title: Pharmacist self-reported antidepressant medication counseling.
abstract: OBJECTIVE
  To identify the extent of pharmacists' self-reported antidepressant counseling (SRAC) and to identify factors that may affect pharmacists' decisions to provide antidepressant counseling.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  Alabama community pharmacies in 2011.
  
  
  METHODS
  Full-time pharmacists from 600 community pharmacies.
  
  
  METHODS
  Self-administered survey; three mail contacts with alternate electronic surveys were used.
  
  
  METHODS
  Pharmacists' SRAC behavior and its relationship with pharmacists' illness perceptions of depression, self-efficacy, and organizational and environmental influences.
  
  
  RESULTS
  600 surveys were sent; 22 were undeliverable, 1 was partially completed (<80% questions answered), and 118 were completed (20.6% overall response rate). Pharmacists reported low rates of involvement in antidepressant counseling; 61% reported assessing patient knowledge and understanding of depression, and 36% discussed options for managing adverse effects with no more than a few patients. More than one-quarter (28.6%) never asked patients whether they had barriers to taking antidepressants. Pharmacists' perceptions regarding consequences, control/cure, and the episodic nature of depression, as well as their self-efficacy, had significant relationships ( P < 0.05) with pharmacists' involvement in antidepressant counseling.
  
  
  CONCLUSIONS
  Low rates of pharmacists' involvement in antidepressant counseling were reported. Pharmacists must become more involved in counseling patients about their antidepressant medications and overcoming barriers preventing greater involvement.
authors.affiliation: School of Pharmacy,University of Connecticut, Storrs, CT 06269-3092, USA. michelle.breland@uconn.edu
authors.forename: Michelle L
authors.initials: ML
authors.lastname: Cannon-Breland
authors.forename: Salisa C
authors.initials: SC
authors.lastname: Westrick
authors.forename: Jan
authors.initials: J
authors.lastname: Kavookjian
authors.forename: Bruce A
authors.initials: BA
authors.lastname: Berger
authors.forename: David M
authors.initials: DM
authors.lastname: Shannon
authors.forename: Raymond A
authors.initials: RA
authors.lastname: Lorenz
mesh_terms: D000407:Alabama; D000704:Analysis of Variance; D000928:Antidepressive Agents / Q000009:adverse effects / Q000627:therapeutic use*; D001291:Attitude of Health Personnel; D016009:Chi-Square Distribution; D003157:Community Pharmacy Services; D032882:Comprehension; D003376:Counseling; D005260:Female; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D057220:Health Literacy; D006801:Humans; D008297:Male; D010353:Patient Education as Topic; D010465:Perception; D010594:Pharmacies; D010595:Pharmacists / Q000523:psychology; D024382:Professional Role; D011369:Professional-Patient Relations; D020377:Self Efficacy; D057566:Self Report
chemical_list: D000928:Antidepressive Agents