(1008) Impact of a Medication Adherence Barriers Survey on Health Outcomes in Patients Participating in a Pharmacist Led Diabetes Management Program

Objectives: EMPLOYEES OF A SELF-INSURED MANUFACTURER AND THEIR DEPENDENTS RECEIVE HEALTHCARE SERVICES AT A FAMILY MEDICAL CENTER AND PHARMACY IN THE SOUTHEAST UNITED STATES, INCLUDING ANNUAL PHYSICALS, PRIMARY CARE VISITS, PRESCRIPTION MEDICATIONS, LAB WORK, AND IMMUNIZATIONS. THE MEDICAL CENTER OFFERS A PHARMACIST-LED DIABETES MANAGEMENT PROGRAM IN WHICH PATIENTS HAVE REGULAR INTERACTIONS WITH HEALTHCARE PROVIDERS, INCLUDING PHARMACISTS, AND WAIVED COPAYS. DESPITE THESE INCREASED INTERACTIONS AND COST-SAVINGS, MANY PATIENTS ARE STILL NOT ADHERENT TO THEIR DIABETES MEDICATIONS. IN A PREVIOUSLY PRESENTED STUDY, PHARMACISTS ASSESSED BARRIERS TO MEDICATION ADHERENCE AS PART OF THE DIABETES MANAGEMENT PROGRAM. THE OBJECTIVE OF THIS STUDY IS to analyze the impact of THIS SURVEY on health outcomes, INCLUDING MEDICATION ADHERENCE, in patients ENROLLED IN THE diabetes management program.

Methods: This IS A CROSS-SECTIONAL STUDY including adult participants, WITH DIABETES, ENROLLED in the ESTABLISHED pharmacist-led diabetes management program, who had a DIABETES non-insulin Proportion of Days Covered (PDC) value defined as non-adherent (less than 80%). PER THE CLINIC'S USUAL DIABETES MANAGEMENT PROTOCOL, patients ARE SEEN EVERY ONE TO THREE MONTHS AND receive 1 hour of pharmacist-led health coaching per visit, with a focus on the 6 lifestyle pillars of medicine: nutrition, physical activity, stress management, healthy relationships, sleep, and avoidance of risky substances. AS PART OF THE PREVIOUS STUDY, PATIENTS WERE VERBALLY ASKED TO COMPLETE A 12 QUESTION SURVEY ASSESSING MEDICATION ADHERENCE BARRIERS DURING THEIR SCHEDULED VISIT, WITHIN THE INTERVENTION PERIOD (MARCH 2023-MAY 2023). THE RESULTS OF THIS SURVEY HAVE BEEN PRESENTED PREVIOUSLY. AS PART OF THIS CURRENT STUDY, patient HEALTH OUTCOMES (BLOOD PRESSURE, A1C, HEIGHT, WEIGHT, AND BMI) AND DIABETES non-insulin PDC values WILL BE RETROSPECTIVELY evaluated at TWO different snapshots, UTILIZING PATIENT DATA COLLECTED AT THE PATIENT VISITS before and after completion of the medication adherence barriers survey. A PAIRED STUDENT T-TEST WILL BE USED TO ANALYZE THE DATA.

Results: In progress

Conclusions: ADHERENCE IS A COMPLEX ISSUE CAUSED BY A VARIETY OF FACTORS, INCLUDING THOSE RELATED TO THE MEDICATION, MEDICAL CONDITION, HEALTH CARE SYSTEM, AND PATIENT BEHAVIOR. THIS STUDY WILL HELP DETERMINE IF UTILIZING A BRIEF TOOL, SUCH AS A SURVEY TO ASSESS ADHERENCE BARRIERS, can have A POSITIVE IMPACT on health outcomes AS WELL AS PDC.