty of Pharmaceutical Sciences, Prince of Songkla University, 15 Karnjanavanich Road, Hat Yai, Songkhla, 90110, Thailand;3. Department of Clinical Pharmacy, Faculty of Pharmaceutical Sciences, Prince of Songkla University, 15 Karnjanavanich Road, Hat Yai, Songkhla, 90110, Thailand |
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Abstract: | ObjectivesTo investigate the effectiveness of family intervention for type 2 diabetes and to examine predictors of glycaemic control.MethodsThis was a prospective randomised controlled trial. Participants with type 2 diabetes were randomly assigned to an intervention group (n?=?98) or a control group (n?=?98). A pharmacist delivered the educational sessions and encouraged family members to take an active role in self-management practices for the intervention patients. The control patients received usual care.ResultsAt the end of the study (9-month follow-up), greater reduction in glycosylated haemoglobin (HbA1c) occurred in the intervention group than in the control group (?1.37% and ?0.21%, respectively; P?0.001). Between-group differences in the improvements of low-density lipoprotein cholesterol (LDL-C) and blood pressure were found (P?0.05). Higher scores in diabetes knowledge of patients, family support, medication adherence, self-management and self-efficacy were seen in the intervention group than in the control group (P?0.05). Multivariable analysis showed family members who were spouses or women were strong predictors of improved glycaemic control.ConclusionFamily-involvement intervention is helpful in diabetes management, especially having spouses or women as caregivers.Practice implicationsFamily involvement should be encouraged in diabetes care. |
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Keywords: | Family intervention Pharmacist Type 2 diabetes |
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