Effects of Drug Counseling via Telepharmacy on Medication Adherence among Patients with Stroke in Langu Hospital, Satun
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Abstract
Objective: To study the effects of remote counseling via telepharmacy on medication adherence in stroke patients at Langu hospital, Satun province. Methods: This randomized controlled study conducted between March 2024 and March 2025. The subjects were 80 patients at Langu hospital. Block randomization was used to assign the subjects into experimental group (N=40) and control group (N=40). Both groups received regular pharmaceutical care and telepharmacy service via the Line application to follow-up patients’ symptoms. The experimental group received Line notifications for appointment reminders, messages to emphasize correct medication intake, and the importance of picking up medication on scheduled days. The experimental group received intervention at one and two months after the start of the study. Primary outcome in the study was medication adherence as measured by interviewing patients using the Medication Adherence Scale for Thais (MAST) at three times i.e., the start of the study (month 0), after the first telepharmacy intervention (month 3), and after the second intervention (month 6). Readmission within six months because of stroke recurrence was assessed by examining medical records during six months following the last hospital discharge. Results: Patients in the intervention group had a statistically significant incremental increase in their average medication adherence scores from the pre-study baseline scores compared to that of the control group (P < 0.001). At months 3 and 6, the scores in the experimental group increased compared to the baseline by 13.8 points (95% CI = 11.2-16.4) and 16.47 points (95% CI: 13.9 - 19.1), respectively. Conclusion: Telepharmacy intervention with remote counseling had a statistically significant positive impact on medication adherence over a 6-month period.
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ผลการวิจัยและความคิดเห็นที่ปรากฏในบทความถือเป็นความคิดเห็นและอยู่ในความรับผิดชอบของผู้นิพนธ์ มิใช่ความเห็นหรือความรับผิดชอบของกองบรรณาธิการ หรือคณะเภสัชศาสตร์ มหาวิทยาลัยสงขลานครินทร์ ทั้งนี้ไม่รวมความผิดพลาดอันเกิดจากการพิมพ์ บทความที่ได้รับการเผยแพร่โดยวารสารเภสัชกรรมไทยถือเป็นสิทธิ์ของวารสารฯ
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