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In addition, the Level of Use instrument was useful to better understand which support mechanisms are needed at different stages in the implementation of PAL. Higher levels of religion and spirituality (R/S) are associated with better health in both Canadian and American samples. One mechanism that can account forthis relationship is social support, which is positively associated with higher R/S and is positively associated with overall wellness. Although social support has been found to mediate the relationship between R/S and health in
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