| Project/Area Number |
23K24566
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| Project/Area Number (Other) |
22H03308 (2022-2023)
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| Research Category |
Grant-in-Aid for Scientific Research (B)
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| Allocation Type | Multi-year Fund (2024)
Single-year Grants (2022-2023) |
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| Section | 一般 |
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| Review Section |
Basic Section 58010:Medical management and medical sociology-related
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| Research Institution | Hitotsubashi University |
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Principal Investigator |
RAHMAN Mizanur 一橋大学, 社会科学高等研究院, 准教授 (10726433)
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| Co-Investigator(Kenkyū-buntansha) |
中村 良太 一橋大学, 社会科学高等研究院, HIAS客員研究員 (00717209)
佐藤 主光 一橋大学, 社会科学高等研究院, 教授 (50313458)
ALAM MD・ASHRAFUL 東京大学, 医学部附属病院, 特任研究員 (80866632)
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| Project Period (FY) |
2024-04-01 – 2025-03-31
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| Project Status |
Completed (Fiscal Year 2024)
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| Budget Amount *help |
¥17,030,000 (Direct Cost: ¥13,100,000、Indirect Cost: ¥3,930,000)
Fiscal Year 2024: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2023: ¥6,630,000 (Direct Cost: ¥5,100,000、Indirect Cost: ¥1,530,000)
Fiscal Year 2022: ¥8,970,000 (Direct Cost: ¥6,900,000、Indirect Cost: ¥2,070,000)
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| Keywords | Blood pressure / Quality of life / Pharmacy / Bangladesh / Pakistan / Quality of life Pharmacy / Hypertension control / Community pharmacy / Cost-effectiveness / India / Health promotion / Treatment adherence / Cluster RCT / blood pressure / quality of life / pharmacy / hypertension |
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| Outline of Research at the Start |
Our study evaluates the impact of pharmacy-based health promotion on hypertensive patients in resource-limited areas by using a cluster-randomized trial. There are 3,600 hypertensive adults in Bangladesh and 360 in Pakistan participating. Phases include baseline surveys with interventions, midline surveys with interventions and follow-ups, and endline surveys with impact evaluations. Two intervention groups will provide community pharmacies with educational training, counseling, phone calls, and text messages. Blood pressure, quality of life, and cost-effectiveness will also be measured.
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| Outline of Final Research Achievements |
Our research showed that community pharmacists can effectively help people manage high blood pressure. In Bangladesh, we recruited 3,600 participants with a response rate of approximately 96%. Participants who received education and counseling from pharmacists had significantly better control of their blood pressure, with about 65% achieving ideal blood pressure levels compared to 48% who did not receive pharmacist support. These participants also saw notable health improvements, such as an average weight loss of 1.5 kg and enhanced overall well-being. In Pakistan, we initially recruited 360 participants, with 320 participants remaining at the final follow-up; data collection is complete and the final analysis is currently underway, with early results indicating similar benefits. These findings indicate that pharmacies could be a valuable resource for improving public health, particularly in communities with limited access to traditional healthcare services.
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| Academic Significance and Societal Importance of the Research Achievements |
本研究は、地域薬局が非感染性疾患（NCDs）の主要な危険因子である高血圧の管理を効果的に支援することを実証しました。バングラデシュとパキスタンでは、薬剤師の指導が血圧管理と健康状態全般を有意に改善し、特に医療資源の限られたコミュニティにおいてNCDリスクを低減する実現可能な方法を提供しました。
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