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The most efficient approach to accessing the same list of strings from Python and C++ programs would be to use a language-independent data exchange format such as JSON or XML. The Python program can store the list of strings as a JSON or XML file, which the C++ program can then read and parse. This approach ensures that both programs can access the same data, regardless of the programming language used, and can also easily handle different data types besides strings. Additionally, this approach is platform-independent, allowing data to be shared across different operating systems.