Table 1.
Study | Country; HDI | Study Design | Intervention Duration | Setting | Intervention Type | Frequency | Pharmacist Training | Inclusion/Exclusion Criteria |
---|---|---|---|---|---|---|---|---|
Ali 2012 [26] | United-Kingdom; HDI = 0.932 |
Randomized controlled study; Randomization at the patient level |
12 months | 2 community pharmacies | Pharmaceutical care package: targeted medicine use review (compliance and counseling), comprehensive and individualized education, lifestyle modification counseling | Every month the first 2 months, then every 3 months | 8 h training program: update on diabetes management and referrals, overview of the use of diagnostic equipment | T2D, >18 y/o, oral medication (no insulin), no significant co-morbidity, HbA1C ≥ 7% |
Ayadurai 2018 [27] | Malaysia; HDI = 0.810 |
Randomized controlled study; Randomization at the patient level | 6 months | 7 primary healthcare practices (health clinics) | Simplified tool to manage T2D: medication related concerns, recommendations to the prescribers, education | Monthly | 2h online training program to use the tool | T2D, >21 y/o, on multiple medications (including for other chronic conditions) and/or have other diseases in addition to diabetes, HbA1C > 8% (or fasting blood sugar > 7.0 mmol/L or 2 h post prandial sugar level > 8.5 mmol/L) |
Correr 2011 [28] | Brazil; HDI = 0.765 |
Quasi-experimental controlled study | 12 months | 6 community pharmacies | PFU program: comprehensive and systematic medication outcome assessment, suggesting changes in the medication, education | Monthly | Training on basic concepts and procedures of pharmacotherapy follow-up, diabetes care, glucose and blood pressure measurement | T2D, >30 y/o, using either oral hypoglycemiants or insulin |
Doucette 2009 [29] | USA; HDI = 0.926 |
Randomized controlled study; Randomization at the patient level |
12 months | 7 community pharmacies | Assessment of clinical markers, review of medications and self-care behaviors, identifying drug therapy problems, recommendation of drug therapy change and education (diabetes self-care) | Quarterly | Training in diabetes management: 15 h self-study certificate program in diabetes management and live training (pathophysiology, therapeutics, self-care…) | T2D, HbA1C ≥ 7.0% |
Fajriansyah 2020 [30] | Indonesia; HDI = 0.718 |
Randomized controlled trial; Randomization at the center level | 6 months | 4 primary health care centers (Puskesmas) | Education about T2D causes and symptoms, importance of therapy, therapies available, guidelines for the treatment, purpose of controlling blood sugar levels, lifestyle | Monthly | 8 h training with experts | T2D, 18 ≤ age ≥ 65 y/o, HbA1C ≥ 6.5% |
Fornos 2006 [31] | Spain; HDI = 0.904 |
Randomized controlled trial; Randomization at the patient level | 13 months | 14 community pharmacies | PFU program: prevent, detect and solve the problems related to the drugs used, information about drug (correct use, adverse reaction, interaction), assessment of lifestyle and health education actions | Monthly | Educational program to increase knowledge about diabetes and 18h of trainingin the PFU program and in the proper use of the measuring tools | T2D, on oral antidiabetics > 2 months |
Jahangard-Rafsanjani 2014 [32} | Iran; HDI = 0.783 |
Randomized controlled trial; Randomization at the patient level |
5 months | 1 community pharmacy | Diabetes education program on diet management, physical activity, diabetes complications, discussion about medication-related problems and self-care issues | Monthly | 4 h training: pathophysiology and pharmacotherapy, 3-day workshop on diabetes education | T2D, oral hypoglycemic medications, HbA1C > 7% within the preceding month |
Javaid 2019 [33] | Pakistan; HDI = 0.557 |
Randomized controlled trial; Randomization at the patient level |
9 months | 1 primary care clinic | Comprehensive pharmaceutical care plan: assessment for drug related problems, suggestions for therapy changes, verbal and readable education (insulin administration, medication adherence, treatment goals, self-care, dietary, lifestyle, monitoring of blood glucose, footcare and hygiene...) | Quarterly | NA | T2D, >18 y/o, HbA1c > 8%, |
Krass 2007 [34] | Australia; HDI = 0.944 |
Randomized controlled trial; Randomization at the pharmacy level | 6 months | 56 community pharmacies | Review of self-monitoring of blood glucose, disease, medication, self-management and lifestyle education (physical activity, weight loss), adherence support, medication review and detection of drug-related problems | Monthly | Diabetes education manual for self-directed learning and a 2-day workshop (pharmacotherapy, dietary management, role-playing exercises, training on the use of measuring tools) | T2D with:
|
Mehuys 2011 [35] | Belgium; HDI = 0.931 |
Randomized controlled trial; Randomization at the pharmacy level | 6 months | 66 community pharmacies | Education on diabetes and its complications, about the correct use of oral hypoglycemic agents, facilitation of medication adherence, healthy lifestyle education, reminders about annual eye and foot examinations | At each prescription-refill visit | Training session on the pathophysiology of diabetes and its non-pharmacological and pharmacological management | T2D, 45 ≤ age ≥ 75, BMI ≥ 25 kg/m2, treatment with oral hypoglycemic medication for ≥ 12 months |
Michiels 2019 [36] | France; HDI = 0.901 |
Randomized controlled trial; Randomization at the pharmacy level | 6 months | 174 community pharmacies | Structured and tailored information on diabetes diet, medication management and diabetes complications | 3 interviews | Information on the study by phone, face to face training and a guide explaining how to perform the interviews | T2D, HbA1c level > 7%, with ≤3 different oral antidiabetic drugs |
Mourao 2013 [37] | Brazil; HDI = 0.765 |
Randomized controlled trial; Randomization at the patient level |
6 months | 6 primary health care units | Care plan including pharmacotherapy changes if necessary and education about non-pharmacological issues (aetiology, pathophysiology, complications, treatment goals, lifestyle) and pharmacological treatments (proper dosage, side-effects, drug storage) | Monthly | Training in pharmaceutical care and diabetes management | T2D, ≥18 y/o, with post-prandial capillary glucose ≥180 mg/dL and HbA1c ≥ 7 %, under ≥1 oral antidiabetic medications for ≥6 months |
Abbreviations: HDI = Human Development Index; h = hour; T2D = type 2 diabetes mellitus; y/o = years old; HbA1c = glycated hemoglobin; PFU = Pharmacotherapy follow-up; NA = not available.