title: The impact of medication-focused workshops in a diabetes educational program in jail: a pilot study.
abstract: BACKGROUND
  Correctional institutions have unique circumstances offering care and the opportunity to adopt healthy behaviours for populations suffering from chronic diseases such as diabetes. In view of their expertise on medication, pharmacists can contribute to multidisciplinary educational health programmes in prisons.
  
  
  OBJECTIVE
  To assess the effectiveness of a pharmacist led diabetes medication-related workshops.
  
  
  METHODS
  Pharmacists led workshops about patients' empowerment in their treatment within the educational program. On a prospective observational study basis, the impact was assessed in terms of relevance, learning outcomes and achievement transfer using the Kirkpatrick training assessment method. Hb1Ac was measured as glycemic control outcome.
  
  
  RESULTS
  Fifteen patients involved in the workshops showed a significant decrease in HbA1c compared to the control group (-1.18 ± 0.52 vs. +0.26 ± 0.28 %; p < 0.001).
  
  
  CONCLUSIONS
  All participants were satisfied and ready to join other sessions.
  
  
  OBJECTIVE
  (LO) Postworkshop scores were significantly improved (LO1: 4.2 ± 0.9 vs. 2.2 ± 1.4; LO2: 4.5 ± 0.9 vs. 2.6 ± 1.3; p < 0.05). Decrease in HbA1c was correlated to increase in LO2's scores. (Y = 0.946 - 1.134X; R = -0.692; p < 0.05). ACHIEVEMENT TRANSFER: Key points from all LOs were reported. In case studies, 70 % of participants adopted healthy strategies (LO3).
  
  
  CONCLUSIONS
  These results highlight the positive impact of the workshops and the additive value of pharmacists' involvement within the educational program in jail.
authors.affiliation: Penitentiary Center of Marseille, Pharmacy, 239 Chemin de Morgiou, Marseille, France.
authors.forename: Susanna
authors.initials: S
authors.lastname: Davoust
authors.affiliation: Penitentiary Center of Marseille, Medical Unit, 239 Chemin de Morgiou, Marseille, France.
authors.forename: Valerie
authors.initials: V
authors.lastname: Ghaleb
authors.affiliation: Penitentiary Center of Marseille, Medical Unit, 239 Chemin de Morgiou, Marseille, France.
authors.forename: Sandrine
authors.initials: S
authors.lastname: Guillon
authors.affiliation: Penitentiary Center of Marseille, Pharmacy, 239 Chemin de Morgiou, Marseille, France.
authors.forename: Valerie
authors.initials: V
authors.lastname: Amirat-Combralier
authors.affiliation: Penitentiary Center of Marseille, Medical Unit, 239 Chemin de Morgiou, Marseille, France.
authors.forename: Christophe
authors.initials: C
authors.lastname: Bartoli
authors.affiliation: Penitentiary Center of Marseille, Pharmacy, 239 Chemin de Morgiou, Marseille, France. guillaume.hache@univ-amu.fr.
authors.forename: Guillaume
authors.initials: G
authors.lastname: Hache
mesh_terms: D000328:Adult; D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy* / Q000453:epidemiology; D004493:Education / Q000379:methods*; D006266:Health Education / Q000379:methods*; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D010595:Pharmacists; D010865:Pilot Projects; D011329:Prisoners / Q000193:education*
chemical_list: D007004:Hypoglycemic Agents
keywords: Diabetes; France; Health educational program; Prison; Self-management