Booklet handout to improve glycemic control in type-2-DM patients and comparison with other models

Authors

  • Daniek Viviandhari Universitas Muhammadiyah Prof. Dr. HAMKA
  • Nora Wulandari Universitas Muhammadiyah Prof. Dr. HAMKA
  • Nur Rahmi Universitas Muhammadiyah Prof. Dr. HAMKA

DOI:

https://doi.org/10.12928/pharmaciana.v11i1.17511

Keywords:

booklet handout, public counseling, educational video, comparison, A1C

Abstract

Non-adherence is still a major issue in the management of diabetes in Indonesia which leads to complication problems. Medication adherence in diabetes mellitus is related to better glycemic control, better control of risk factors, lower risk of hospitalization, lower health care cost, and lower risk of mortality. Many educational models are applied to achieve the patient's glycemic control. There were two research purposes in this study. The first one was to determine the booklet handout's effectiveness in improving glycemic control in type-2 diabetes mellitus patients in Malaka Jaya Primary Healthcare Centre, Jakarta. The second aim was to compare two different educational models, which were done simultaneously at Pondok Kelapa Primary Healthcare Centre and Duren Sawit Primary Healthcare Centre. A quasi-experimental study design was applied in these prospective studies. A total of 30 patients met the inclusion criteria. The intervention was a booklet handout that was given and presented to the respondent once every month for three months. The parameter used was the A1C (glycated hemoglobin). For patients exposed to booklet handout, 20.0% of them had the A1C level <6.5% initially, then the A1C level <6.5% significantly increased to 73.34% (p=0.005). For patients who were given public counseling, the number of respondents who had the A1C level <6.5% was 16.7%, then the A1C percentage rose to 76.7% (p=0.005). Meanwhile, for patients who were educated with video, the A1C level <6.5% was 6.67% initially, then the A1C level <6.5% increased significantly to 90.0% (p=0.005) in 12 weeks after the intervention. Either booklet handout, public counseling, or video are effective to improve glycemic control in type-2 diabetes mellitus patients.    

References

Aikens, J. E., & Piette, J. D. (2013). Longitudinal association between medication adherence and glycaemic control in Type 2 diabetes. Diabetic Medicine, 30(3), 338–344. https://doi.org/10.1111/dme.12046

Alfian, S. D., Sukandar, H., Lestari, K., & Abdulah, R. (2016). Medication adherence contributes to an improved quality of life in type 2 diabetes mellitus patients: a cross-sectional study. Diabetes Therapy, 7(4), 755–764. https://doi.org/10.1007/s13300-016-0203-x

Alldredge, B. K., Corelli, R. L., Ernst, M. E., Guglielmo, B. J., Jacobson, P. A., Kradjan, W. A., & Williams, B. R. (2013). Koda-Kimble andYoung’s Applied Therapeutics: the Clinical Use of Drugs. In Wolters Kluwer, Lippincott Williams & Wilkins (Issue tenth edition). https://doi.org/10.1017/CBO9781107415324.004

Alqarni, A. M., Alrahbeni, T., Al Qarni, A., & Al Qarni, H. M. (2019). Adherence to diabetes medication among diabetic patients in the Bisha governorate of Saudi Arabia – a cross-sectional survey. Patient Preference and Adherence, 13, 63–71. https://doi.org/10.2147/PPA.S176355

American Diabetes Association. (2003). Treatment of hypertension in adults with diabetes. Diabetes Care, 26(suppl 1), S80–S82. https://doi.org/10.2337/DIACARE.26.2007.S80

American Diabetes Association (ADA). (2017). Standards of medical care in diabetes - 2017. Diabetes Care, 40 (sup 1)(January), s4–s128. https://doi.org/10.2337/dc17-S001

Badan Penelitian dan Pengembangan Kesehatan. (2013). Riset kesehatan dasar (RISKESDAS) 2013. Laporan Nasional 2013, 1–384. https://doi.org/1 Desember 2013

Care, D. (2019). Glycemic targets: standards of medical care in diabetes 2019. Diabetes Care, 42(January), S61–S70. https://doi.org/10.2337/dc19-S006

CDC. (2014). Smoking and diabetes: How smoking causes type 2 diabetes.

