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AuthorParbati, Thapa
AuthorKC, Bhuvan
AuthorGyawali, Sudesh
AuthorLeong, Siew Lian
AuthorMohamed Ibrahim, Mohamed Izham
AuthorLee, Shaun Wen Huey
Available date2024-04-30T06:59:10Z
Publication Date2023-11-04
Publication NameResearch in Social and Administrative Pharmacy
Identifierhttp://dx.doi.org/10.1016/j.sapharm.2023.10.012
CitationThapa, P., Bhuvan, K. C., Gyawali, S., Leong, S. L., Ibrahim, M. I. M., & Lee, S. W. H. (2024). Effectiveness of community pharmacist-led interventions in osteoarthritis pain management: A cluster-randomized trial. Research in Social and Administrative Pharmacy, 20(2), 149-156.
ISSN1551-7411
URIhttps://www.sciencedirect.com/science/article/pii/S1551741123004643
URIhttp://hdl.handle.net/10576/54499
AbstractBackgroundCommunity pharmacists contribute in osteoarthritis management via evidence-based pain management services. However, their roles and impacts on osteoarthritis management in low- and middle-income countries have yet to be explored. ObjectiveThis study aims to evaluate the effectiveness of community pharmacist-led educational intervention and medication review among osteoarthritis patients. MethodsA 6-month cluster-randomized controlled study was conducted in 22 community pharmacies of Nepal. Patients clinically diagnosed with osteoarthritis, aged 18 years and above, with a poor knowledge level of osteoarthritis and pain management were enrolled in the study. The intervention groups were educated on osteoarthritis and pain management, and had their medications reviewed while control group received usual care. Primary outcomes evaluated for the study were the change in pain levels, knowledge, and physical functional scores at 3 and 6 months. Repeated analyses of covariance were performed to examine the outcomes. ResultsA total of 158 participants were recruited for the study. The intervention group reported improvements in pain score (mean difference 0.473, 95 % CI 0.047 to 0.900) at 3 months and the end of the study (mean difference 0.469, 95 % CI 0.047 to 0.891) as compared to control. Similarly, improvement in knowledge scores were observed in the intervention group at 3 months (mean difference 5.320, 95 % CI 4.982 to 5.658) and 6 months (mean difference 5.411, 95 % CI 5.086 to 5.735). No differences were observed in other outcomes, including physical functional score, depression, and quality of life. ConclusionCommunity pharmacist-led intervention improved patients’ knowledge of osteoarthritis and pain management. While pain scores improved, physical functional score, depression, and quality of life score remained unchanged. Trial registrationClinicalTrials.gov identifier: NCT05337709.
Languageen
PublisherElsevier
SubjectEducation
Medication review
Nepal
Osteoarthritis
Pharmacist
TitleEffectiveness of community pharmacist-led interventions in osteoarthritis pain management: A cluster-randomized trial
TypeArticle
Issue Number2
Volume Number20
Open Access user License http://creativecommons.org/licenses/by/4.0/
ESSN1934-8150
dc.accessType Full Text


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