Advanced Research Journal of Pharmacy and Pharmacology ISSN: 1730-3494, Vol. 3(8) pp. 046-053, August, 2018. © Advanced Scholars Journals

Full Length Research paper

Impact of medication therapy management (MTM) program on the clinical outcomes and the quality of life

*Charles Monash, Douglas Curtin and Banjo Hewitt

Faculty of Pharmacy, The University of Sydney, S346, Pharmacy and Bank Building A15, NSW 2006, Australia.

Abstract

Accepted 10 July, 2018

Abstract

To evaluate the impact of a medication therapy management (MTM) program on the clinical outcomes and the quality of life (QoL) of a group of elderly patients with type 2 diabetes mellitus (DM). The study was conducted in a community pharmacy in Aracaju, Brazil, from February to November 2009. A quasi-experimental, longitudinal, prospective study was conducted by intervention. The group patients received medication therapy management from a clinical pharmacist. A sample of convenience was obtained for patients of both genders aged from 60 to 75 years. Monthly visits were scheduled over 10 months. At these consultations, sociodemographic, clinical data were obtained. QoL assessment was conducted using a generic instrument—the Medical Outcomes Studies 36-item Short Form Survey (SF-36®). In total, 34 completed the study. The mean ag e of the patients was 65.9 (4.7) years. In total, 117 DRPs were identified. Patients’ baseline and final evaluation measures for glycosylated hemoglobin, capillary blood glucose, blood pressure, and waist circumference were significantly different (p < 0.05). The domains of QoL assessed by the SF-36® also show s significant differences between patients’ baseline and final evaluation scores. The co-responsibility and active participation on the part of the elderly may have helped pharmacotherapy achieve its clinical and humanistic aims.

Key words: Medication therapy management, diabetes mellitus, elderly.