Behavioral change may be the only appropriate outcome for certain programs or approaches. The intensity and cost of successful behavioral change programs is relatively high. Behavioral change may miss population segments that are less ready to change but at greater risk. Behavioral change can be targeted differently to reach those for whom behavioral change is cost-effective. It is impractical to aim programs and messages at those who will not or who do not need to change or for whom behavioral change will not alter disability or disease outcomes.
Coalitions require effort and resources to build.
Influencing the Physical and Social Environments and the Healthcare System Through Advocacy and Policy Changes as Elements of Heart-Health Promotion Strengths Limitations Policy changes through effective advocacy can be a powerful force for change in social environment. It is difficult to conduct focal evaluation permitting causal attribution. Policy changes are effective on the societal and environmental levels. Policy changes are applicable at multiple levels of society and organizations such as worksites or clubs and community, state, and national programs. Policy changes are especially controversial in a political environment favoring fewer governmental directives or regulations.