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LETTER |
Correspondence: Requests for reprints should be sent to Bruce S. Rabin, MD, PhD, Healthy Lifestyle Program, University of Pittsburgh Medical Center, 200 Lothrop St, Pittsburgh, PA 15213 (e-mail: rabinbs@upmc.edu).
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The April editorial of McLeroy et al.1 emphasizes the importance of proper development and implementation of modalities that will be accepted by adult residents of communities for the enhancement of the quality of health and therefore life. The editorial clearly indicates the importance of developing acceptable approaches to allow individuals to comfortably and permanently "change." However, implicit in this approach is an acknowledgment of failure to prevent participation in lifestyle practices that need to be changed.
The experience of the University of Pittsburgh Healthy Lifestyle Program has been that few adults will participate in wellness programs and those who do
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