Articles

Evaluation of Clinical Pharmacist Led Guidance on Treatment Outcomes, Treatment Adherence & Quality of Life Among T2DM Patients Attending Endocrinology Out Patient Department in a Tertiary Care Hospital

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Clinical pharmacist‐led guidance was evaluated in a 6‑month prospective observational study of 90 T2DM patients at a tertiary care hospital. Participants were distributed into test (Group A; n = 45) and control (Group B; n = 45) groups. Group A received structured clinical pharmacist counselling on medication regimens, adherence, lifestyle modifications, and ADR monitoring, whereas Group B received standard care. Outcomes measured at baseline and 2 months included glycaemic profiles, lipid profile, medication adherence (MARS‑10), and quality of life (WHOQOL‑BREF). Group A exhibited significant improvements in FBS, PPBS, medication adherence, and quality of life physical and psychological domains. HbA1c and lipid profile showed favourable but non‑significant trends. No major ADRs were reported. These findings support integration of pharmacist‑led guidance and care in chronic disease management.

Factors Affecting Medication Adherence among Elderly People with Chronic Illness in Surigao City

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A descriptive quantitative study in Surigao City, Philippines, investigated the factors affecting medication adherence in elderly individuals with chronic illnesses. The study involved 50 geriatric respondents to whom the researcher-made questionnaires adapted from the Morisky Medication Adherence Scale (MMAS-8) were administered. Most respondents exhibited a predominantly very high adherence level to their medication regimen, indicating overall satisfactory adherence. Various demographic factors such as age, gender, education, occupation, marital status, income, and clinical diagnosis did not significantly associate with adherence. Exploratory factor analysis identified four key factors affecting medication adherence namely: effectiveness of the medicine, desire to be treated, physician’s good prescription, and influence of positive observations. The study recommends that healthcare providers should implement a continuous monitoring and evaluation process, facilitating adjustments and refinements based on evolving circumstances among the elderly population. Healthcare systems and policymakers should explore strategies to make medications more affordable and accessible, particularly for those with limited financial resources. Future research should delve deeper into each factor to gain a comprehensive understanding of medication adherence.