The Community Pharmacists’ Role Enhancing Medicines Management for Type II Diabetes in Tripoli, Libya. A Randomised Controlled Trial in Community Pharmacy to Investigate Knowledge and Practice in Relation To Type II Diabetes and Glycaemic Control
| dc.contributor.advisor | Silcock, Jonathan | |
| dc.contributor.advisor | Graham, Anne M | |
| dc.contributor.author | Elhatab, Nesrin M. | * |
| dc.date.accessioned | 2018-05-16T09:08:20Z | |
| dc.date.available | 2018-05-16T09:08:20Z | |
| dc.date.issued | 2016 | |
| dc.identifier.uri | http://hdl.handle.net/10454/15903 | |
| dc.description.abstract | Aim/Objectives: There were two aims; improving type II diabetes glycaemic control; and enhancing the role of community pharmacists by engaging them in type II diabetes medicine management. Methods: This quantitative study collected data from both community pharmacists and patients. In a premises survey, 426 self-administered questionnaires were distributed to community pharmacies. In a knowledge survey, 125 questionnaires were distributed to community pharmacists. In a clinical trial, 40 community pharmacies were randomly assigned to be control (18) and intervention (22) premises. Each pharmacy recruited 4 or 5 patients with type II diabetes. 225 patients were recruited and assigned to receive usual pharmacist care (n=100) or a pre-defined pharmacist intervention (n=125). Results: Community pharmacists had good knowledge of diabetes with average scores 21/29 (±3.18). The differences between control and intervention groups in patients' HbA1c and FPG changes were not significant. In the intervention group patients' diabetes knowledge was significantly improved (p=0.031). In the intervention group HbA1c and FPG improved significantly and in the control group FPG improved significantly and HbA1c did not. Patients' self-reported self-management activities improved significantly around blood glucose measurements (p<0.001) and physical exercising (p=0.001). Attitudes around the value of tight control of diabetes improved (p<0.001). Conclusion: The findings suggest that community pharmacists in Libya may have the ability to improve type II diabetes care. The primary outcomes were not improved in intervention versus control. The before/after analysis showed significant improvement in primary outcomes in the intervention group and also in one of the primary outcomes in the control group. Patients' self-reported self-care activities and attitudes improved significantly in the intervention group. | en_US |
| dc.language.iso | en | en_US |
| dc.rights | <a rel="license" href="http://creativecommons.org/licenses/by-nc-nd/3.0/"><img alt="Creative Commons License" style="border-width:0" src="http://i.creativecommons.org/l/by-nc-nd/3.0/88x31.png" /></a><br />The University of Bradford theses are licenced under a <a rel="license" href="http://creativecommons.org/licenses/by-nc-nd/3.0/">Creative Commons Licence</a>. | eng |
| dc.subject | Type II diabetes | en_US |
| dc.subject | Diabetes knowledge | en_US |
| dc.subject | Self-management | en_US |
| dc.subject | Diabetes attitudes | en_US |
| dc.subject | Fasting plasma glucose | en_US |
| dc.subject | HbA1c | en_US |
| dc.subject | Pharmaceutical services | en_US |
| dc.subject | Pharmaceutical care | en_US |
| dc.subject | Medicine management | en_US |
| dc.subject | Tripoli, Libya | en_US |
| dc.subject | Community pharmacy | en_US |
| dc.title | The Community Pharmacists’ Role Enhancing Medicines Management for Type II Diabetes in Tripoli, Libya. A Randomised Controlled Trial in Community Pharmacy to Investigate Knowledge and Practice in Relation To Type II Diabetes and Glycaemic Control | en_US |
| dc.type.qualificationlevel | doctoral | en_US |
| dc.publisher.institution | University of Bradford | eng |
| dc.publisher.department | School of Pharmacy & Medical Sciences | en_US |
| dc.type | Thesis | eng |
| dc.type.qualificationname | PhD | en_US |
| dc.date.awarded | 2016 | |
| refterms.dateFOA | 2018-07-29T01:55:18Z |
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