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Systematic Review The Role of Pharmacists\' Interventions in Increasing Medication Adherence of Patients with Epilepsy: A Scoping Review
Iin Ernawati2orcid , Nanang Munif Yasin1orcid , Ismail Setyopranoto3orcid , Zullies Ikawati1corresp_iconorcid

DOI: https://doi.org/10.3961/jpmph.23.592 [Accepted]
Published online: April 25, 2024
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1Department of Pharmacology and Clinical Pharmacy Faculty of Pharmacy, Universitas Gadjah Mada, Yogyakarta, Indonesia
2Doctoral Program in Pharmacy, Faculty of Pharmacy, Universitas Gadjah Mada, Yogyakarta, Indonesia; Akademi Farmasi Surabaya, Surabaya, Indonesia, Surabaya, Indonesia
3Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia, Yogyakarta, Indonesia
Corresponding author:  Zullies Ikawati,
Email: zullies_ikawati@ugm.ac.id
Received: 22 December 2023   • Revised: 6 March 2024   • Accepted: 31 March 2024

Objectives
Epilepsy is a chronic disease that requires long-term treatment and intervention from health workers. Medication adherence is a factor that influences the success of therapy for patients with epilepsy. Therefore, this study aimed to analyze the role of pharmacists in improving the clinical outcomes of epilepsy patients, focusing on medication adherence.
Methods
A scoping literature search was conducted through the ScienceDirect, PubMed, and Google Scholar databases. The literature search included all original articles published in English until August 2023 for which the full text was available. This scoping review was carried out by a team consisting of pharmacists and neurologists following the PRISMA Extension for Scoping Reviews and the Joanna Briggs Institute guidelines, including 5 steps: identifying research questions, finding relevant articles, selecting articles, presenting data, and compiling the results.
Results
The literature search yielded 10 studies that discussed pharmacist interventions for patients with epilepsy. Five articles described educational interventions involving drug-related counseling with pharmacists. Two articles focused on similar pharmacist interventions through patient education, both verbal and written. Three articles discussed an epilepsy review service, a multidisciplinary intervention program involving pharmacists and other health workers, and a mixed intervention combining education and training with therapy-based behavioral interventions.
Conclusions
Pharmacist interventions have been shown to be effective in improving medication adherence in patients with epilepsy. Furthermore, these interventions play a crucial role in improving other therapeutic outcomes, including patients\' knowledge of self-management, perceptions of illness, the efficacy of antiepileptic drugs in controlling seizures, and overall quality of life.


JPMPH : Journal of Preventive Medicine and Public Health