West Philadelphia Consortium Randomized Control Trial

The investigators will evaluate the effects of an integrated risk counseling program on
behavioral and psychological outcomes in African American men and women in a randomized trial
that is implemented and evaluated collaboratively through the West Philadelphia Consortium to
Address Disparities. The specific aims of this research are as follows:

1. To evaluate the effects of integrated versus disease specific counseling on risk
exposure behaviors. The investigators predict that compared to individuals who receive
disease specific counseling, those who receive integrated counseling will report greater
intake of fruits and vegetables and increased rates of physical activity.

2. To evaluate effects of integrated versus disease specific counseling on psychological
outcomes. The investigators predict that compared to individuals who receive disease
specific counseling, those who receive integrated counseling will report greater risk
comprehension related to cancer and cardiovascular disease and will be more motivated to
make behavioral changes.

3. To identify the mechanisms through which integrated risk counseling leads to behavioral
change. The investigators predict that changes in risk exposure behaviors (e.g., diet
and physical activity) will be mediated by increased risk comprehension and
self-efficacy for diet and physical activity.