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THE CIENCE OF HEALTH PROMOTION Editor’s Notes change, and supportive environments. We envisioned these supportive environments to have cultural norms Rarely do we see a true paradigm shift. This is one of modeling good health practices, employee ownership to those times. maintain them, policies and incentives encouraging and For the past 3 decades, health promotion scientists and rewarding them, and ongoing programs and physical envi- professionals have concentrated their efforts on develop- ronments to support them. Many workplace programs in- ing more effective methods to motivate people to attempt corporate all three levels, but most community programs lifestyle improvements and on helping people use the have focused on improving awareness and enhancing be- most efficacious behavior change techniques to make havior change. This is where the paradigm shift occurs. By these changes. What has been the impact of these efforts? building communities that promote health, we have a Intensive clinical programs have succeeded in reversing greater chance of reaching those who are not yet motivat- heart disease—something medical science has never ed to make health changes on their own. A central ele- achieved. Hundreds and perhaps thousands of employer ment in this strategy is the concept of engineering rou-
American Journal of Health Promotion – SAGE
Published: Sep 1, 2003
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