Though significant improvements to health can be achieved through policy change (making healthier choices the default option) and through the smart use of behavioral economic principles (like rewards and incentives), many health promotion programs suffer from an inherent bias: they primarily help only those who are ready to help themselves. People who are “pre-contemplative” and not yet considering behavior change are overlooked.
This is a troublesome situation. Any program or organization committed to health should make a conscious effort to “recommit to serving the most vulnerable” people, as Project Renewal recently did. By constantly striving to reach the toughest and most recalcitrant of cases, we as a society will avoid the complacency and poundage associated with simply “cream-skimming.”
How can we realize this goal? (more…)