Higgins Joan Wharf, Cookson Susanne, Hastings-James Cynthia, Frazer Amanda
School of Exercise Science, Physical & Health Education Faculty of Education, University of Victoria.
Healthc Pap. 2012;12(4):42-7; discussion 64-6. doi: 10.12927/hcpap.2013.23223.
By now, it's no secret that Canadians are struggling to maintain a healthy body weight, eat right and get enough physical activity to promote their health and prevent the early onset of or to manage, chronic disease. Considered with our tendency to have poor adherence rates to prescribed medications and difficulties overcoming addictive substances, this struggle threatens to shorten our life spans and overburden our healthcare system. To turn the tide, layered and coordinated initiatives at the population level are needed that educate, motivate and support individuals to embrace healthy living. In this commentary, the authors respond to Oliver's recent paper on the utility of user financial incentives and architectural choice interventions as mechanisms for facilitating voluntary behaviour change. They concur with many of his ideas and argue that a more comprehensive approach, particularly adhering to the principles and strategies of social marketing, is needed to stimulate and sustain behaviour change.
如今，加拿大人难以维持健康体重、合理饮食并进行足够的体育活动以促进健康、预防慢性病早发或控制慢性病，这已不是什么秘密。再加上我们对处方药的依从率较低，以及克服成瘾物质存在困难，这种挣扎有可能缩短我们的寿命，并使我们的医疗保健系统不堪重负。为了扭转局面，需要在人群层面采取分层且协调的举措，对个人进行教育、激励并支持他们拥抱健康生活。在这篇评论中，作者回应了奥利弗最近关于使用经济激励措施和建筑选择干预措施作为促进自愿行为改变机制的论文。他们认同他的许多观点，并认为需要一种更全面的方法，特别是坚持社会营销的原则和策略，以激发和维持行为改变。