Chang, S. A. (2012). Smoking and type 2 diabetes mellitus. Diabetes and Metabolism Journal, 36(6), 399–403. https://doi.org/10.4093/dmj.2012.36.6.399

Chaudhury, A., Duvoor, C., Reddy Dendi, V. S., Kraleti, S., Chada, A., Ravilla, R., Marco, A., Shekhawat, N. S., Montales, M. T., Kuriakose, K., Sasapu, A., Beebe, A., Patil, N., Musham, C. K., Lohani, G. P., & Mirza, W. (2017). Clinical review of antidiabetic drugs: Implications for type 2 diabetes mellitus management. Frontiers in Endocrinology, 8(JAN). https://doi.org/10.3389/fendo.2017.0006

Colberg, S. R., Sigal, R. J., Yardley, J. E., Riddell, M. C., Dunstan, D. W., Dempsey, P. C., Horton, E. S., Castorino, K., & Tate, D. F. (2016). Physical activity/exercise and diabetes: A position statement of the American Diabetes Association. Diabetes Care, 39(11), 2065–2079. https://doi.org/10.2337/dc16-1728

Contreras, F., Sanchez, M., Martinez, M. S., Castillo, M. C., Mindiola, A., Bermudez, V., & Velasco, M. (2017). Management and education in patients with diabetes mellitus. IMedPub Journals : Medical & Clinical Reviews, 03(02), 1–7. https://doi.org/10.21767/2471-299x.1000049

DiPiro, J. T., Wells, B. G., Schwinghammer, T. L., & DiPiro, C. V. (2015). Pharmacotherapy handbook.

Elsous, A., Radwan, M., Al-Sharif, H., & Mustafa, A. A. (2017). Medications adherence and associated factors among patients with type 2 diabetes mellitus in the Gaza Strip, Palestine. Frontiers in Endocrinology, 8(JUN), 1–9. https://doi.org/10.3389/fendo.2017.00100

Fan, M. H., Huang, B. T., Tang, Y. C., Han, X. H., Dong, W. W., & Wang, L. X. (2016). Effect of individualized diabetes education for type 2 diabetes mellitus: A single-center randomized clinical trial. African Health Sciences, 16(4), 1157–1162. https://doi.org/10.4314/ahs.v16i4.34

Feldman, B. S., Cohen-Stavi, C. J., Leibowitz, M., Hoshen, M. B., Singer, S. R., Bitterman, H., Lieberman, N., & Balicer, R. D. (2014). Defining the role of medication adherence in poor glycemic control among a general adult population with diabetes. PLoS ONE, 9(9). https://doi.org/10.1371/journal.pone.0108145

Geest, S. De, & Sabaté, E. (2003). Adherence to long-term therapies: Evidence for action. European Journal of Cardiovascular Nursing, 2(4), 323. https://doi.org/10.1016/S1474-5151(03)00091-4

Gimenes, H., Zanetti, M., & Vanderlei, J. (2009). Factors related to patient adherence to antidiabetic drug therapy. Revista Latinoam Enfermagem, 17(1), 46–51. https://doi.org/10.1590/S0104-11692009000100008

Gordon, J., McEwan, P., Idris, I., Evans, M., & Puelles, J. (2018). Treatment choice, medication adherence and glycemic efficacy in people with type 2 diabetes: A UK clinical practice database study. BMJ Open Diabetes Research and Care, 6(1), 1–9. https://doi.org/10.1136/bmjdrc-2018-000512

Grant, R. W., Devita, N. G., Singer, D. E., & Meigs, J. B. (2003). Polypharmacy and medication adherence in patients with type 2 diabetes. Diabetes Care, 26(5), 1408–1412. https://doi.org/10.2337/diacare.26.5.1408

Haghighatpanah, M., Nejad, A. S. M., Haghighatpanah, M., Thunga, G., & Mallayasamy, S. (2018). Factors that correlate with poor glycemic control in type 2 diabetes mellitus patients with complications. Osong Public Health and Research Perspectives, 9(4), 167–174. https://doi.org/10.24171/j.phrp.2018.9.4.05

Hughes, J. D., Wibowo, Y., Sunderland, B., & Hoti, K. (2017). The role of the pharmacist in the management of type 2 diabetes: currentinsights and future directions. Integrated Pharmacy Research and Practice, 6, 15–27. https://doi.org/10.2147/IPRP.S103783

