{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T12:28:50Z","timestamp":1784291330530,"version":"3.55.0"},"reference-count":24,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2015,5,25]],"date-time":"2015-05-25T00:00:00Z","timestamp":1432512000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Educ"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to compare medication adherence rates and type 2 diabetes mellitus (T2DM) health outcomes in a sample of underserved patients with suboptimally controlled T2DM (A1C &gt;7%) who had received pharmacist-directed medication therapy management (MTM) to those who had not received MTM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review of 100 patient records was conducted. For the MTM group, a pharmacist engaged patients in patient-centered services to optimize therapeutic outcomes. Non-MTM patients received usual care. Outcomes were A1C, medication adherence, blood pressure, lipids, and creatinine. Group comparisons on clinical outcomes were analyzed before and after matching MTM and non-MTM patients on demographic characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Before matching, the MTM group had a higher rate of medication adherence than the non-MTM group. The A1C levels were lower in the MTM group compared to the non-MTM group. Similarly, low-density lipoprotein (LDL) cholesterol was lower in the MTM group compared to the non-MTM group. After matching, medication adherence rate remained higher in the MTM group than the non-MTM group. Similarly, A1C levels remained lower in the MTM group than the non-MTM group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>There is a paucity of research focused on behavioral interventions for improving health outcomes in underserved communities. Our results advance the existing literature by demonstrating a positive association between pharmacist-directed MTM, medication adherence, and glycemic control in a sample of underserved patients with suboptimally controlled T2DM. A prospective pharmacy intervention and examination of long-term effects of MTM on medication adherence and T2DM health outcomes in this population is warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0145721715587563","type":"journal-article","created":{"date-parts":[[2015,5,25]],"date-time":"2015-05-25T21:21:06Z","timestamp":1432588866000},"page":"459-465","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":46,"title":["Assessing the Effectiveness of Pharmacist-Directed Medication Therapy Management in Improving Diabetes Outcomes in Patients With Poorly Controlled Diabetes"],"prefix":"10.1177","volume":"41","author":[{"given":"Jeannine S.","family":"Skinner","sequence":"first","affiliation":[{"name":"Meharry-Vanderbilt Alliance, Vanderbilt University Medical Center, Nashville, Tennessee (Dr Skinner, Mr Poe, Dr Boyer, Dr Wilkins)"},{"name":"Saint Thomas Family Center, West, Nashville, Tennessee (Dr Hopper)"},{"name":"Meharry Medical College, Nashville, Tennessee (Dr Wilkins)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brett","family":"Poe","sequence":"additional","affiliation":[{"name":"Meharry-Vanderbilt Alliance, Vanderbilt University Medical Center, Nashville, Tennessee (Dr Skinner, Mr Poe, Dr Boyer, Dr Wilkins)"},{"name":"Saint Thomas Family Center, West, Nashville, Tennessee (Dr Hopper)"},{"name":"Meharry Medical College, Nashville, Tennessee (Dr Wilkins)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Hopper","sequence":"additional","affiliation":[{"name":"Meharry-Vanderbilt Alliance, Vanderbilt University Medical Center, Nashville, Tennessee (Dr Skinner, Mr Poe, Dr Boyer, Dr Wilkins)"},{"name":"Saint Thomas Family Center, West, Nashville, Tennessee (Dr Hopper)"},{"name":"Meharry Medical College, Nashville, Tennessee (Dr Wilkins)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alaina","family":"Boyer","sequence":"additional","affiliation":[{"name":"Meharry-Vanderbilt Alliance, Vanderbilt University Medical Center, Nashville, Tennessee (Dr Skinner, Mr Poe, Dr Boyer, Dr Wilkins)"},{"name":"Saint Thomas Family Center, West, Nashville, Tennessee (Dr Hopper)"},{"name":"Meharry Medical College, Nashville, Tennessee (Dr Wilkins)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Consuelo H.","family":"Wilkins","sequence":"additional","affiliation":[{"name":"Meharry-Vanderbilt Alliance, Vanderbilt University Medical Center, Nashville, Tennessee (Dr Skinner, Mr Poe, Dr Boyer, Dr Wilkins)"},{"name":"Saint Thomas Family Center, West, Nashville, Tennessee (Dr Hopper)"},{"name":"Meharry Medical College, Nashville, Tennessee (Dr Wilkins)"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,5,25]]},"reference":[{"key":"bibr1-0145721715587563","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-0009.2009.00564.x"},{"key":"bibr2-0145721715587563","doi-asserted-by":"publisher","DOI":"10.1093\/epirev\/mxh002"},{"key":"bibr3-0145721715587563","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e3181e3585c"},{"key":"bibr4-0145721715587563","doi-asserted-by":"publisher","DOI":"10.1257\/aer.98.5.2242"},{"key":"bibr5-0145721715587563","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e318185c913"},{"key":"bibr6-0145721715587563","unstructured":"Center for Disease Control and Prevention\u2014national diabetes statistics report, 2014\u2014publications\u2014diabetes DDT. http:\/\/www.cdc.gov\/diabetes\/pubs\/statsreport14.htm. 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