Abstract
Coronary heart disease (CHD) is a chronic, progressive disease widely prevalent in industrial societies, including the United States. More than 3,400 Americans suffer myocardial infarctions each day, incurring an annual estimated economic cost of $60 billion. A first step in the prevention of this disease has been the identification of characteristics, or risk factors, that are present in individuals prone to develop CHD. Epidemiological studies have found these factors to include a family history of heart disease, elevations in blood pressure and serum cholesterol, cigarette smoking, obesity, a sedentary lifestyle, and the Type A behavior pattern.
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References
Abraham, S., & Nordsieck, M. (1960). Relationship of excess weight in children and adults. Public Health Reports, 75, 263–273.
Abraham, S., Collins, G., & Nordsieck, M. (1971). Relationship of childhood weight status to morbidity in adults. HSMHA Health Report, 86, 273–284.
Ahrens, E. J. (1976). The management of hyperlipidemia: Whether, rather than how. Annals of Internal Medicine, 85, 87–93.
Ahrens, E. H., Jr., Blankenhorn, D. H., & Tsaltas, T. T. (1954). Effect on human serum lipids of substituting plant for animal fat in diet. Proceedings of the Society for Experimental Biology and Medicine, 86, 872–878.
Andres, R. (1980). Influence of obesity on longevity in the aged. In C. Boreck, C. M. Fenoglio, & D. W. King (Eds.), Aging, cancer and cell membranes (pp. 283–246 ). Stuttgart: Thieme Verlag.
Bassler, T. J. (1978). More on immunity to atherosclerosis in marathon runners. New England Journal of Medicine, 299, 201.
Blomquist, C. C., & Saltin, B. (1983). Cardiovascular adaptations to physical training. Annals of Revised Physiology, 45, 169–89.
Blumenthal, J.A., Califf, R., Williams, R. S., & Hindman, M. (1983). Cardiac rehabilitation: A new frontier for behavioral medicine. Journal of Cardiac Rehabilitation, 9, 637–656.
Boile, W. F., Bigelow, G. E., Gottlieb, S. H., & Sacktor, J. D. (1982, March). Smoking behavior in coronary patients: Prevalence and correlates of relapse following heart attack. Paper presented at the annual meeting of the Society for Behavioral Medicine, Baltimore, MD.
Botvin, G. J., Eng, A., & Williams, C. L. (1980). Preventing the onset of cigarette smoking through life skills training. Preventive Medicine, 9, 135–143.
Bray, G. A. (1976). The obese patient. Philadelphia, PA: Saunders. Brensike, J. F., Levy, R. I., Kelsey, S. F., Passamani, E. R., Richardson, J. M., Loh, I. K., Stone, N. J., Aldrich, R. F., Battaglini, J. W., Moriarty, D. J., Fisher, M. R., Friedman, L., Frieswald, W., Detrek, M., & Sptein, S. E. (1984). Effects of therapy with cholestyramine on progression of coronary atherosclerosis: Results of the NHLBI Type II coronary intervention study. Circulation, 69, 313–324.
Brody, J. E. ( 1984, October 24). Program reverses unhealthy trend in children. New York Times, p. 21.
Brownell, K. D. (1982). Obesity: Understanding and treating a serious, prevalent, and refractory disorder. Journal of Consulting and Clinical Psychology, 50, 820–840.
Brownell, K. D., & Stunkard, A. J. (1978). Behavioral treatment of obesity in Children. American Journal of Diseases of Children, 132, 403–412.
Brownell, K. D. & Stunkard, A. J. (1980). Behavioral treatment for obese children and abolescents. In A. J. Stunkard (Ed.), Obesity (pp. 86–98 ). Philadelphia, PA: Saunders.
Bruce, R. A., Kusumi, F., Nieserberger, M., & Petersen, J. L. (1974). Cardiovascular mechanisms of functional aerobic impairment in patients with coronary heart disease. Circulation, 49, 696–702.
Burggraff, G. W., & Parker, J. O. (1975). Prognosis in coronary artery disease: Angiographic, hemodynamic, and clinical factors. Circulation, 146–156.
Burling, T. A., Singleton, E. G., Bigelow, G. E., Baile, W. F., & Gottlieb, S. H. (1984). Smoking following myocardial infarction: A critical review of the literature. Health Psychology, 3, 83–96.
