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5/17/2008 1 Why Let the Devil Have the Best Tunes Let’s Use Social Marketing Jim Grizzell MBA MA CHES HFI FACHA Jim Grizzell, MBA, MA, CHES, HFI, FACHA Faculty - Cal Poly Pomona, Georgetown University; Staff Emeritus - Cal Poly Pomona Policies Health Communication, Ecological / Environmental Approach Activities no feedback Health Systems Activities w/ Health Education Specialty Care Community & Neighborhood Collaboration Primary Care Agenda y Social Marketing Definitions y Benefits of Social Marketing y Where it Fits in Health Promotion y What Social Marketing is NOT Wh tS i lM k ti i Ab t Social Marketing in Health Promotion 2 y What Social Marketing is About y First Things First y The Approach: Framework, Model y Concepts: Competition and Exchange y 4 Ps: the Marketing Mix Social Marketing Defined The application of marketing technologies where the bottom line is behavior change. y Marketing Social Change by Alan Andreasen, PhD, Professor of Marketing, McDonough School of Business, Georgetown University; Executive Director, Social Marketing Institute Social Marketing in Health Promotion 3 A process for influencing human behavior on a large scale, using marketing principles for the purpose of societal benefit rather than commercial profit. y William Smith, EdD, Executive Vice President, Academy for Educational Development Social Marketing Defined The consumer-driven application of marketing principles and techniques to program development, implementation, and evaluation in an effort to promote change or modification in Social Marketing in Health Promotion 4 health behavior. y Dictionary of Public Health Promotion and Education: terms and concepts by Naomi Modeste, DrPH, Chair, Department of Health Education, School of Public Health, Loma Linda University, and Teri Tamayose, MBA, MPH Social Marketing Defined Social marketing is concerned with the application of marketing knowledge, concepts and techniques to enhance social as well as economic ends. Social Marketing in Health Promotion 5 y Social Marketing: Why Should the Devil have All the Best Tunes? by Gerard Hastings PhD, Director, Institute for Social Marketing y www.ism.stir.ac.uk/index.htm Best Definition y Fun y “Are the consequences of behavior both l d di f ?” Coordinated activities that comprise a program to make behaviors desired Social Marketing in Health Promotion 6 real and rewarding for me?” y Easy y “Can I do it? Am I capable?” y Popular y “What do the people I care about want me to do?”

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Page 1: wellness, health promotion, health education, self study ...4 Social Marketing in Health Promotion health behavior. yDictionary of Public Health Promotion and Education: terms and

5/17/2008

1

Why Let the Devil Have the Best TunesLet’s Use Social Marketing

Jim Grizzell MBA MA CHES HFI FACHAJim Grizzell, MBA, MA, CHES, HFI, FACHAFaculty - Cal Poly Pomona, Georgetown University; Staff Emeritus - Cal Poly Pomona

Policies

Health Communication,Ecological / Environmental Approach

Activities no feedbackHealth Systems

Activities w/ Health Education

SpecialtyCare

Community &Neighborhood Collaboration

Primary Care

AgendaSocial Marketing DefinitionsBenefits of Social MarketingWhere it Fits in Health PromotionWhat Social Marketing is NOTWh t S i l M k ti i Ab t

Social Marketing in Health Promotion2

What Social Marketing is AboutFirst Things FirstThe Approach: Framework, Model

Concepts: Competition and Exchange4 Ps: the Marketing Mix

Social Marketing DefinedThe application of marketing technologies where the bottom line is behavior change.

Marketing Social Change by Alan Andreasen, PhD, Professor of Marketing, McDonough School of Business, Georgetown University; Executive Director, Social Marketing Institute

Social Marketing in Health Promotion3

A process for influencing human behavior on a large scale, using marketing principles for the purpose of societal benefit rather than commercial profit.

William Smith, EdD, Executive Vice President, Academy for Educational Development

Social Marketing Defined

The consumer-driven application of marketing principles and techniques to program development, implementation, and evaluation in an effort to promote change or modification in

Social Marketing in Health Promotion4

health behavior.Dictionary of Public Health Promotion and Education: terms and concepts by Naomi Modeste, DrPH, Chair, Department of Health Education, School of Public Health, Loma Linda University, and Teri Tamayose, MBA, MPH

Social Marketing Defined

Social marketing is concerned with the application of marketing knowledge, concepts and techniques to enhance social as well as economic ends.

