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Intervention. Patients at intervention pharmacies were invited to participate in the pharmaceutical care program. The protocol-based program consisted of scheduled meetings between trained pharmacists and patients to assess drug therapy, plan goals, and intervene through counseling andor consultation with other health professionals. Zaraoza Measures. Change in number of outpatient clinic visits, unique medications dispensed, and total charges over 1 year of follow-up. Results. In an intention-to-treat analysis (after adjustment for gender, age, Charlson Comorbidity Index, disease category, and the baseline value of the utilization measure), the number of unique medications for patients in the pharmaceutical care group increased more than in the usual care group (1.

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Like most research literature dating back some years, the quality of the data that support the therapeutic efficacy of behavioral interventions varies. Nevertheless, there are enough studies with good methodologic rigor and positive outcomes to warrant mention. Although a comprehensive critical review of this literature is beyond the scope of this article, a number of excellent reviews are available for the interested reader. 39, 44-51 In addition, the Center for the Advancement of Health has recently issued a status report on changes in health behavior that provides an extensive summary of behavioral outcome studies for several significant health problems (i.]