Despite a high prevalence of tobacco use and tobacco-related disease in Mississippi, primary care providers in Mississippi provide tobacco cessation interventions at an unacceptably low frequency relative to other regions. Training is likely to increase the frequency of intervention behaviours.

While the evidence accumulates in support of the benefits of exercise to physical and mental health, a growing body of research suggests that in spite of these benefits the majority of people who begin an exercise program will stop, often within the first few months. The present series of six studies attempted to identify behavioral and cognitive procedures that would enhance adherence to a 3-dayper-week exercise (walking/jogging) program in apparently healthy sedentary adults. Procedures evaluated included feedback and praise during exercise, various goal-setting strategies, lottery reinforcement, cognitive strategies during the exercise, and relapse prevention training. Class attendance, exercise program adherence, and fitness data were collected across each 3-month program. Self-reported 3month follow-up data were also obtained. Results suggest the importance of social support, feedback, and praise during exercise; flexibility in exercise goal setting; and distraction-based cognitive strategies. The various findings are integrated and discussed in terms of the importance and difficulties of shaping and maintaining exercise behaviors. Finally, directions and cautions for future research are noted.Exercise appears to play an important role the improvement of physical and mental "'^ (Martin & Dubbert, 1982a). Even in health

Needs and resource assessment processes confirmed the magnitude of need, but also suggested the creative re-allocation of local resources. Young people provided invaluable guidance for system design. Creating and sustaining a culture of innovation at each site was challenging, requiring leadership and continuous dialogue.

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