Kassahun, T., Eshetie, T., & Gesesew, H. (2016). Factors associated with glycemic control among adult patients with type 2 diabetes mellitus: a cross-sectional survey in ethiopia endocrine disorders. BMC Research Notes, 9(1), 1–6. https://doi.org/10.1186/s13104-016-1896-7

Kirkman, M. S., Briscoe, V. J., Clark, N., Florez, H., Haas, L. B., Halter, J. B., Huang, E. S., Korytkowski, M. T., Munshi, M. N., Odegard, P. S., Pratley, R. E., & Swift, C. S. (2012). Diabetes in older adults. Diabetes Care, 35(12), 2650–2664. https://doi.org/10.2337/dc12-1801

Kirkman, M. S., Rowan-Martin, M. T., Levin, R., Fonseca, V. A., Schmittdiel, J. A., Herman, W. H., & Aubert, R. E. (2015). Determinants of adherence to diabetes medications: Findings from a large pharmacy claims database. Diabetes Care, 38(4), 604–609. https://doi.org/10.2337/dc14-2098

Mamo, Y., Bekele, F., Nigussie, T., & Zewudie, A. (2019). Determinants of poor glycemic control among adult patients with type 2 diabetes mellitus in Jimma University Medical Center, Jimma zone, south west Ethiopia: A case control study. BMC Endocrine Disorders, 19(1), 1–11. https://doi.org/10.1186/s12902-019-0421-0

Merakou, K., Knithaki, A., Karageorgos, G., Theodoridis, D., & Barbouni, A. (2015). Group patient education: Effectiveness of a brief intervention in people with type 2 diabetes mellitus in primary health care in Greece: A clinically controlled trial. Health Education Research, 30(2), 223–232. https://doi.org/10.1093/her/cyv001

Munger, M. A. (2010). Polypharmacy and combination therapy in the management of hypertension in elderly patients with co-morbid diabetes mellitus. Drugs and Aging, 27(11), 871–883. https://doi.org/10.2165/11538650-000000000-00000

Nanda, O. D., Wiryanto, R. B., & Triyono, E. A. (2018). Hubungan Kepatuhan Minum Obat Anti Diabetik dengan Regulasi Kadar Gula Darah pada Pasien Perempuan Diabetes Mellitus Relationship between Antidiabetic Drugs Consumption and Blood Glucose Level Regulation for Diabetes Mellitus Female Patients. 340–348. https://doi.org/10.20473/amnt.v2.i4.2018.340-348

PERKENI. (2015). Konsensus pengendalian dan pencegahan diabetes melitus tipe 2 di Indonesia 2015. In Perkeni. https://doi.org/10.1017/CBO9781107415324.004

Polonsky, W. H., & Henry, R. R. (2016). Poor medication adherence in type 2 diabetes: Recognizing the scope of the problem and its key contributors. Patient Preference and Adherence, 10, 1299–1306. https://doi.org/10.2147/PPA.S106821

Puspitasari, A. W., R.Andrajati, & A.Bahtiar. (2013). Analisis efektivitas booklet obat terhadap tingkat kepatuhan pasien diabetes melitus tipe-2. Journal of Management and Pharmacy Practice, 2, 1–7.

Rasdianah, N., Martodiharjo, S., Andayani, T. M., & Hakim, L. (2016). The Description of Medication Adherence for Patients of Diabetes Mellitus Type 2 in Public Health Center Yogyakarta. Indonesian Journal of Clinical Pharmacy, 5(4), 249–257. https://doi.org/10.15416/ijcp.2016.5.4.249

Riskesdas. (2018). Hasil utama riskesdas penyakit tidak menular 2018. Hasil Utama Riskesdas Penyakit Tidak Menular, 8.

