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The Strategic Use of Social Marketing William DeJong, PhD Professor Boston University School of Public Health Do Mass Communications Campaigns Work? • Media campaigns are not inherently effective or ineffective. • Their success depends on: – The broader change strategy – Whether there is a communications approach that can support that strategy – How well that communications approach is executed (Adapted from L. Langford, 2006) Public Communication Campaigns: A Critique • Use the mass media as a tool to create awareness, increase knowledge, and change attitudes, but less often to teach health behavior skills and self-efficacy. • Ignore media’s potential to support a public health agenda that involves changing institutions, communities, or public policy. • Consider a prospective media campaign in isolation, not in conjunction with other programs that are underway. When Hope Triumphs Over Experience Hope New information about a health problem—presented in a dramatic way—will cause people to think about changing their behavior. Experience KASAB = Knowledge Alone Seldom Alters Behavior (…for most people, or it does, not for very long) These campaigns seldom work for the majority of people whose behavior is resistant to change. Insanity We continue to look for a breakthrough message to inspire the target audience. Strategic Use of Communications Figuring out what to say to “reach” the target audience vs. Developing strategic objectives for a comprehensive intervention plan ↓ Determining how the communications campaign can best support that effort The Planning Process Planning Step Description Pre-Planning Assemble the team, outline the task, and prepare to plan Step 1: Conduct a thorough analysis of the problem and its Problem and Situation Analysis contributors, the local context, and past efforts Step 2: : Strategy Development Choose an overall intervention strategy Specify the role of communications in advancing that strategy Select a target audience and desired behaviors Research the target audience Create a written plan (“creative brief”) Step 3: Campaign Development and Testing Step 4: Campaign Implementation and Monitoring Design and test messages, materials, and channels Step 5: Evaluation and Program Improvement Carry out the evaluation plan and use the results for program and campaign improvement Launch the campaign and monitor progress Social Ecological Framework Social Ecological Framework Individual Interpersonal Organization Community Culture/Society Agent Health behavior is influenced by both individual (personal) and environmental determinants Identify those determinants Decide which ones are the most critical to address to affect population-level behavior change Planning Step Description Pre-Planning Assemble the team, outline the task, and prepare to plan Step 1: Conduct a thorough analysis of the problem and its Problem and Situation Analysis contributors, the local context, and past efforts Step 2: : Strategy Development Choose an overall intervention strategy Specify the role of communications in advancing that strategy Select a target audience and desired behaviors Research the target audience Create a written plan (“creative brief”) Step 3: Campaign Development and Testing Step 4: Campaign Implementation and Monitoring Design and test messages, materials, and channels Step 5: Evaluation and Program Improvement Carry out the evaluation plan and use the results for program and campaign improvement Launch the campaign and monitor progress Planning the Intervention • An intervention can be aimed at any level of the social ecological model – Will have an effect on the targeted level, and on all levels nested within it • Example: An intervention aimed at families, groups, social networks will influence large numbers of individuals • Once the intervention plan is in place, then determine about how best to use mass media communications to support it Environmental-Level Interventions • In many cases, environmental-level strategies will be a more efficient way of proceeding: – Reach more people, more effectively – Will usually cost less, ultimately • Presumption is often in favor of focusing on individual-level strategies. Perhaps the presumption should be in favor of environmental-level strategies. Reaching Key Influencers • Environmental approaches require intervening with the people who control or influence an institution, community, state, or nation. – Analyze the determinants of their behavior using the social ecological framework – Based on that analysis, determine how best to intervene with those individuals – Develop an intervention plan – Determine how best to use mass media communications to support it Potential Communication Objectives Individual Level • Increase awareness of a public health problem and establish it as a priority concern • Increase factual knowledge • Change beliefs and attitudes • Stimulate information-seeking (hotlines, websites) • Describe personal/social benefits of the behavior • Correct misperceptions of behavioral norms • Show the conflict between personal values and current behavior • Teach new behavioral skills • Show how to overcome barriers to change • Build self-efficacy New York State Department of Health WIC Breastfeeding Campaign https://www.youtube.com/watch?v=qjoWWUYDKQM&feature=player_embedded Behavior change is more likely if the target audience believes that the advantages of the behavioral alternative outweigh the disadvantages Theories of Motivation: Expectancy X Value • Perceived benefits have to be perceived as likely outcomes (Expectancy) • The target audience has to perceive those outcomes positively (Value) What do people value? Potential Communication Objectives Group/Interpersonal Level • • • • • Publicize shifts in behavioral norms Reinforce injunctive norms Stimulate interpersonal communication Stimulate social support Encourage social reinforcement New Zealand Transport Agency Distracted Driving http://www.nzta.govt.nz/safety/driving-safely/driver-distraction/driver-distraction-advertising/mobile-phones Cultural change will only occur when people start publicly stating that they have an issue with texting and driving. • There are certain social situations where people evaluate whether it’s okay to text (e.g., on a first date or during live theater), prompted by the thought that someone might have an issue with it. • The campaign aims to use this insight to get young people to view things from a different perspective – their passenger’s. • By showing them that their passengers find their mobile phone use unacceptable in the car, the audience will start to reconsider its appropriateness. Potential Communication Objectives Institution, Community, Society/Culture • Generate demands for changes in public policy or new programs • Publicize changes in public policy and enforcement • Promote school- or community-based programs – Recruit volunteers – Recruit program participants – Announce availability of self-help materials and program activities – Reinforce information presented in the programs Rhode Island Department of Transportation Seat Belt Use https://www.youtube.com/watch?v=ddHuobF1xjo New laws or regulations will not deter high-risk behavior unless they are enforced, and the fact that they are being enforced is well publicized. • Stage law enforcement checkpoints to generate news coverage • Broadcast public service announcements Opioid Use: Determinants Social Ecological Framework Individual Interpersonal Organization Community Culture/Society Agent Opioid Use: Intervention Strategies Social Ecological Framework Individual Interpersonal Organization Community Culture/Society Agent How do we best use communications to support the chosen intervention strategy? Media Planning Guide Problem Analysis: What is the problem? What causes or contributes to it? What has been done in the past to address it, and to what effect? Overall Strategy: What is the best way to leverage change -- education, changes in social norms, institutional change, community change, policy change? How can the mass media be used to advance that overall strategy? Target Audience: Who do you want to reach with your mass media message? Be specific. What is your rationale? Media Planning Guide Objectives: What do you want your audience to do after they hear or watch your message? Obstacles: What stands in the way of your audience doing what you are asking of them? Think in terms of both your overall behavioral objective, and in terms of what you want them to do after hearing or watching your message. Key Promise: Identify one promise or benefit that the audience will get if they do what you are asking of them. Support Statements: What else does your audience need to know, think, or believe in order for the message to motivate their taking action? Emotional: Rational: Net Impression: Summarize what you want your audience to say to themselves after seeing or hearing your message. Tone: What feeling should your message have? Authoritative? Light? Emotional? Other? Media: What channels of communication will you use -- TV, radio, newspaper, ad, poster, news coverage, or what? Collaborators: What other sponsors or collaborators do you need? What level of media cooperation do you need? Continuing Activities: What other program activities could you tie into or build off of the media activity? William DeJong, Ph.D. Professor Boston University School of Public Health [email protected] #HWDeJongJr