RESULTS- A total of 147 participants were randomized into usual care (n = 73) or case management (n = 74). After three patients withdrew before baseline assessment, the intention-to-treat analysis population comprised 71 usual care participants and 73 case management participants. A total of 29 participants (20%) withdrew from the study (usual care = 10, case management = 19; 22 by 4 months, 24 by 6 months, 27 by 8 months, and 29 by 12 months). Reasons given for dropping out were time (n = 13), assignment group (n = 6), illness (n = 1), or no reason (n = 9). A total of 118 individuals (80%) completed the 12month intervention. Of case management participants remaining in the study, 100% attended all individual sessions and 78% attended four or more group classes. Number of classes attended was not associated with outcomes.