Sacks, D. B., Arnold, M., Bakris, G. L., Bruns, D. E., Horvath, A. R., Kirkman, M. S., Lernmark, A., Metzger, B. E., & Nathan, D. M. (2011). Guidelines and recommendations for laboratory analysis in the diagnosis and management of diabetes mellitus. Diabetes Care, 34(6). https://doi.org/10.2337/dc11-9998

Sami, W., Ansari, T., Butt, N. S., & Hamid, M. R. A. (2017). Effect of diet on type 2 diabetes mellitus: A review. International Journal of Health Sciences, 11(2), 65–71. https://doi.org/10.1002/dmrr.2515

Samu, A. M., Amirthalingam, P. S., & Mohammed, O. S. (2017). Assessment of patient medication adherence among the type 2 diabetes mellitus population with peripheral diabetic neuropathy in South India. Journal of Taibah University Medical Sciences, 12(2), 164–168. https://doi.org/10.1016/j.jtumed.2016.12.006

Shang, X., Li, J., Tao, Q., Li, J., Li, X., Zhang, L., Liu, X., Wang, Q., Shi, X., Zhao, Y., Hu, S., Jiang, L., & Yang, Y. (2013). Educational Level, Obesity and Incidence of Diabetes among Chinese Adult Men and Women Aged 18-59 Years Old: An 11-Year Follow-Up Study. PLoS ONE, 8(6). https://doi.org/10.1371/journal.pone.0066479

Sharma, T., Kalra, J., Dhasmana, D., & Basera, H. (2014). Poor adherence to treatment: A major challenge in diabetes. Journal, Indian Academy of Clinical Medicine, 15(1), 26–29.

Steinsbekk, A., Rygg, L., Lisulo, M., By Rise, M., & Fretheim, A. (2015). Group based diabetes self-management education compared to routine treatment, waiting list control or no intervention for people with type 2 diabetes mellitus. Cochrane Database of Systematic Reviews, 2017(12). https://doi.org/10.1002/14651858.CD003417.pub3

Supardi, S., & Susyanti, A. L. (2012). Kebijakan penempatan apoteker di puskesmas. Buletin Penelitian Sistem Kesehatan, 15, 133–142.

Trisnawati, S. K., & Setyorogo, S. (2013). Faktor Risiko Kejadian Diabetes Melitus Tipe II Di Puskesmas Kecamatan Cengkareng Jakarta Barat Tahun 2012. Jurnal Ilmiah Kesehatan, 5(1), 6–11.

Viviandhari, D., & Wulandari, N. (2017). Edukasi pada pengawas minum obat dan pasien diabet millitus tipe 2 untuk meningkatkan kepatuhan minum obat. Media Farmasi: Jurnal Ilmu Farmasi, 14(2), 162–176. https://doi.org/10.12928/mf.v14i2.11242

Viviandhari, D., Wulandari, N., & Puspita, F. P. (2018). Public counseling: an educational model to improve medication adherence in type 2 diabetes mellitus patients. Proceeding of the First Muhammadiyah International Conference on Health and Pharmaceutical Development, 71–76. https://doi.org/10.5220/0008239600710076

Waari, G., Mutai, J., & Gikunju, J. (2018). Medication adherence and factors associated with poor adherence among type 2 diabetes mellitus patients on follow-up at Kenyatta National Hospital, Kenya. Pan African Medical Journal, 29. https://doi.org/10.11604/pamj.2018.29.82.12639

Wabe, N. T., Angamo, M. T., & Hussein, S. (2011). Medication adherence in diabetes mellitus and self management practices among type-2 diabetics in Ethiopia. In North American Journal of Medical Sciences (Vol. 3, Issue 9, pp. 418–423). https://doi.org/10.4297/najms.2011.3418

Wulandari, N., Viviandhari, D., & Nurhayati. (2017). A strategic approach to increase the compliance of patients with type 2 diabetes mellitus, in unity in diversity and the standardisation of clinical pharmacy services. In Z. Elida, Junaidi Khotib., A. Chrismawan, S. Syed Azhar Syed, S. I. Charles D., & W. Timothy E. (Eds.), Proceedings of the 17th Asian Conference on Clinical Pharmacy (ACCP 2017). CRC Press/Balkema.ISBN: 978-1-138-08172-7 (Hbk) ISBN: 978-1-315-11275-6 (eBook)

Wulandari, N., Viviandhari, D., & Seli Febriani, A. (2020). Educational Video to Improve Glycemic Control of Type 2 Diabetes Mellitus Patients. Jurnal Manajemen Dan Pelayanan Farmasi, 10(4), 276–283.

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Published

2021-03-31

Issue

Vol. 11 No. 1 (2021): Pharmaciana

Section

Clinical and Community Pharmacy

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