FIGURE A Treatwell 5-A-Day study in fruit and vegetable intake.

also wanted to briefly mention psychosocial interventions, such as those aiming to reduce stress, depression, depressed mood, and social isolation.

“Here we do have growing evidence that psychosocial interventions, which target coping skills and provide social support, can contribute to treatment, particularly in chronic disease management,” she said. “These interventions, which are typically individual- and group-based, also need now to move from the downstream level to midstream and upstream . . . so that they reach more diverse groups and populations across our entire nation.” We need a stronger science base there as well, she added.

Dr. Chesney concluded by noting that the time has come “for us to design, to test, and to implement behavioral and social interventions to improve health across the life span, beginning with the very young, and including the growing numbers of the oldest old, and to extend these efforts to the diverse groups that populate our communities.”

This will require an ambitious but attainable partnership of public health officials, researchers, and community members. Her hope, she said, is that “when I come here in 2010 and we talk about . . . the objectives of Healthy People 2010, we can say that we have actually hit 100 percent” of those objectives.

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