“…One can intervene to affect health behaviors at several levels, such as individuals (1)(2)(3)(4), groups (1), families (5), schools (5), worksites (6), religious organizations (7), health-care plans or organizations, physicians or clinics (2,3,(8)(9)(10)(11)(12), and neighborhoods (4) or communities (1,(12)(13)(14)(15)(16)(17). Many health researchers are interested in developing, implementing, and evaluating multilevel interventions (1,3,5,(18)(19)(20) because they believe that we are most likely to achieve substantial and sustained change with interventions based on ecological theory that target multiple levels, or sources of influence (6,18,(21)(22)(23)(24).…”