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Pharmacists have responsibility to provide activities to improve adherence (n=33)
Twenty-six respondents (79%) strongly agreed, 3 respondents (9%) mildly agreed, and 4 respondents (12%) strongly disagreed that pharmacists have a responsibility to provide activities to improve adherence. 
Pharmacists have adequate training to provide adherence counseling activities (n=32)
Twenty-two respondents (69%) strongly agreed, 7 respondents (22%) mildly agreed, 2 respondents (5%) were neutral, and one respondent (3%) strongly disagreed that pharmacists have adequate training to provide activities to improve adherence.  
Pharmacists interested in learning more about methods to improve adherence (n=35)
Thirty-four respondents (97%) are interested in learning more about methods to improve adherence.  
The role of industry to improve adherence is described in Table 4.  

Table 5. Role of Industry to Improve Adherence 


DISCUSSION
The majority of pharmacists who responded to the survey practice in a retail setting and state that they are currently performing some adherence activities.  Limited time was stated as the most common barrier to adherence activities. The majority agreed that pharmacists have a responsibility to improve adherence and that they are interested in more information. Respondents also indicated that industry could assist in improving adherence by providing education and heightening public awareness about the benefits of medication adherence

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Whooley MA, Simon GE. Managing depression in medical outpatients.  N Engl J Med. 2000;343:1942-50.
Boudreau DM, Capoccia KL, Sullivan SD et al. Collaborative care model to improve outcomes in major depression. Ann                    Pharmacotherapy. 2002;36:585-91.
Miller NH, Hill M, Kottke T, Ockene IS, for the Expert Panel on Compliance.  The multilevel compliance challenge: recommendations for a call to action. A statement for healthcare professionals.Circulation.1997:95:1085-90.
Nichols-English G, Poirier S. Optimizing adherence to pharmaceutical care plans. J Am Pharm Assoc 2000;40:475-85.

Pakistani American Pharmaceutical Association

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