Social Marketing in Health Promotion5

Social Marketing: Why Should the Devil have All the Best Tunes? by Gerard Hastings PhD, Director, Institute for Social Marketingwww.ism.stir.ac.uk/index.htm

Best Definition

Fun “Are the consequences of behavior both

l d di f ?”

Coordinated activities that comprise a program to make behaviors desired

Social Marketing in Health Promotion6

real and rewarding for me?”Easy

“Can I do it? Am I capable?”Popular

“What do the people I care about want me to do?”

Page 2: wellness, health promotion, health education, self study ...4 Social Marketing in Health Promotion health behavior. yDictionary of Public Health Promotion and Education: terms and

5/17/2008

2

What We Offer

Boring“Are the consequences of behavior both

l d di f ?”

Uncoordinated activities that comprise a program to make behaviors undesirable

Social Marketing in Health Promotion7

real and rewarding for me?”Difficult

“Can I do it? Am I capable?”Lonely

“What do the people I care about want me to do?”

Provides a 360 viewof the issue

Develops culturally appropriate interventions

Benefits of Using Social Marketing

9

Involves those affected by the issue

appropriate interventions

Enables effective use of resources

Benefits of Using Social Marketing

It offers coordinated, multiple intervention tactics!

Social Marketing in Health Promotion10

It can be used for “downstream,” “side stream” and “upstream” influence.

Social Marketing’s FitContinuum of Interventions

Social Marketing in Health Promotion11

Ecological / Environmental Approach

Low

Cost

High

Reach SpecialtyCare

Primary Care

Social Marketing’s FitIntervention Pyramid

Social Marketing in Health Promotion12High Low

Policies

Health Communication, SocialEcological Model / Environmental Approach

Activities no feedbackHealth Systems

Activities w/ Health Education

Community & NeighborhoodPartnerships & Collaboration

Page 3: wellness, health promotion, health education, self study ...4 Social Marketing in Health Promotion health behavior. yDictionary of Public Health Promotion and Education: terms and

5/17/2008

3

SpecialtyCare

Primary Care

Social Marketing’s FitIntervention Pyramid

Social Marketing in Health Promotion13

Policies

Health Communication,Ecological / Environmental Approach

Activities no feedbackHealth Systems

Activities w/ Health Education

Community &Neighborhood Collaboration

What Social Marketing Is NotNot social norms marketing, promotion or advertisingNot driven by organizational experts’ agendasNot promotion or media outreach onlyNot social media marketing

Social Marketing in Health Promotion14

Not social advertisingNot about coercing behaviorsNot a “one approach” model

Don’t think media first!

What Social Marketing Is Not

Social Marketing in Health Promotion15

400050006000700080009000

10000

Got Behavior Change?

Social Marketing in Health Promotion16

01000200030004000

1994 1995 1996 1997 1998 1999 2000

Consumption Media Buy Awareness

Monitoring and Revising

www.gotmilk.com

What is Marketing About?It’s about Behavior

• Not driving after drinking• Not smoking

Social Marketing in Health Promotion18

• Managing stress• Eating 5 servings of fruits & vegetables• Not physically abusing/assaulting• Approving and implementing environmental

changes on campus

Page 4: wellness, health promotion, health education, self study ...4 Social Marketing in Health Promotion health behavior. yDictionary of Public Health Promotion and Education: terms and

5/17/2008

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What is Marketing About?It’s about StudentsNot all of them all at once!

But specific groups of students . . .

Social Marketing in Health Promotion19

p g p

. . . and others

. . .So, What Affects Behavior?

Internal

Knowledge and beliefs

Social Marketing in Health Promotion20

AttitudesPerceived riskPerceived consequencesSelf efficacy

. . .So, What Affects Behavior?

External

Access

Social Marketing in Health Promotion21

SkillsActual consequencesCultural beliefs and valuesPolicies

Marketing is more about lowering barriers and increasing benefits!

