A multibehavioral, comprehensive approach is proposed because no one factor has been shown to consistently improve CVD outcomes. An important feature of the intervention is that it incorporates tailored information and feedback that is specifically relevant to a particular patient. Previous studies have shown effectiveness using an early version of this intervention, addressing up to 13 health behaviors focused on improving patient management of CVD and related health behaviors. Patients will be provided evidence-based recommendations regarding lifestyle behaviors and will be advised on how to achieve their goals with respect to these behaviors. In the nurse arm, verbal information will be reinforced with written and visual material mailed to the patient. In the web-based arm, these materials will be sent to patients via e-mail. All intervention components are designed to be culturally sensitive. The behavioral modules include, diet, exercise, smoking, alcohol, stress reduction, memory, patient-provider relationship, medication update, side effects, and knowledge/risk perception. In addition, those patients using the Microsoft HealthVault system will have access to further on line patient educational materials prepared by the America Heart Association (AHA).