Burt, A., Thornley, P., Illingsworth, D., White, P., Shaw, T. R., & Turner, R. (1974). Stopping smoking after myocardial infarction. Lancet, 1, 304–306.
Charney, M., Goodman, H. C., McBride, M., Lyon, B., & Pratt, R. (1976). Childhood antecedents of adult obesity: Do chubby infants become obese adults? New England Journal of Medicine, 295, 6–9.
Claussen, J. P. (1977). Effect of physical training on cardiovascular adjustments to exercise in man. Psychological Review, 57, 779–816.
Coates, T. J., & Thoresen, C. E. (1978). Treating obesity in children and adults: A public health problem. American Journal of Public Health, 68, 143–151.
Committee on Nutrition. (1983). Toward a prudent diet for children. Pediatrics, 71, 78–80.
Conn, E. H., Williams, R.S., & Wallace, A. G. (1982). Exercise responses before and after physical condi– JAMES A. tioning in patients with severely depressed left ventricular junction. American Journal of Cardiology, 49, 296–300.
Coronary Arteries Surgery Study. (1983). A randomized trial of coronary bypass surgery. Circulation, 68, 934–950.
Coronary Drug Project Research Group: (1970). Initial findings leading to modification of its research and protocol. Journal of the American Medical Association, 214, 1303.
Coronary Drug Project Research Group: (1972) The Coronary Drug Project: Findings leading to further modifications of its protocol with respect to dextrothyroxine. Journal of the American Medical Association, 220, 996–1008.
Coronary Drug Project Research Group: (1975). Clofibrate and niacin in coronary heart disease. Journal of the American Medical Association, 231, 360–381.
Coronary Drug Project Research Group. (1980). Influence of adherence to treatment and response of cholesterol on mortality in the Coronary Drug Project. New England Journal of Medicine, 303, 1038–1041.
Croog, S. H., & Richards, N. P. (1977). Health beliefs and smoking patterns in heart patients and their wives: A longitudinal study. American Journal of Public Health, 67, 921–930.
Danaher, B. G. (1977a). Rapid smoking and self-control in the modification of smoking behavior. Journal of Consulting and Clinical Psychology, 45, 1068–1075.
Danaher, B. G. (1977b). Research on rapid smoking: Interim summary and recommendations. Addictive Behaviors, 2, 151–166.
Dekker, E. (1977). Youth culture and influences on the smoking behavior of young people. In USDHEW: Proceedings of the 3rd world conference on smoking and health (DHEW Publication No. NIH 77–1413 ), Washington, DC: U.S. Government Printing Office.
Detry, J. M. R., Rousseau, M., Vandenbroucke, G., Kusumi, F., Brasseur, L. A., & Bruce, R. A. (1971). Increased arteriovenous oxygen difference after physical training in coronary heart disease. Circulation, 44, 109–118.
Dishman, R. K. (1982). Compliance/adherence in health-related exercise. Health Psychology, 1, 237–268.
Dodds, W. J. (1982). The pig model for biomedical research. Federation Proceedings, 41, 247–256.
Dwyer, T., Coonan, W. E., Leitch, D. R., Hetzel, B. S., & Boghurst, R. A. (1983). An investigation of the effects of daily physical activity on the health of primary school students in South Australia. International Journal of Epidemiology, 12, 308–313.
Elder, J. P., Arty, L.M., Carleton, R. A., Knisley, P. M., Peterson, G. S., Rosenberg, P. E., & Snow, R. C. K. (1982, March). Establishing cost-Pefficient, member-owned heart health programs in organizational settings. Paper presented at the annual meeting of the Society for Behavioral Medicine, Baltimore, MD.
Elliott, C. H., & Denney, D. R. (1978). A multi-component treatment approach to smoking reduction. Journal of Consulting and Clinical Psychology, 46, 1330–1339.
Epstein, L. H., & Wing, R. R. (1980). Aerobic exercise and weight. Addictive Behaviors, 5, 371–388.
Epstein, L. H., Wing, R. R., Steronchak, L., Dickson, B. E., & Michelson, J. (1980). Comparison of family based behavior modification and nutrition education for childhood obesity. Journal of Pediatric Psychology, 5, 25–36.
Evans, R. I. (1979). Smoking in children and adolescents: Psychosocial determinants and prevention strategies. In Smoking and health: A report of the Surgeon General (DHEW Publication No. PHS 79–50066 ). Washington, DC: U.S. Government Printing Office.
