PMID- 26009557
OWN - NLM
STAT- MEDLINE
DCOM- 20161213
LR  - 20221207
IS  - 1554-6063 (Electronic)
IS  - 0145-7217 (Print)
IS  - 0145-7217 (Linking)
VI  - 41
IP  - 4
DP  - 2015 Aug
TI  - Assessing the effectiveness of pharmacist-directed medication therapy management 
      in improving diabetes outcomes in patients with poorly controlled diabetes.
PG  - 459-65
LID - 10.1177/0145721715587563 [doi]
AB  - PURPOSE: The purpose of this study was to compare medication adherence rates and 
      type 2 diabetes mellitus (T2DM) health outcomes in a sample of underserved 
      patients with suboptimally controlled T2DM (A1C >7%) who had received 
      pharmacist-directed medication therapy management (MTM) to those who had not 
      received MTM. METHODS: A retrospective review of 100 patient records was 
      conducted. For the MTM group, a pharmacist engaged patients in patient-centered 
      services to optimize therapeutic outcomes. Non-MTM patients received usual care. 
      Outcomes were A1C, medication adherence, blood pressure, lipids, and creatinine. 
      Group comparisons on clinical outcomes were analyzed before and after matching 
      MTM and non-MTM patients on demographic characteristics. RESULTS: Before 
      matching, the MTM group had a higher rate of medication adherence than the 
      non-MTM group. The A1C levels were lower in the MTM group compared to the non-MTM 
      group. Similarly, low-density lipoprotein (LDL) cholesterol was lower in the MTM 
      group compared to the non-MTM group. After matching, medication adherence rate 
      remained higher in the MTM group than the non-MTM group. Similarly, A1C levels 
      remained lower in the MTM group than the non-MTM group. CONCLUSIONS: There is a 
      paucity of research focused on behavioral interventions for improving health 
      outcomes in underserved communities. Our results advance the existing literature 
      by demonstrating a positive association between pharmacist-directed MTM, 
      medication adherence, and glycemic control in a sample of underserved patients 
      with suboptimally controlled T2DM. A prospective pharmacy intervention and 
      examination of long-term effects of MTM on medication adherence and T2DM health 
      outcomes in this population is warranted.
CI  - (c) 2015 The Author(s).
FAU - Skinner, Jeannine S
AU  - Skinner JS
AD  - Meharry-Vanderbilt Alliance, Vanderbilt University Medical Center, Nashville, 
      Tennessee (Dr Skinner, Mr Poe, Dr Boyer, Dr Wilkins)
FAU - Poe, Brett
AU  - Poe B
AD  - Meharry-Vanderbilt Alliance, Vanderbilt University Medical Center, Nashville, 
      Tennessee (Dr Skinner, Mr Poe, Dr Boyer, Dr Wilkins)
FAU - Hopper, Rebecca
AU  - Hopper R
AD  - Saint Thomas Family Center, West, Nashville, Tennessee (Dr Hopper)
FAU - Boyer, Alaina
AU  - Boyer A
AD  - Meharry-Vanderbilt Alliance, Vanderbilt University Medical Center, Nashville, 
      Tennessee (Dr Skinner, Mr Poe, Dr Boyer, Dr Wilkins)
FAU - Wilkins, Consuelo H
AU  - Wilkins CH
AD  - Meharry-Vanderbilt Alliance, Vanderbilt University Medical Center, Nashville, 
      Tennessee (Dr Skinner, Mr Poe, Dr Boyer, Dr Wilkins)
AD  - Meharry Medical College, Nashville, Tennessee (Dr Wilkins)
LA  - eng
GR  - P30 DK092986/DK/NIDDK NIH HHS/United States
GR  - U54 MD007593/MD/NIMHD NIH HHS/United States
GR  - UL1 TR000445/TR/NCATS NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
DEP - 20150525
PL  - United States
TA  - Diabetes Educ
JT  - The Diabetes educator
JID - 7701401
RN  - 0 (Glycated Hemoglobin A)
RN  - 0 (Hypoglycemic Agents)
RN  - 0 (Lipids)
RN  - 0 (hemoglobin A1c protein, human)
RN  - AYI8EX34EU (Creatinine)
MH  - Aged
MH  - Blood Pressure
MH  - Case-Control Studies
MH  - Creatinine/blood
MH  - Diabetes Mellitus, Type 2/blood/*drug therapy/psychology
MH  - Female
MH  - Glycated Hemoglobin/analysis
MH  - Humans
MH  - Hypoglycemic Agents/*administration & dosage
MH  - Lipids/blood
MH  - Male
MH  - Medication Adherence
MH  - *Medication Therapy Management
MH  - Middle Aged
MH  - *Pharmaceutical Services
MH  - Pharmacists
MH  - *Program Evaluation
MH  - Retrospective Studies
PMC - PMC4504766
MID - NIHMS696203
EDAT- 2015/05/27 06:00
MHDA- 2016/12/15 06:00
PMCR- 2016/08/01
CRDT- 2015/05/27 06:00
PHST- 2015/05/27 06:00 [entrez]
PHST- 2015/05/27 06:00 [pubmed]
PHST- 2016/12/15 06:00 [medline]
PHST- 2016/08/01 00:00 [pmc-release]
AID - 0145721715587563 [pii]
AID - 10.1177/0145721715587563 [doi]
PST - ppublish
SO  - Diabetes Educ. 2015 Aug;41(4):459-65. doi: 10.1177/0145721715587563. Epub 2015 
      May 25.