Impact of pharmaceutical care on mental well-being and perceived health among community-dwelling individuals with type 2 diabetes.

Abstract

Mental well-being among community-dwelling individuals with type 2 diabetes has not been well established. The primary objective was to evaluate the change in the mental well-being of individuals with diabetes. The secondary objective was to evaluate the association between changes in mental well-being and perceived health over 6months, and any interacting factors in this association. This was a prospective, multicenter study. Community-dwelling individuals aged ≥ 21years with type 2 diabetes were invited to meet with community pharmacists monthly for 6months. Individuals who were unable to converse independently were excluded. A 12-item General Health Questionnaire(GHQ), measuring mental well-being was administered at baseline, and after 3 and 6months. Perception of health was measured using the visual analog scale (VAS) of the EuroQoL 5-Dimension tool. Linear mixed model was used to analyze the change in mean GHQ and VAS scores. Association between the changes in GHQ and VAS scores was determined, and moderation analysis was conducted to elucidate the interacting variables of this association. Ninety-six individuals (82.4%) were included for analysis. The mean age was 60.3years with a baseline mean HbA1c of 7.6%. A mean GHQ score reduction of 1.36 (p = 0.022) was observed. This reduction of mean GHQ score was associated with the change in mean VAS score. Having a duration of diabetes diagnosis of < 3.2years was identified as moderator of this association. Effective integrated pharmaceutical care with individualized counseling on lifestyle management appeared to improve the mental health of community-dwelling individuals with diabetes on top of glycemic control.