Foreyt, J. P., Goodrick, G. K., & Gotto, A. M. (1981). Limitations of behavioral treatment of obesity: Review and analysis. Journal of Behavioral Medicine, 4, 159–174.
Foxx, R. M., & Brown, R. A. (1979). Nicotine fading and self-monitoring for cigarette abstinence or controlled smoking. Journal of Applied Behavior Analysis, 12, 111–125.
Friedman, M., & Rosenman, R. (1959). Association of specific overt behavior pattern with blood and cardiovascular findings. Journal of the American Medical Association, 169, 1286–1296.
Friedman, M., Thoresen, C. D., Gill, J. J., Ulmer, D., Thompson, L., Powell, L., Price, V., Elek, S. R., Rabin, D. D., Breall, W. S., Piaget, G., Dixon, T., Bourg, E., Levy, R. A., & Tasto, D. L. (1982). Feasibility of altering Type A behavior pattern after myocardial infarction. Recurrent Coronary Prevention Study: Methods, baseline results, and preliminary findings. Circulation, 66, 83–92.
Friedman, M., Thoresen, C. D., Gill, J. J., Powell, L. H., Ulmer, D., Thompson, L., Price, V. A., Rabin, D. D., Breall, W. S., Dixon, T., Levy, R., & Bourg, E. (1984). Alterations of Type A behavior and reduction in cardiac recurrences in post myocardial infarction patients. American Heart Journal, 108, 237–248.
Glassman, A. H., Jackson, W. K., Walsh, B. T., Roose, S. P., & Rosenfeld, B. (1984). Cigarette craving, smoking withdrawal, and clonidine. Science, 226, 864–866.
Glueck, C. J. (1983). Therapy of familial and acquired hyperlipoproteinemia in children and adolescents. Preventive Medicine, 12, 835–847.
Gordon, T., Kannel, W. B., McGee, D., & Dawber, T. R. (1974). Death and coronary attacks in men after giving up cigarette smoking. A report from the Framingham Study. Lancet, 1345–1348.
Hackett, G., & Horan, J. J. (1978). Focused smoking: An unequivocally safe alternative to rapid smoking. Journal of Drug Education, 8, 261–265.
Hagberg, J. M., Goldring, D., Ehsoni, A. A., Heath, G. W., Hernondey, A., Achechtman, K., & Holloszy, J. O. (1983). Effect of exercise training on the blood pressure and hemodynamic features of hypertensive adolescents. American Journal of Cardiology, 52, 763–768.
Hall, R. G., Sacks, D. P. L., & Hall, S. M. (1979). Medical risk and therapeutic effectiveness of rapid smoking. Behavior Therapy, 10, 249–259.
Harris, P. J., Harrell, F. E., Lee, K. L., Behar, V. S., & Rosati, R. A. (1980). Survival in medically treated coronary artery disease. Circulation, 60, 1259–1269.
Hay, D. R., & Turbott, S. (1970). Changes in smoking habits in men under 65 years after myocardial infarction and coronary insufficiency. British Health Journal, 32, 738–740.
Horan, J. H., Lingerg, S. E., & Hackett, G. (1977). Nicotine poisoning and rapid smoking. Journal of Consulting and Clinical Psychology, 344–347.
Horty, A., Geifer, E., & Rimm, A. A. (1977). Relative importance of the effect of family environment and heredity on obesity. Annals of Human Genetics, 41, 185–193.
Hurd, P. D., Johnson, C. A., Pechocek, T., Bost, L. P., Jacobs, D. R., & Luepker, R. V. (1980). Prevention of cigarette smoking in seventh grade students. Journal of Behavioral Medicine, 3, 15–28.
Kellerman, J. J. (1973). Physical conditioning in patients after myocardial infarction. Schwerzerische Medizinische Wochenschrift, 103, 79–85.
Keys, A. (1979). Is overweight a risk factor for coronary heart disease? Cardiovascular Medicine, 4, 1233–1242.
Keys, A. (1980). Seven countries: A multivariate analysis of death and coronary heart disease, Cambridge: MA: Harvard University Press.
Kingsley, R. W., & Shapiro, J. A. (1977). A comparison of three behavioral programs for the control of obesity in children. Behavior Therapy, 8, 30–36.
Lando, H. A. (1977). Successful treatment of smokers with a broad spectrum behavioral approach. Journal of Consulting and Clinical Psychology, 45, 361–366.
