Efforts to promote lifestyle change and better health: whither symbolic interactionism?

Symbolic interactionism is a body of thought which attends to how the meaning of a message may be mutually defined in the process of social interaction. As interactionism and its qualitative methodologies have been increasingly recognized as useful and appropriate complements to other approaches, health education has been slow to respond. Proposed here is the application of an interactionist perspective to the study of contemporary efforts made to promote lifestyle change and better health. A specific case is made for examining the interaction which takes place when employers strive to promote employee health. Particular attention is paid to the following questions: 1. How may employer communication of corporate goals for employee lifestyle change best be studied?; 2. Are the messages transmitted by employers and those received by employees the same?; 3. What may be some unanticipated consequences of the health promotion effort and its messages?; and 4. Can the interactionist perspective be used to enlighten the planning process for health promotion programs?