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This is the epicenter of the proposal. There are no presently available all-inclusive diet and fitness (or even fitness alone) programs for patients or the public that address the clear relationship of structure with attrition [7,27,28]. As mentioned above, programs that do target this relationship on the diet/intake side of this equation have proven themselves effective over time [3]. Other facets of wellness that employ a dynamic structuring have also enjoyed consistent, objective, positive results. The most powerful example of these can be found in the phenomenon of Alcoholics Anonymous (AA). The AA system has been working for almost 80 years, had millions and millions of members, consistently reported success rates, has no leadership, and enjoys a worldwide presence [29,30]. It doesn’t involve medication, doesn’t cost money, doesn’t implement a schedule, has no forced accountability (it’s anonymous), and requires nothing of its members.

A Recovery Based Intervention to Improve Retention in an Activity Centric Health and Fitness Program. An "outside-in" Approach