Laskorzewski, P. M., Morrison, J. A., Mellies, M. J., Kelly, K., Gortside, P. S., Khoury, P., & Glueck, C. J. (1980). Relationships of measurements of body mass to plasma lipoproteins in school children and adults. American Journal of Epidemiology, 111, 395–407.
Leren, P. (1970). The Oslo Diet Heart Study: Eleven-year report. Circulation, 42, 935–942.
Lichtenstein, E. (1982). The smoking problem: A behavioral perspective. Journal of Consulting and Clinical Psychology, 6, 804–819.
Lichtenstein, E., & Brown, R. A. (1980). Smoking cessation methods: Review and recommendations. In W. R. Miller (Ed.), The addictive behaviors: Treatment of alcoholism, drug abuse, smoking and obesity. Oxford: Pergamon Press.
Lichtenstein, E., & Rodrigues, M. R. (1977). Long-term effects of rapid smoking treatment for dependent cigarette smokers. Addictive Behaviors, 2, 109–112.
Linder, C. W., & DuRant, R. H. (1982). Exercise, serum lipids, and cardiovascular diseases–risk factors in children. Pediatric Clinics of North America, 29, 1341–1354.
Lipid Research Clinics Coronary Primary Prevention Trial Results I. (1984a). Reduction in incidence of coronary heart disease. Journal of the American Medical Association, 251, 351–364.
Lipid Research Clinics Coronary Primary Prevention Trial Results II. (1984b). The relationship of reduction in incidence of coronary heart disease to cholesterol lowering. Journal of the American Medical Association, 251, 365–374.
Loh, I. K. (1983). Does exercise prevent myocardial infarction and prolong life?: A critical analysis in post– myocardial infarction management and rehabilitation. In I. K. Vyden (Ed.), Post Myocardial Infarction Management and Rehabilitation (pp. 225–235 ). New York: Marcel Dekker, Inc.
Luepker, R. V., Johnson, C. A., Murray, D. M., & Pechocek, T. F. (1983). Prevention of cigarette smoking: Three year follow-up of an education program for youth. Journal of Behavioral Medicine, 6, 53–62.
Manuck, S. B., Kaplann, J. R., & Clarkson, T. B. (1983). Social instability and coronary artery atherosclerosis in cynomologus monkeys. Neuroscience and Biobehavioral Reviews, 1, 485–491.
May, G. S., Eberlein, K. A., Furberg, C. D., Passamani, E. R., & Demets, D. L. (1982). Secondary prevention after myocardial infarction: A review of long-term trials. Progress in Cardiovascular Disease, 24, 331–352.
McAlister, A., Perry, C., Killen, J., Slinkard, L. A., & Maccoby, N. (1980). Pilot study of smoking, alcohol and drug abuse prevention. Public Health Briefs, 70, 719–721.
Meyer, A. J., Nash, J. D., McAlister, A. L., Maccoby, D., & Farquahar, J. W. (1980). Skills training in a cardiovascular health education campaign. Journal of Consulting and Clinical Psychology, 48, 129–142.
Moody, D. L., Wilmore, J. H., Geroudolo, R. N., & Royce, J. P. (1972). The effects of a jogging program on the body composition of normal and obese high school girls. Medical Science Sports, 4, 210–213.
Morris, J. N., Heady, J. A., Raffle, P. A. B., Roberts, C. G., & Parks, J. W. (1953). Coronary heart disease and physical activity of work. Lancet, 2, 1053–1057.
Morris, J. N., Chave, S. P., Adam, C., Sircy, C., Epstein, L., & Sheehan, D. J. (1973). Vigorous exercise and leisure time after incidence of coronary heart disease. Lancet, 7799, 333–334.
Morris, J. N., Evcriti, M. G., Pollard, R., Chave, S. P., & Semmence, A. M. (1980). Vigorous exercise in leisure-time: Protection against coronary heart-disease. Lancet, 2, 1027–1210.
Multiple Risk Factor Intervention Trial (MRFTT). (1976). A national study of primary prevention of coronary heart disease. Journal of the American Medical Association, 235, 825–827.
National Exercise and Heart Disease Program (1981). Effects of a prescribed exercise program on mortality and cardiovascular morbidity in patients after a myocardial infarction. American Journal of Cardiology, 48, 39–46.
