ABSTRACT
Clinicians have identified two problems with behavior change and its maintenance: time to provide the intervention in a clinical setting and the difficulties with achieving lifestyle change given the increasing prevalence of patients with multiple risk factors. Glasgow [1] references an article that indicates the delivery of preventive services recommended by the U.S. Preventive Services Task Force (USPSTF) [2] to an average number of patients. Calculations based on the services proscribed show that family physicians would need to spend 7.5 hours of every working day on prevention to meet the USPSTF recommendations [3]. The challenging complexity of changing many behaviors associated with multiple chronic illnesses makes it necessary to be creative in providing services. Many researchers are pointing to a combination of brief in-person counseling and interactive behavior change technology (IBCT).
