Patient Preference and Adherence (Aug 2020)
Effectiveness of a Patient-Centered Weight Management Model in a Community Pharmacy: An Interventional Study
Abstract
Jesús Gómez-Martinez,1 Elsa López-Pintor,2 Blanca Lumbreras3 1Pharmacy Jesús C. Gómez Martínez, Barcelona 08041, Spain; 2Department of Engineering, Area of Pharmacy and Pharmaceutical Technologies, Miguel Hernández University, Alicante 03550, Spain; 3Department of Public Health, History of Science and Gynecology, Miguel Hernández University, CIBER in Epidemiology and Public Health, Alicante 03550, SpainCorrespondence: Blanca LumbrerasDepartment of Public Health, History of Science and Gynecology, Miguel Hernández University, CIBER in Epidemiology and Public Health, Road Alicante-Valencia km 81, Sant Joan d’Alacant, Alicante 03550, SpainTel +34 965919510Email [email protected]: The aim of this study was to evaluate the provision of a professional pharmaceutical patient-centered model in a weight management program and optimization of the medication in a Spanish community pharmacy.Patients and Methods: This was a single-group intervention study with a mean follow-up period of 8.2 months (sd 2.3). Patients ≥ 18 years old seeking to lose weight or improve eating habits were recruited. On the first visit, the pharmacist collected patients’ sociodemographic and anthropometric variables, dietary history and lifestyle habits, biochemical measurements and other clinical and therapeutic data. The intervention was based on the Spanish Society of Community Pharmacy recommendations for diet and exercise and for pharmacotherapy management. The follow-up included a two-month visit and a final visit.Results: A total of 330 patients were included (80% women; mean age 51.3 years old (sd 15.3)). A statistically significant reduction in anthropometric measurements (weight, BMI, and waist circumference) and a statistically significant increase in the number of patients with normal cholesterol and LDL-cholesterol (p< 0.001) were observed at two-month visit compared with first visit (p< 0.001). The number of patients with normal triglyceride levels at final visit compared with first visit also increased significantly (p=0.04). A total of 186 (56.4%) patients had drug-related problems at first visit and 31 (9.4%) patients at two-month visit.Conclusion: The implementation of a patient-centered weight management model had a positive impact on the improvement of anthropometric, clinical and therapeutic parameters.Keywords: community pharmacy services, weight management, medication review, drug-related problem, patient-centered program
