The impact of a comprehensive clinical pharmacist counseling intervention program on patients with chronic illness in India: a quasi-experimental study

Mehul Soni; Bhoomi Soni; Narendra B. Parihar; Mahendra S. Rathore; Medha Mathur

doi:10.18203/2320-6012.ijrms20262637

Authors

Mehul Soni Department of Pharmacy Practice, Geetanjali Institute of Pharmacy, Geetanjali University, Udaipur, Rajasthan, India https://orcid.org/0009-0005-5775-1897
Bhoomi Soni Department of Pharmacy Practice, Geetanjali Institute of Pharmacy, Geetanjali University, Udaipur, Rajasthan, India https://orcid.org/0009-0004-5514-6653
Narendra B. Parihar Department of Pharmacy Practice, Geetanjali Institute of Pharmacy, Geetanjali University, Udaipur, Rajasthan, India https://orcid.org/0000-0002-1801-0851
Mahendra S. Rathore Department of Pharmacy Practice, Geetanjali Institute of Pharmacy, Geetanjali University, Udaipur, Rajasthan, India https://orcid.org/0000-0003-1842-9094
Medha Mathur Department of Community Medicine, Geetanjali Institute of Pharmacy, Geetanjali University, Udaipur, Rajasthan, India https://orcid.org/0000-0001-9539-5890

DOI:

https://doi.org/10.18203/2320-6012.ijrms20262637

Keywords:

Chronic disease, Clinical pharmacist, Counseling intervention, Pharmacist-led program, Patient education, Medication adherence, KAP

Abstract

Background: Chronic conditions such as cardiovascular disorders, diabetes mellitus, respiratory disorders, and cancer continue to be predominant cause to morbidity and mortality globally. Suboptimal adherence to prescribed medication represents a critical obstacle to achieve optimal therapeutic outcomes and effective disease management. Objective of the study was to assess the effect of a comprehensive clinical pharmacist counseling intervention program (CPCIP) on medication adherence, knowledge, attitudes, practices (KAP), and patient satisfaction among individuals with chronic illnesses in a tertiary care hospital in India.

Methods: The quasi-experimental study was conducted with pre and post interventions among patients with chronic diseases at a tertiary care hospital. Clinical pharmacists delivered systematic counseling regarding medication adherence, lifestyle modifications, and disease management strategies. Along with that, the Morisky medication adherence scale (MMAS-8), a validated KAP scale, and satisfaction questionnaires were used before and after the ‍‌‍‍‌‍‌‍‍‌intervention.

Results: This study evaluated the CPCIP intervention improved adherence and KAP scores with patient satisfaction, the mean MMAS-8 score significantly increased post intervention from 3.05±1.10 to 5.55±0.95 (p<0.001). The three domains KAP also demonstrated an improvement while patients reported satisfaction level 8.62±0.84 out of 10 scale. There were positive correlations were found among satisfaction, adherence scores, and KAP improvements.

Conclusions: The CPCIP effectively enhanced adherence, patient understanding, and satisfaction. Integrating pharmacist-led counseling within routine healthcare services can supports effective chronic disease management, reduce complications, and healthcare burden while improving overall healthcare outcomes in patients with chronic illness in India.

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