Social Marketing in Health Promotion22

What is Marketing About?It’s about Decreasing Barriers & Increasing Benefits of Behavior

• Seek assistance from a credible source to

Social Marketing in Health Promotion23

minimize their violent behavior• Reducing barriers -Telephone counseling by men who had

considerable skills training and experience in dealing with violent men; who were able to gain the trust of men, listen to their stories, and assess their level of denial and minimization; and confront men about violence and encourage them to get into programs; No fees; Communication that avoids being judgmental

• Benefits - Keeping their relationships intact; having a positive impact on their children

What is Marketing About?It’s about Decreasing Barriers & Increasing Benefits of Behavior

• Not driving after drinking

Social Marketing in Health Promotion24

g g• Reducing barriers

• Provide low cost luxury limousine service• Benefits

• Be, feel, look cool• www.roadcrewonline.org

Page 5: wellness, health promotion, health education, self study ...4 Social Marketing in Health Promotion health behavior. yDictionary of Public Health Promotion and Education: terms and

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Program Planning Framework Multidisciplinary and comprehensive programs to influence behaviorsBased on research to understand point of view of the target audience

Social Marketing in Health Promotion25

Interventions that integrate audience needs with needs of sponsors – exchangeConsiders competition and exchangesOngoing monitoring and evaluation

First Things First! Apply Best Practices

26

Competitive AdvantageExtremely pre/post testedDistills comprehensive best practices

Social Marketing in Health Promotion27

Vetted by major players in social marketing>700 resourcesCDC originatedCDCynergy is almost a requirement for funding

Looked on very favorablyRecognized nationally and internationally

www.orau.gov/cdcynergy/soc2web/default.htm

Social Marketing:A Model for Interventions that Facilitate Behavior Change

What is the health problem?

WHO MUST ACT TO RESOLVE PROBLEM

HOW YOU TELL THEM ABOUT THE WHAT, WHY, WHERE AND HOW

Promotion or CommunicationWHY THEY WANT TO DO IT

Pricing

WHERE (HOW) THEY CAN DO BEHAVIOR

Place

Increasing knowledgeIncreasing benefitsDecreasing barriersImproving self-efficacyIncreasing social pressure or norms

Classroom teaching, worksite educationMass media messagesSmall group discussion , community meetingsPatient/doctor interactionPoint of purchase display

Social Marketing in Health Promotion28

problem?

What actions could reduce the problem?

POLICY/RULES THAT INFLUENCE THE ACTION

Policy, rules, legislation

Target audienceStakeholder, group, or

individual market research

WHAT ACTION MUST BE TAKENProduct (or Behavior)

Community resourcesPartnershipsSpecific clinicsProduct offering** may be where they learn how to do behavior (training)

Social Marketing as a Model for Interventions that Facilitate Change, Susan D. Kirby, 1995

Describing the action in a what that is relevant to the target audience and helps fulfill some unmet need, but not contrary to science

Methods we can use to increase social pressure, provide protection for public

Create action by third partiesCreate incentives for health enhancing policies

Marketing Mix

Social Marketing “Benchmarks”• No theory of social marketing• Benchmarks

– Customer orientation– Behavior

Theory– Theory– Insight– Exchanges– Competition– Audience segmentation and targeting– Marketing mix

– Continuous and strategic formative & process research, monitoring and evaluation

Key Concept - Competition

Target audience can go somewhere else or do something else or maintain current behaviorM dif d li i

Social Marketing in Health Promotion30

Modify program, delivery, service provider or the product to make the competing behavior less attractive, less available, or more costly

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Key Concept - ExchangeIncrease or highlight the benefitsDecrease or

Social Marketing in Health Promotion31

de-emphasize the barriers

• Change the product, price, place or promotion to meet the exchange, if necessary

Exchange

You Give Me$1.00

You GetA Pepsi

a thirst quenchergood taste

Social Marketing in Health Promotion32

good tastefunyouthful feelinggirl/boyfriend

Exchange

You Give Me75¢

EmbarrassmentLoss of Pleasure

You GetA Condom

protection against pregnancy

Social Marketing in Health Promotion33

ArgumentRelationship difficulties

protection against STDspeace of mindsense of controlhope for the futurea date

Exchange

You Give MeMoneyTime Momentary discomfort

You GetAn immunization

Better healthAvoidance of greater

Social Marketing in Health Promotion34

Momentary discomfort gdiscomfort (sickness) Ability to go to school, work, travel

