A health care system and method are provided to promote and to support maintenance of changes in health risk related behaviors. The method includes offering an individual a screening examination for a health risk related behavior, where the offering is performed using an offer communication technology. If the individual accepts the offer, a screening examination is conducted. Information from the screening examination is recorded in an electronic database. If a health risk related behavior is identified during the screening examination, an intervention with the individual is performed. Various communication technologies can be used to conduct the operations of the method. These communication technologies may be short messaging service text messaging, multimedia messaging service text messaging, instant messaging, e-mail, telephone, Internet, interactive voice response system, or mail. The electronic database may store the communications between preventive health care providers and the individual, and these communications may be accessible by preventive health care providers during later contacts.