Author(s): Sally Omar Tawfik Abbas Ebeid, Dixon Thomas, Rajaram Jagdale, Aji Gopakumar, Danial Baker

Email(s): dr.dixon@gmu.ac.ae , dixon.thomas@gmail.com

DOI: 10.52711/0974-360X.2023.00717   

Address: Sally Omar Tawfik Abbas Ebeid1, Dixon Thomas1, Rajaram Jagdale2, Aji Gopakumar3, Danial Baker4
1College of Pharmacy, Gulf Medical University, Ajman, UAE.
2Department of Nephrology, Thumbay University Hospital, Ajman, UAE.
3Data and Statistics/Healthcare/ EHS, Dubai, UAE.
4College of Pharmacy and Pharmaceutical Sciences, Washington State University, Spokane, USA.
*Corresponding Author

Published In:   Volume - 16,      Issue - 9,     Year - 2023


ABSTRACT:
Objectives: The study objective was to assess the impact of pharmacists’ counseling on treatment adherence of patients undergoing maintenance hemodialysis. Methods: This was a quasi-experimental interventional study with four months of follow-up. An indirect method was used to assess adherence and self-report from patients. A modified and validated version of the Greek simplified Medication Adherence questionnaire for hemodialysis patients was used. Patient counseling by the pharmacist was described as a semi-structured approach. A comparison of the scores in each month was performed using Repeated-measures ANOVA. Friedman's test, Wilcoxon signed-rank test, Cochran's Q test, McNemar test. Results: A significant improvement in % of medication adherence over the months (p<0.001, by Cochran’s Q test). There was a significant improvement in fluid adherence in every pair of months, except for months 1 to 2 (by Repeated-measures ANOVA tests). The mean rank shows diet adherence was improved from months 1, months 2, 3, and 4 (Friedman’s test, p<=0.001). The pairwise comparison shows that diet adherence was found to be statistically significant between months 1 and 2, 3, and 4 (P<0.05). All the other pairwise comparison shows no difference. Repeated measure ANOVA shows mean of the weight gain is reduced from months 1 to 2, 3, and 4(p <0.001). Conclusion: The patients improved in treatment adherence in four months. Pharmacists' counseling, along with the services of other healthcare professionals, positively affected patient adherence. Therefore, we recommend that pharmacy counseling services be added to the services available to hemodialysis patients.


Cite this article:
Sally Omar Tawfik Abbas Ebeid, Dixon Thomas, Rajaram Jagdale, Aji Gopakumar, Danial Baker. Impact of Pharmacist Counseling on Treatment Adherence Outcomes of patients undergoing Maintenance Hemodialysis. Research Journal of Pharmacy and Technology 2023; 16(9):4384-0. doi: 10.52711/0974-360X.2023.00717

Cite(Electronic):
Sally Omar Tawfik Abbas Ebeid, Dixon Thomas, Rajaram Jagdale, Aji Gopakumar, Danial Baker. Impact of Pharmacist Counseling on Treatment Adherence Outcomes of patients undergoing Maintenance Hemodialysis. Research Journal of Pharmacy and Technology 2023; 16(9):4384-0. doi: 10.52711/0974-360X.2023.00717   Available on: https://www.rjptonline.org/AbstractView.aspx?PID=2023-16-9-61


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