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Table 2 Study results

From: Improving the adherence of type 2 diabetes mellitus patients with pharmacy care: a systematic review of randomized controlled trials

Author, Year

Adepu (2010)[19]

Grant (2003)[20]

Mehuys (2011)[9]

Obreli-Neto (2011)[21]

Odegard (2005)[22]

Phumipamorn (2008)[23]

Study type

RCT

RCT

Cluster-RCT

RCT

RCT

RCT

Country/Setting

South India/Medicine Outpatient Department Tertiary care teaching hospital

USA/Academically affiliated community health center

Belgium/Community pharmacies

Brazil/Public Primary Health Care Unit

USA/University of Washington Medicine Clinics

Thailand/Community Hospital

Population (IG/CG)

n = 227

62/58

153/135

97/97

39/27

63/67

Age (IG/CG)

>57

64 ± 12/69 ± 10

62 (45-79)/63 (40-84)

65 ± 5.8/65 ± 5.7

52 ± 11.6/52 ± 10.4

52 ± 11.15/56 ± 13.67

Sex (IG/CG)

49% female

55%/69% female

54%/51% male

63%/62% female

48%/48% female

92%/76% female

Intervention

Education (Baseline, every 30 days for a period of 3 months)

Educational telephone interview + social services/nutrition consultation (Baseline, 3 months)

Education & Reminders about annual eye and foot examinations (Baseline, at each prescription refill visit for a period of 6 months)

Usual care + individual follow-up attendances & educative group activities (every 6 months for period of 36 months)

Diabetes care plan DCP) & Weekly in person/telephone meetings & monthly follow-up phone calls (6-month intervention, follow-up at month 6 and 12)

Usual care & 4 scheduled meetings with a pharmacist (every 2 months) & education

Control

Education (month 3)

Educational telephone interview

Usual care

Usual care

Usual care

Usual care

Definition adherence

Average change in adherence (0-4 scale)

Amount of missed medication in the last 7 days (change from baseline)

Proportion of doses taken (%)

Proportion of doses taken (%)

Proportion of missed doses (%)

Proportion of doses taken (%)

Adherence measure

Self-reported adherence

Self-reported adherence

Prescription refill rate & self-reported adherence

Self-reported adherence & periodicity of prescription pickup

Self-reported adherence

Pill count

Adherence (IG/CG)

      

Baseline

0.73/1.11

6.7/6.9

NR

51/49

56/35

82/87

53/53

Final (%)

0.88/0.67

0.1/0.1 (change from baseline)

99.7/94.7 (prescription refill rate)

84/44 (self-reported adherence)

IG < CG

89/85

p = NR

p = 0.8

p = NR

84/43 (periodicity of prescription pickup)

p = 0.003

p = 0.004

61/62 (self-reported adherence)

p = NR

p = NR

  1. NR = Not reported, IG = intervention group, CG = control group.