• Allah Bukhsh, Xuan Ying Tan, Kok Gan Chan, Learn-Han Lee, Bey-Hing Goh, and Tahir Mehmood Khan.
• School of Pharmacy, Monash University Malaysia, Selangor 47500, Malaysia, abukhsh@uvas.edu.pk.
• Patient Prefer Adher. 2018 Jan 1; 12: 2457-2474.

BackgroundEffectiveness of pharmacist-led educational interventions on self-care activities and glycemic control of type 2 diabetes mellitus (T2DM) patients is vague. The purpose of this review is to appraise the effect of pharmacist-led educational interventions on self-care activities and levels of glycated hemoglobin of T2DM patients.MethodsFive electronic databases were searched from date of database inception to September 2017. Randomized clinical trials examining the effectiveness of pharmacist-led educational interventions, directed at T2DM patients only, were included for systematic review and meta-analysis. The protocol is available with PROSPERO (CRD42017078854).ResultsEleven studies, involving n=1,544 T2DM patients, were included in this systematic review. Meta-analysis demonstrated that pharmacist-led interventions had a significant effect on lowering of the levels of glycated hemoglobin (-0.66; 95% CI [-0.83, -0.50]; I 2=58.3%; P=0.008), in comparison to usual care. Self-care activities were assessed by using Summary of Diabetes Self-care Activities tool in eight studies. Overall meta-analysis of self-care activities for included studies demonstrated a significant effect of pharmacist-led interventions on improvement of self-monitoring of blood glucose (1.62; 95% CI [0.92, 2.32]; I 2=70.5%; P=0.005), foot care (1.20; 95% CI [0.49, 1.90]; I 2=95.0%; P<0.001), and overall diet (1.16; 95% CI [0.38, 1.93]; I 2=64.2%; P=0.094).ConclusionThe findings of this review demonstrate a significantly positive effect of pharmacist-led educational interventions on HbA1c levels and self-care practices among T2DM patients.

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