Review Article

A Narrative Review of Diabetes Intervention Studies to Explore Diabetes Care Opportunities for Pharmacists

Table 2

RCT studies led by healthcare professionals other than pharmacists grouped together according to type of interventions.

Author, yearStudy duration (months) Country⁢Group size (usual care versus ⁢⁢intervention)Intervention strategyResults

1 Barrera et al., 2012 [69]12 USA138142Culturally adapted diabetes interventionImprovement in sources for dietary practice, problem solving, and physical activity

2 Farmer et al., 2012 [63]5UK81114Intervention on adherence, reinforcement of positive belief by nursePercentage of adherence days in intervention group was 77.4 and usual care group was 69%

3 Keogh et al., 2011 [65]6Ireland6160Motivational interviewingSignificant lower A1C Levels (0.66%), significant improvements in beliefs about diabetes, psychological well-being, diet, exercise, and family support

4 DePue et al., 2013 [59],
Sinclair et al., 2013 [62],
Spencer et al., 2011 [60]
3–12 American Samoa, Native Hawaiian, and Pacific People34–13448–134Community nurse intervention on self-management among diabetes patientsSignificant reduction in HbA1c (0.5%–1.1%), understanding of diabetes self-management, and performing diabetes self-management

5 Fischer et al., 2012 [67]20USA381381Nurses independently initiated and titrated lipid therapy and promoted behavioural change through motivational interviewing and self-management techniquesPercentage of patients achieving target LDL increased in intervention group

6 Williams et al. 2012 [71],
Quinn et al., 2011 [70]
6–12 Australia and USA60–8260–81Nutrition, blood glucose monitoring, medication taking, and lifestyle through telephoneSignificant improvement in HbA1c (0.8%–1.9%) and health related quality of life

7 Kang et al., 2010 [66]6 USA and Taiwan2828Psychological family intervention by healthcare professionals (nurse, pharmacist, physician, physiotherapist, dietitians, foot therapist, and social workers)Statistically significant improvements in HbA1c (1.35%), beliefs about diabetes, psychological well-being, diet, exercise, and family support

8 Chen et al., 2012 [64]3 Taiwan111104Motivational interview using Miller and Rollnick’s (2002) approach. Intervention based on readiness to changeImprovement in self-management, self-efficacy, quality of life, and HbA1c (0.8%)

9 Wu et al., 2011 [61]6Taiwan7372Self-management programmes by nursesThe scores for efficacy expectations, outcome expectations, and self-care activities had significantly increased in the intervention group at the 3- and 6-month follow-ups

10 Adachi et al., 2013 [41]6Japan93100Dietician in primary careIncreased intake of vegetable and reduced intake of mean energy intake and HbA1c reduction of 0.7%

11 Weinger et al., 2011 [68]12USA96 & 9294Nurse and dietician trained to use brief behavioural cognitive strategiesImprovements in reduction of HbA1c to 0.8%

12 Yang et al., 2013 [12]84 (7 years)China6870Diet, exercise, BP, cholesterol, and glycaemic by endocrinologist in hospitalReduction in macrovascular outcomes