Evaluation of Patient Counselling by Pharm D Students using a validated Medication Counselling Evaluation Tool in Patients with Type 2 Diabetes Mellitus


Authors : A.S Manjula Devi; Jeeva Santhiya G; Ashlin Maria Shine; P. Jambulingam; Padhma Sv

Volume/Issue : Volume 8 - 2023, Issue 12 - December

Google Scholar : http://tinyurl.com/52tts3sj

Scribd : http://tinyurl.com/2cw3yedu

DOI : https://doi.org/10.5281/zenodo.10435213

Abstract : One of the prime learning outcomes for Pharm.D graduates is medication-related counselling expertise. Evaluation of counselling is essential to assess the effectiveness of counselling, identify areas of improvement and refining student’s counselling skills. Further, testing the evaluation tool in patients with specific disease conditions like T2DM, systemic hypertension etc., allows better analysis of the tool. The study objectives was to evaluate medication counselling abilities of Pharm.D students using a validated medication counselling evaluation tool in patients with Type 2 Diabetes Mellitus and identify the key areas of improvement. Initially, Medication Counselling Checklist (MCC), emphasizing various medication counselling points on T2DM medications was prepared. Patients with T2DM, selected for the study were counseled for their drugs prescribed during discharge. The counselling performance was evaluated using the validated tool and scores were awarded to respective students. The MCC, patient profile forms, documentation forms and graded evaluation tool for every patient counseled were collated as student’s workbook. Analysis of data was performed and key areas of improvement related to both provision of medication counselling by Pharm.D students and medication counselling evaluation tool were identified and discussed. Total of 61 patients with Type 2 DM were counselled. Out of all the patients, presence of other clinical conditions such as systemic hypertension, coronary artery disease, chronic kidney disease etc., were observed. The most common anti-diabetic medications for which counselling provided were insulin analogues, biguanides, DPP-4 inhibitors, sulfonyl ureas, and SGLT-2 inhibitors. Using the evaluation tool, all parameters were graded based on the student’s performance and total scores were summed up for each counseling session. The scores obtained in specific elements such as Introduction, Professional competence, Counselling session, Communication ability and Closure of the session were evaluated specifically. It was evident that pharmacists’ expertise in professional competence sector and possess good communication skills, while few components of counselling session requires improvement. Outcome of the study provides a visualisation of calibre of pharmacists in patient counselling. Medication counselling abilities of Pharm.D students could be further enhanced in terms of their professional competence and quality of medication counselling.

Keywords : Medication Counselling Checklist; Discharge Medication Counselling Evaluation.

One of the prime learning outcomes for Pharm.D graduates is medication-related counselling expertise. Evaluation of counselling is essential to assess the effectiveness of counselling, identify areas of improvement and refining student’s counselling skills. Further, testing the evaluation tool in patients with specific disease conditions like T2DM, systemic hypertension etc., allows better analysis of the tool. The study objectives was to evaluate medication counselling abilities of Pharm.D students using a validated medication counselling evaluation tool in patients with Type 2 Diabetes Mellitus and identify the key areas of improvement. Initially, Medication Counselling Checklist (MCC), emphasizing various medication counselling points on T2DM medications was prepared. Patients with T2DM, selected for the study were counseled for their drugs prescribed during discharge. The counselling performance was evaluated using the validated tool and scores were awarded to respective students. The MCC, patient profile forms, documentation forms and graded evaluation tool for every patient counseled were collated as student’s workbook. Analysis of data was performed and key areas of improvement related to both provision of medication counselling by Pharm.D students and medication counselling evaluation tool were identified and discussed. Total of 61 patients with Type 2 DM were counselled. Out of all the patients, presence of other clinical conditions such as systemic hypertension, coronary artery disease, chronic kidney disease etc., were observed. The most common anti-diabetic medications for which counselling provided were insulin analogues, biguanides, DPP-4 inhibitors, sulfonyl ureas, and SGLT-2 inhibitors. Using the evaluation tool, all parameters were graded based on the student’s performance and total scores were summed up for each counseling session. The scores obtained in specific elements such as Introduction, Professional competence, Counselling session, Communication ability and Closure of the session were evaluated specifically. It was evident that pharmacists’ expertise in professional competence sector and possess good communication skills, while few components of counselling session requires improvement. Outcome of the study provides a visualisation of calibre of pharmacists in patient counselling. Medication counselling abilities of Pharm.D students could be further enhanced in terms of their professional competence and quality of medication counselling.

Keywords : Medication Counselling Checklist; Discharge Medication Counselling Evaluation.

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