Define the Health ProblemReview epidemiologic data sources/literature

Secondary and primary researchIdentify what actions/behavior change

Social Marketing in Health Promotion35

Identify what actions/behavior change could reduce the problem Identify preliminary target audience and target behavior

Identify Who Must Act to Solve Problem

Collect and analyze demographic, socioeconomic, cultural and other data on target audience

Social Marketing in Health Promotion36

Segment them into smaller, more homogeneous groups for which uniquely appropriate programs and interventions can be designed

Individuals, Groups, Decision makers

Page 7: wellness, health promotion, health education, self study ...4 Social Marketing in Health Promotion health behavior. yDictionary of Public Health Promotion and Education: terms and

5/17/2008

7

Identify Who Must Act to Solve Problem

Select target segments for your program and plan research

Social Marketing in Health Promotion37

Conduct Formative Research

Understand selected target segment: needs, wants, hopes, fears, knowledge, attitude, behavior, perceived riskR h b h i l d t i t f d i d

Social Marketing in Health Promotion38

Research behavioral determinants of desired behavior for selected target segmentDeep “insight”Plan initial concepts and program elements

Develop Project & InterventionsSet measurable behavioral objectives for selected segmentDesign intervention for selected segment

Social Marketing in Health Promotion39

Apply marketing principles (the “marketing mix”) Pre-test all products, services and messages including intervention

How Does Marketing Do This?It’s about the “4 Ps”

• Product• Price

Social Marketing in Health Promotion40

• Place• Promotion• Policies – Sometimes called a 5th P

Marketing “Strategies”-- What are We Offering

The behavior we want people to doTh “b dl f b fit ” th t l

(Product)

Social Marketing in Health Promotion41

The “bundle of benefits” that people tell us are important to them (may not be health-related)Tangible services and products to make the behavior easier to do

Cost to the target audience of changing behavior

Marketing “Strategies”Barriers/Benefits

(Price)

Social Marketing in Health Promotion42

Can be financial, or more often related to other “costs”

time effortlifestylepsychological cost

Page 8: wellness, health promotion, health education, self study ...4 Social Marketing in Health Promotion health behavior. yDictionary of Public Health Promotion and Education: terms and

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Marketing “Strategies”Where we Offer It

Placing services, products and activities at places or times that:

(Place)

Social Marketing in Health Promotion43

• people are likely to be thinking about the problem/issues

• are convenient for people • they are likely to see/hear the information• are where they will act

Marketing “Strategies”Providing Information

Presenting information in a way that:• is memorable

t d t f ti

(Promotion)

Social Marketing in Health Promotion44

• stands-out from competing messages• is repeated again, and again, and again• has a “call to action”• respects culture• is in a place and at a time they will notice

Marketing “Strategies”Providing Information

(Promotion)

Communicating to the audience about product/program, price, and place variables

Social Marketing in Health Promotion45

News storesLetters to the editorPSAsBrochuresWord-of-mouth/face-to-faceEducation sessions

AdvertisingMedia relationsEventsPersonal sellingEntertainmentDirect mail

Deliver and Monitor Program

Train and motivate front line staffBuild products and programs and execute

Social Marketing in Health Promotion46

executeDistribute materialsRefine product/program and materials as mid-course monitoring data suggests

Conduct Evaluation

Conduct process and outcome evaluationLinked to behavior objectives

Did you reach target audience

Social Marketing in Health Promotion47

Did program have an impactDid desired outcome occur, why/why notRevise evaluation plans and models in accordance with program changes

Think Like a Marketer

Think Behavior ChangeKnow your AudienceThink Benefits, Costs, Competition and

Social Marketing in Health Promotion48

ExchangeWhen/Where in Right Frame of Mind?When/Where is Right Place & Time?Make it fun, easy and popular!!!!!!

Page 9: wellness, health promotion, health education, self study ...4 Social Marketing in Health Promotion health behavior. yDictionary of Public Health Promotion and Education: terms and

5/17/2008

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Next StepYour turn to be a social marketer!

Questions and Answers

Contact me at:

Jim [email protected](909 856-3350www.csupomona.edu/~jvgrizzellwww.healthedpartners.org/ceu/sm

Policies

Health Communication,Ecological / Environmental Approach

Activities no feedbackHealth Systems

Activities w/ Health Education

SpecialtyCare

Community &Neighborhood Collaboration

Primary Care