Noakes, T. D., Opie, L. H., Rose, A. G., & Kleinhans, P. H. T. (1979). Autopsy proved coronary atherosclerosis in marathon runners. New England Journal of Medicine, 301, 86–89.
Nora, J. J. (1980). Identifying the child at risk for coronary disease as an adult: A strategy for prevention. Journal of Pediatrics, 97, 706.
Oliver, M. F., Heady, J. A., Morris, N., & Cooper, J. (1980). W. H. O. Cooperative trial on primary prevention of ischemic heart disease using clofibrate to lower serum cholesterol: mortality follow-up. Lancet, 2, 379– 385.
Paffenbarger, R. S., Jr., & Hale, W. (1975). Work activity and coronary heart mortality. New England Journal of Medicine, 292, 545–550.
Paffenbarger, R. S., Jr., Wing, A. L., & Hyde, R. T. (1978). Physical activity as an index of heart attack risk in college alumni. American Journal of Epidemiology, 108, 161–175.
Paffenbarger, R. S., Hyde, R. T., Wing, A. L., & Steinmetz, C. H. (1984). A natural history of athleticism and cardiovascular health. Journal of the American Medical Association, 252, 491–495.
Palmer, A. B. (1970). Some variables contributing to the onset of cigarette smoking among junior high students. Social Science Medicine, 4, 359–366.
Perry, C., Killen, J., Telch, M., Slinkaixi, L. A., & Danaher, B. G. (1980). Modifying smoking behavior of teenagers: A school based intervention. American Journal of Public Health, 70, 722–725.
Powell, L. H., Friedman, M., Thoresen, C. E., Gill, J. J., & Ulmer, D. K. (1984). Can the Type A behavior pattern be altered after myocardial infarction? A second year report from the Recurrent Coronary Prevention Project. Psychosomatic Medicine, 46, 293–313.
Rames, L. K., Clarke, W. R., Connor, W. E., Reiter, M. A., & Lauer, R. M. (1978). Normal blood pressure and the elevation of sustained blood pressure elevation in childhood: The Muscative Study. Pediatrics, 61, 245–251.
Reisen, E., Abel, R., Modan, M., Silverberg, D. S., Eliahu, H. E., & Moran, B. (1978). Effect of weight loss without salt restriction on the reduction of blood pressure in over-weight hypertensive patients. New England Journal of Medicine, 298, 1–6.
Rerych, S. K., Schol, P. M., Sabiston, D. C., Jr., & Jones, R. H. (1980). Effects of exercise training on left ventricular function in normal subjects: A longitudinal study by radionuclide angiography. American Journal C, 45, 244–252.
Research Committee to the Medical Research Council: (1965). Low-fat diet in myocardial infarction—a controlled trial. Lancet, 2, 501–504.
Review Panel on Coronary Prone Behavior and Coronary Heart Disease. (1981). Coronary-prone behavior and coronary heart disease: A critical review. Circulation, 63, 1199–1215.
Rifkind, B. M. (1984). Lipid research clinics coronary primary prevention trial: Results and implications. American Journal of Cardiology, 54, 30c–34c.
Rosenman, R. H., & Friedman, M. (1961). Association of specific behavior pattern in women with blood and cardiovascular findings. Circulation, 24, 1173–1184.
Rosenman, R., Friedman, M., Strauss, R., Worm, M., Kositchek, R., Hahn, W., & Werthessen, N. T. (1964). A predictive study of coronary heart disease. Journal of the American Medical Association, 189, 15.
Rosenman, R., Brand, R. J., Jenkins, C. D., Friedman, M., Strauss, R., & Worm, M. (1975). Coronary heart disease in the Western Collaborative Group Study: Final follow-up experience of 81/2 years. Journal of the American Medical Association, 233, 872–877.
Roskies, E., Spevack, M., Surkis, A., Cohen, C., & Gilman, S. (1978). Changing the coronary prone (Type A) behavior pattern in a nonclinical population. Journal of Behavioral Medicine, 1, 201–216.
Roskies, E., Kearney, H., Spevack, M., Surkis, A., Cohen, C., & Gilman, S. (1979). Generalizability and durability of treatment effects in an intervention program for coronary-prone (Type A) managers. Journal of Behavioral Medicine, 2, 195–208.
Rousseau, M. F., Brasseur, L. A., & Detry, J. M. R. (1973). Hemodynamic determinants of maximal oxygen intake in patients with healed myocardial infarction: Influence of physical training. Circulation, 48, 943–949.
