Feasibility pilot study and potential impact of a mobile app intervention led by pharmacist, to support and improve self-management of diabetes, in Cyprus
- At: PPR 2022 (2022)
- Type: Poster
- By: PAVLIDOU, Antria (UCL)
- Co-author(s): Antria Pavlidou, Clinical Pharmacist - PhD Candidate, UCL, Cyprus
Felicity Smith, Professor of Pharmacy Practice & Policy, UCL School of Pharmacy
Cate Whittlesea, Professor of Pharmacy Practice & Policy, UCL School of Pharmacy
Diabetes is a chronic disease affecting people globally & characterised as epidemic & pandemic. Cyprus had one of the highest prevalence of diabetes among other European countries in 2017. Achieving optimal management of diabetes can largely prevent or delay progression of diabetes & appearance of other comorbidities & provide long and healthy life to patients. Self-management of diabetes is fundamental for the optimal management of diabetes. However, low adherence rates and lack of empowerment and knowledge of patients results to sub-optimal diabetes management. Despite studies identifying successful strategies to improve diabetes management, the best way to deliver them and which intervention is more effective are still being searched.
Pharmacists provide high quality information to motivate patients to understand & appreciate the importance of medication. Motivational Interview is a coherent, teachable, evidence-based approach to behaviour change counselling and a vehicle in creating “informed and active” diabetes patients. New technologies, such as m-Health interventions can be a catalyst for the provision of the aforementioned type of intervention and consist of a promising area for further research. Nevertheless, further rigorous studies are necessary, in identifying the optimum type of intervention and the way of it should be delivered.
This study aims to design, implement and evaluate an m-health pharmacist-led intervention. To design and implement an m-health intervention aiming to improve diabetes self-management through improving patient’s knowledge, adherence & patient empowerment and evaluate its feasibility and potential impact.
Developing a complex intervention by identifying the evidence base by reviewing published & existing systematic reviews appropriate theory and modelling process & outcomes. To implement an m-health intervention based on principles of Motivational Interview led by pharmacist and using mobile phone technology. The components of the intervention consisted of communication with the pharmacist, tracking and uploading blood glucose readings, graphical reports, reminders, education and optimization of pharmacotherapy with maximum three telephone sessions with 6-8 weeks intervals between the pharmacist and the patient. Assessing feasibility & piloting methods by measuring intervention’s workability, service costs & acceptability from the perspective of main stakeholders by developing two semi-structured interview schedules based on the Theoretical Framework of Acceptability (TFA). Evaluation of medication adherence diabetes self-care activity prior to, & after the intervention using Diabetes Self-Care Activities Questionnaire (DSCA) - Greek version.
Preliminary findings indicate that the patients were willing to take part in a novel pharmacy led intervention for diabetes using mobile phone technology and based on principles of Motivational Interview. Identified priorities of patients regarding five domains of self-care activities (medication adherence, blood sugar testing, healthy eating, physical activity & foot are) and showed potential input from pharmacist in supporting diabetes patients. Suggestions for changes and further extrapolating of the proposed intervention in larger settings were yielded.