Research The General Medicine Division is involved in several research projects that are helping improve the practice of internal medicine. Smoking Cessation Research Research led by Geoffrey Williams, M.D., Ph.D. is identifying the most effective ways for health care practitioners to counsel smokers about tobacco dependence. Through the application of Self Determination Theory, Dr. Williams has developed programs that have more then doubled success rates compared to community care, both among smokers who have expressed an interest in quitting as well as those who have not. Motivation is heightened by helping to increase feelings of autonomy and competence, rather than traditional means of reward and punishment. Dr. Williams' approach is also being applied to other healthcare challenges, including diabetes prevention, physical inactivity, poor nutrition, and medication adherence. Diabetes Prevention Program Research has shown that when people at risk for developing diabetes are able to lose (7%) of their body weight, they may be able to delay the onset of diabetes for as much as 12 years. The Diabetes Prevention Program has been scientifically validated for its ability to help people lose weight. This current study will help determine the best way to provide the Diabetes Prevention Program intervention at a reasonable cost. Through our research, we hope to identify an effective way to delay diabetes, helping to extend people’s lives, reduce medical costs, and improve quality of life.