Shaw, L. W. (1981). Effects of a prescribed supervised exercise program on nortality and morbidity in patients after a myocardial infarction. American Journal of Cardiology, 48, 39–46.
Sorlie, P., Gordon, T., & Kannel, W. B. (1980). Body build and mortality: The Framingham Study. Journal of the American Medical Association, 243, 1828–1831.
Sparrow, D., Dowber, T. R., & Colson, T. (1978). The influence of cigarette smoking on prognosis after a first myocardial infarction. Journal of Chronic Disease, 31, 425–432.
Stern, M. P., Farquhar, J. W., Maccoby, N., & Russell, S. H. (1976). Results of a two-year health education compaign on dietary health behavior. The Stanford Three-Community Study. Circulation, 54, 826–833.
Stunkard, A. J. (1975). From explanation to action in psychosomatic medicine: The case of obesity. Psychosomatic Medicine, 37, 195–236.
Stunkard, A. J., Craighead, L. W., & O’Brien, R. (1980). Controlled trial of behavior therapy, pharmacotherapy, and their combination in the treatment of obese hypertensives. Lancet, 1, 1045–1047.
Suinn, R. (1975). The cardiac stress management program for Type A patients. Cardiac Rehabilitation, 5, 13–15.
Suinn, R., & Bloom, L. (1978). Anxiety management training for pattern A behavior. Journal of Behavioral Medicine, 1, 25–35.
Taylor, G. J., Humphries, J. O., Mellits, E. D., Pitt, B., Schulze, R. A., Griffith, L. S. C., & Achuff, S. C. (1980). Predictors of clinical course, coronary anatomy and left ventricular function after recovery from acute myocardial infarction. Circulation, 62, 960–970.
Telch, M. J., Killen, J. D., McAlister, A. L., Perry, C. L., & Maccoby, N. (1982). Long-term follow-up of a pilot project on smoking prevention with adolescents. Journal of Behavioral Medicine, 5, 1–8.
Thompson, E. L. (1978). Smoking education programs 1960–1976. American Journal of Public Health, 68, 250–255.
Thompson, J. K., Jarvie, G. J., Lahey, B. B., & Cureton, K. J. (1982). Exercise and obesity: Etiology, physiology, and intervention, Psychological Bulletin, 91, 55–79.
Tuck, M. L., Sowers, J., Dornfeld, L., Kledzik, G., & Maxwell, M. (1981). The effect of weight reduction of blood pressure, plasma renin activity, and plasma aldosterone levels in obese patients. New England Journal of Medicine, 304, 930–933.
U.S. Department of Health, Education, and Welfare. (1979). Smoking and health: A report of the surgeon general (DHEW Publication No. PHS 79–50066 ). Washington, DC: U.S. Government Printing Office.
United States Public Health Service. (1976). Teenage smoking: National patterns of cigarette smoking, ages 12 through 18, in 1972 and 1974 (DHEW Publication No. [PHS] 76–931 ). Washington, DC: U.S. Government Printing Office.
United States Public Health Service. (1979). Smoking and health: A report of the Surgeon General (DHEW Publication No. PHS 79–50066 ). Washington, DC: U.S. Government Printing Office.
Way, J. W. (1981). Project Super Heart: An evaluation of a heart disease intervention Program for children. Journal of School Health, 51, 16–19.
Weiss, A. R. (1977). A behavioral approach to the treatment of adolescent obesity. Behavior Therapy, 8, 720–726.
Werko, L. (1971). Can we prevent heart disease? Annals of Internal Medicine, 74, 278–288.
Wilhelmsson, C., Vedin, J. A., Elmfeldt, D., Tibblin, G., & Wilhelmsen, L. (1975). Smoking and myocardial infarction. Lancet, 1, 415–419.
Williams, C. L., & Wynder, E. L. (1976). A blind spot in preventive medicine. Journal of the American Medical Association, 236, 2196–2197.
Williams, C. L., Carter, B. J., & Eng, A. (1980). The “Know Your Body” Program: A developmental approach to health education and disease prevention. Preventive Medicine, 9, 371–383.
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Blumenthal, J.A., Burg, M.M., Roark, S.F. (1986). Behavioral Approaches to Primary and Secondary Prevention of Coronary Heart Disease. In: Edelstein, B.A., Michelson, L. (eds) Handbook of Prevention. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-5044-6_13
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