These modifications are central to good health and require specific motivational and cognitive intervention strategies designed to promote adherence to these healthy behaviors. High-quality evidence supporting some of these strategies is provided in Online Data Supplement G. Additionally, interventions such as goal setting, provision of feedback, self-monitoring, follow-up, motivational interviewing, and promotion of self-sufficiency are most effective when com- bined. Most individuals have clear expectations about what a new lifestyle will provide; if their experiences do not match these expectations, they will be dissatisfied and less moti- vated to maintain a lifestyle change, particularly in envi- ronments that do not support healthy choices. Other factors that may influence adoption and maintenance of new physi- cal activity or dietary behaviors include age, sex, baseline health status, and body mass index, as well as the presence of comorbid conditions and depression, which negatively affect adherence to most lifestyle change regimens.S12.1.2-1 Primary strategies include cognitive-behavioral strategies for pro- moting behavior change, intervention processes and delivery strategies, and addressing cultural and social context vari- ables that influence behavioral change. Recommendation-Specific Supportive Text 1. It is crucial to translate and implement into practice the most effective evidence-based strategies for ad- herence to nonpharmacological treatment for hyper- tension. Both adoption and maintenance of new CVD risk-reducing behaviors pose challenges for many in- dividuals. Success requires consideration of race, eth- nicity, and socioeconomic status, as well as individual, provider, and environmental factors that may influence the design of such interventions.S12.1.2-1 High-quality evi- dence has shown that even modest sustained lifestyle changes can substantially reduce CVD morbidity and Because many beneficial effects of lifestyle changes accrue over time, long-term adher- ence maximizes individual and population benefits. 