Diabetes Research and Clinical Practice - Volume 120 - Supplement 1 - October 2016

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PF-23
The validation of the community pharmacists ’ motivation to
lifestyle support for diabetics: the effect of “3 star pharmacists
training program ”
Hiroshi OKADA 1*, Yasushi NAKAGAWA2, Naoki SAKANE1.
1 Department of Preventive Medicine, Clinical Research Institute for
Endocrine and Metabolic Disease, National Hospital Organization
Kyoto Medical Center, 2 Polon Company, Japan
Background: Type 2 diabetes mellitus (T2DM) is rapidly
becoming one of the major health issues of the 21st century.
Approximately 7.2 million people have diabetes in Japan.
Though most of Japanese T2DM patients who is cared by
primary care settings, the shortage of medical resources has
become a serious problem. Pharmacists are well placed to
develop an expanded role in diabetes care. The community
pharmacy offers an excellent opportunity for patients to
access education and support. So we started COMPASS
project which is a randomized controlled trial (RCT) for
T2DM patients in community pharmacies in Japan.
“ 3 star pharmacist training program”
It was made originally for intervention study: COMPASS
project. This study was to evaluate of the community
pharmacists ’ support for T2DM to HbA1c. Community phar-
macists in this study were trained in motivational interview-
ing and coaching skills within 3 minutes in this program.
After finishing COMPASS study, we named the program “3 Star
Pharmacist program ” and made it available to community
pharmacists in some city of Japan, Tokyo, Osaka and Fukuoka.
This program was structured 3 steps (3 days, 8 hours) and it
practiced for 3 months 3 times.
Objective: To evaluate the effect of “3 Star Pharmacist training
program ” which trained for community pharmacists every 3
months a day.
Methods: To evaluate the effect of “3 Star Pharmacist training
program ” which trained for community pharmacists every 3
months a day, web survey was carried out in December 2015
for 87 trained and certified pharmacists who attended the
program in 2014. Baseline data was collected by the same
questionnaire before training on paper. This describes the
result of the questionnaire which include knowledge, confi-
dence and job satisfaction of the before and after baseline data
over 1 year.
Results: Total 65 community pharmacist reply the web
questionnaire for a month (response rate 75%). The score of
Diabetes education knowledge (out of 20) was significantly
difference 14.6(2.1) to 17.1(1.5) and the score of Diabetes
education confidence (out of 6) was also significantly
improve 3.5(0.8) to 4.1(0.8) and maintain for 1 year.
Conclusions: We have launched a new training program for
community pharmacists named “3 Star Pharmacist Training
Program ” based on RCT. This program is expected to contribute
to the improvement of patients ’ QOL in real world settings.
PF-24
The relationship between quality of life and health beliefs in
diabetes patients
Pei-Shan LEE1, Yu-Cheng LEE1, Yi-Fang HSIEH2, Yi-Sun YANG3*
. 1Department of Technology Management), Chung-Hua University,
2 Department of Food & Beverage Management, Taipei College of
Maritime of Technology, 3Department of Endocrinology and
Metabolism, Chung-Shan Medical University Hospital, Taiwan
Background: The purpose of this study was to explore the
relationship of quality of life and health belief among diabetic
patients.
Methods: The cross-sectional study was conducted on diabetic
patients referred to health service center in Taichung city,
Taiwan. The data was collected by a questionnaire including
Diabetes 39 (D-39) Instrument Evaluation and health-care
belief questionnaire and demographic variables. The Diabetes
39 (D-39) Instrument Evaluation, containing five dimensions:
energy and mobility (15 items), diabetes control (12), anxiety
and worry (4) social overload (5) and sexual behavior (3), was
used. Health Belief Questionnaire (18 items), contains dimen-
sions of perceived benefits, barriers, severity, and disease
susceptibility.
Results: The range of their ages was 26–75 with mean 55.2
(SD = 10.66) years. Fifty-Three participants were enrolled.
About 13.2% are aged 51 or more, 38.5% are between 36– 50
years, and 50.9% are between 18– 35 years. About 43.3% of them
were married. The education level of about 58.5% of partici-
pants had a university degree. Fifty-three participants were
enrolled. About 13.2% are aged 51 or more, 38.5% are between
36–50 years, and 50.9% are between 18–35 years. About 43.3% of
them were married. The education level of about 58.5% of
participants had a university degree. The dimension of disease
awareness in Health Belief has the highest agree, especially
in the item of “worry about their diabetes complications,
include heart disease, nephropathy and retinopathy”. The
dimension of anxiety and worry in Quality of Life demonstrate
the highest agree, especially in the item of worry about quality
of life after diagnosis of diabetes. There was a correlation
between barriers in activity and “vitality and motility”,
“diabetes control”, and “anxiety and worry” . Duration of
diabetes was correlated with “perceived benefits” dimension
of Health Belief. Treatment modality was correlated with the
“anxiety and worry” dimension in Quality of Life, in particular,
the insulin pump users has the highest score.
Conclusion: Overall, Health Belief was correlatedwithDiabetes
quality of life, duration and treatment modality may affect
health belief and quality of life.
Diabetes Education: Focus on Minds
PG-01
The effect on condition control among type 2 diabetic patients
using diabetes conversation map tools
Hsiao-Yin SU1*, Shu-Chuan CHEN1, Jung-Fu CHEN1,
Ming-Chun KUO1. 1Department of Metabolism, Kaohsiung Chang
Gung Memorial Hospital, Chang Gung Medical Foundation, Taiwan
To probe the patients’ glycated hemoglobin levels and weight
change after their participation in a small group health
education session that introduced “diabetes conversation
map tools” to them. The sampling object is type 2 diabetic
patients who regularly received medical attention at a certain
medical center in southern Taiwan and were on medication
but still with a glycated hemoglobin level of over 7%. Among
them, 29 were willing to take part in this conversation map
group health education session, which took place between
March 19th and August 18th, 2015. The differences in the
patients’ glycated hemoglobin levels andweight change before
and after the session were analyzed by paired sample T test.
The result shows that the improvement in glycated hemoglo-
bin level of those who attended the session is statistically
significant (8.3 ± 1.3 vs 7.5 ± 0.9, p < 0.01), while their weight
change is statistically insignificant (67 ± 15.8 vs 66.5 ± 15.8,
p = 0.112). After the session, the improvement in percentage of
patients achieving the exercise goal of ≧150 minutes per week
(34.5% to 62.1%) and of self-monitoring of glucose ≧twice per
week (51.7% to 72.4%) has shown that the effect of patients’
self-care action has improved. That is to say, diabetes
conversation map tools can help diabetic patients with their
self-management, and their blood glucose control as well as
quality of life can be improved accordingly.
Poster Presentations / Diabetes Research and Clinical Practice 120S1 (2016) S65–S211 S159