Enhancing intrinsic motivation in health promotion and wellness.

Health promotion and wellness specialists have long held this belief: ‘‘If you build a wellness program to help people lead healthier lives, they will come.’’ And why wouldn’t they? Start with completing a health risk assessment (HRA) and possibly biometric screening; the process alone can potentially be lifesaving, alerting people with conditions such as high cholesterol, hypertension, and diabetes to the significant risk of these conditions. Similarly, the HRA can help identify predisposition to deadly diseases, such as cancer, that require immediate intervention. Who would not want to know the results of such an important assessment? Wellness interventions such as HRAs can build awareness, lead employees towards making better health decisions, and reduce companies’ ever-increasing health care costs. So why aren’t employees participating in large numbers in worksite wellness programs? From our general experience with wellness programs, we’ve seen that offering employees opportunities to improve health is simply not enough to cause them to use it. Despite the significant personal advantages from health promotion and wellness programs, many people still do not actively participate. To build intrinsic motivation for change, we believe that individuals need todiscover their own rewards forhealthybehavior.Employeesmust be supported within an organizational health culture to build their own goals, enhance their own knowledge, and follow through on their own concrete action steps. Through this health culture, employees can develop their own intrinsic values or incentives that help maintain their efforts towards achieving health goals. This article reviews scientific studiesofbehaviorchange thatprovideadeeperunderstandingofhuman motivation. The issues raised address how to design more effective health promotion and wellness programs, and illustrate ways to implement health change programs so that they enhance intrinsic motivation. To help us accomplish this we will be addressing the following topics: