Optimising community pharmacy intervention in managing sleep disorders: extended roles of community pharmacists

Community Pharmacists are in a position to provide advice and services of sleep-related disorders to the community. Interventions that measure sleep/wake objectively can assist pharmacist in consultation. This feasibility study was conducted to evaluate: (1) the effectiveness of a ‘community-pharmac...

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Main Authors: Mohamad Noor, Zaswiza, Smith, Alesha J., Smith, Simon S., Nissen, Lisa M.
Format: Article
Language:English
Published: Malaysian Pharmaceutical Society 2015
Subjects:
Online Access:http://irep.iium.edu.my/45989/
http://irep.iium.edu.my/45989/2/images-2.pdf
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author Mohamad Noor, Zaswiza
Smith, Alesha J.
Smith, Simon S.
Nissen, Lisa M.
author_facet Mohamad Noor, Zaswiza
Smith, Alesha J.
Smith, Simon S.
Nissen, Lisa M.
author_sort Mohamad Noor, Zaswiza
building IIUM Repository
collection Online Access
description Community Pharmacists are in a position to provide advice and services of sleep-related disorders to the community. Interventions that measure sleep/wake objectively can assist pharmacist in consultation. This feasibility study was conducted to evaluate: (1) the effectiveness of a ‘community-pharmacy-based’ intervention, (2) the role of actigraph and (3) the extended role of community pharmacist, in managing sleep disorders. Customers with sleeping disorders were recruited based on convenience sampling. The intervention-care-group (ICG) (n=20) received an ‘intervention-package’ including: a wrist-worn actigraph (to measure sleep/wake patterns for 2-weeks), a sleep-diary and two consultations. Actigraphy sleep-parameters (sleep efficiency%, SE%; total-sleep-time, TST; sleep-onset-latency, SOL) were downloaded at week-1 (pre) and week-2 (post) for consultation used. The usual-care-group (UCG) (n=21) received ‘standard-care’ for sleeping disorders. Both groups completed sleep-scale scores (Epworth Sleepiness Scale, ESS; Insomnia Severity Index, ISI) at baseline (pre) and the end-of-study (post). All subjects answered Likert-type-scale questionnaires to determine their understanding of sleep disorders after week-2. Findings showed significant differences (p<0.05) when comparing pre- and post-ISI mean scores in ICG and post-ISI mean scores between ICG and UCG. For SE%, an increase of subjects rated as ‘good sleepers’ at post–assessment in ICG was observed. Actigraphy sleep-parameters mean scores showed agreement with the sleep-diary. ICG showed 35% of subjects agreed to have improve understanding of sleep disorders after consulting the pharmacist, compared to UCG (4.8%). ISI scores offer insights into development of a community-pharmacy-based intervention, particularly in individuals with insomnia symptoms. It also demonstrated that actigraph could provide objective sleep/wake data to assist community pharmacists during consultations on sleep health.
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spelling iium-459892016-05-24T01:58:31Z http://irep.iium.edu.my/45989/ Optimising community pharmacy intervention in managing sleep disorders: extended roles of community pharmacists Mohamad Noor, Zaswiza Smith, Alesha J. Smith, Simon S. Nissen, Lisa M. RS Pharmacy and materia medica Community Pharmacists are in a position to provide advice and services of sleep-related disorders to the community. Interventions that measure sleep/wake objectively can assist pharmacist in consultation. This feasibility study was conducted to evaluate: (1) the effectiveness of a ‘community-pharmacy-based’ intervention, (2) the role of actigraph and (3) the extended role of community pharmacist, in managing sleep disorders. Customers with sleeping disorders were recruited based on convenience sampling. The intervention-care-group (ICG) (n=20) received an ‘intervention-package’ including: a wrist-worn actigraph (to measure sleep/wake patterns for 2-weeks), a sleep-diary and two consultations. Actigraphy sleep-parameters (sleep efficiency%, SE%; total-sleep-time, TST; sleep-onset-latency, SOL) were downloaded at week-1 (pre) and week-2 (post) for consultation used. The usual-care-group (UCG) (n=21) received ‘standard-care’ for sleeping disorders. Both groups completed sleep-scale scores (Epworth Sleepiness Scale, ESS; Insomnia Severity Index, ISI) at baseline (pre) and the end-of-study (post). All subjects answered Likert-type-scale questionnaires to determine their understanding of sleep disorders after week-2. Findings showed significant differences (p<0.05) when comparing pre- and post-ISI mean scores in ICG and post-ISI mean scores between ICG and UCG. For SE%, an increase of subjects rated as ‘good sleepers’ at post–assessment in ICG was observed. Actigraphy sleep-parameters mean scores showed agreement with the sleep-diary. ICG showed 35% of subjects agreed to have improve understanding of sleep disorders after consulting the pharmacist, compared to UCG (4.8%). ISI scores offer insights into development of a community-pharmacy-based intervention, particularly in individuals with insomnia symptoms. It also demonstrated that actigraph could provide objective sleep/wake data to assist community pharmacists during consultations on sleep health. Malaysian Pharmaceutical Society 2015-11-14 Article PeerReviewed application/pdf en http://irep.iium.edu.my/45989/2/images-2.pdf Mohamad Noor, Zaswiza and Smith, Alesha J. and Smith, Simon S. and Nissen, Lisa M. (2015) Optimising community pharmacy intervention in managing sleep disorders: extended roles of community pharmacists. Malaysian Journal of Pharmacy, 2 (1). p. 63. ISSN 1675-3666 http://www.mps.org.my/index.cfm?&menuid=146
spellingShingle RS Pharmacy and materia medica
Mohamad Noor, Zaswiza
Smith, Alesha J.
Smith, Simon S.
Nissen, Lisa M.
Optimising community pharmacy intervention in managing sleep disorders: extended roles of community pharmacists
title Optimising community pharmacy intervention in managing sleep disorders: extended roles of community pharmacists
title_full Optimising community pharmacy intervention in managing sleep disorders: extended roles of community pharmacists
title_fullStr Optimising community pharmacy intervention in managing sleep disorders: extended roles of community pharmacists
title_full_unstemmed Optimising community pharmacy intervention in managing sleep disorders: extended roles of community pharmacists
title_short Optimising community pharmacy intervention in managing sleep disorders: extended roles of community pharmacists
title_sort optimising community pharmacy intervention in managing sleep disorders: extended roles of community pharmacists
topic RS Pharmacy and materia medica
url http://irep.iium.edu.my/45989/
http://irep.iium.edu.my/45989/
http://irep.iium.edu.my/45989/2/images-2.pdf