As I mentioned, the intervention are different in each type of risk. Intervention program in low and moderate risk included Readiness to change assessment, Behaviour change counseling, bases on goal setting, Medication review, Print information and resources, Group education at practice, Community programs, Physician visit as necessary. Intervention program in high risk is similar, but contained two extra programs which are Referral to MD And Referral to specialty programs as required such as cardiac rehabilitation or diabetic clinic. The behavioral intrvention program were individual tailor-made.