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National Health Council Communications Affinity Group And Grassroots Team November 14, 2012 Presentation #1 Influencing Behavior Change

National Health Council - Influencing Behavior Change

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First of two presentations to National Health Council member organizations on November 14, 2012. Given by Denis Aube and Joel Machak from Crosby Marketing Communications.

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Page 1: National Health Council - Influencing Behavior Change

National Health CouncilCommunications Affinity Group

And Grassroots Team

November 14, 2012

Presentation #1Influencing Behavior Change

Page 2: National Health Council - Influencing Behavior Change

Increasing Communications Success By Thinking Differently

Denise Aube, Vice President, Health Care Practice LeaderJoel Machak, Executive Creative Director

Page 3: National Health Council - Influencing Behavior Change

Denise Aube Joel MachakVice President,

Healthcare Practice LeadCrosby Marketing Communications

Executive Creative DirectorCrosby Marketing Communications

Page 4: National Health Council - Influencing Behavior Change

What should I wear?

Which doctor should I choose?

Page 5: National Health Council - Influencing Behavior Change

Traditional economic theory portrays

people as rational.

Page 6: National Health Council - Influencing Behavior Change

Traditional healthcare communications

provide consumers with education.

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1991 1993 1995 1997 1999 2001 2003 2005 2007 2009

27.5%30.5%

34.8% 36.4% 34.8%

28.5%

21.9% 23%20% 19.5%

Trends in Current Cigarette Smoking Among High School Students

Source: Centers for Disease Control and Prevention.

Page 8: National Health Council - Influencing Behavior Change

Knowledge is not enough.

Page 9: National Health Council - Influencing Behavior Change

Brain science tells us that the

unconscious mind controls

95% of behavior.

Page 10: National Health Council - Influencing Behavior Change

People actually behave in

predictably irrational ways.

Page 11: National Health Council - Influencing Behavior Change

A few principles…. and some applications.

Page 12: National Health Council - Influencing Behavior Change

Loss Aversion

The possibility of loss motivates people to

action more than the idea of gain.

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If you insulate your home fully you will save 50 cents a day.

4% response

If you fail to insulate your home you will lose 50 cents a day.

10% response

Source: Robert B. Cialdini, Influence: The Psychology of Persuasion, 1993.

Page 14: National Health Council - Influencing Behavior Change

• “Fact-based” campaign, 1 appointment scheduled over the course of several weeks.

• Current campaign, 12 appointments in week 1.

Regional HospitalWomen’s Heart Center Outpatient Services

Page 15: National Health Council - Influencing Behavior Change

Social Norming

People do what they think other people like them are doing.

Page 16: National Health Council - Influencing Behavior Change

NO SIGN

Help save the environment. Reuse your towels during your stay.

35% reuse

Join your fellow guests in helping save the environment

(75% are participating). Reuse your towels during your stay.

44% reuse- 49% reuse

Source: Study published in Journal of Consumer Research (2008), authored by Noah J. Goldstein, Robert B. Cialdini, Vladas Griskevicius.

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2010 Postcard – I mail dropTraditional Health Education Focus

< 100 county residents respond

County Government Department of HealthCancer Prevention Program Made breast cancer

screening the norm – “8 in10 women right

here in AA Cty.”

2011 Postcard – 1 mail dropUtilizes “Social Norming”

Nearly 600 county residents respond4.5% response rate (DMA benchmark 2.5%)

Page 18: National Health Council - Influencing Behavior Change

Chunking

People are more likely to embark on a difficult task if it’s presented in bite-sized stages, rather than

one continuous act.

Page 19: National Health Council - Influencing Behavior Change

Survey with 96 questions divided into 8 sections, 12 questions in

each.

Survey with 96 questions.Q1 – Q96

6% response61% of responders

complete the entire form

26% response87% of responders

complete the entire form

Source: Richard Storey, AAAA, Behavioral Economics: Small Change, Big Difference, 2010.

Page 20: National Health Council - Influencing Behavior Change
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Reciprocity

People are more likely to give if they receive something first.

Page 22: National Health Council - Influencing Behavior Change

Physician SurveysNational sample, 2,147 physicians

Mailed survey – 25 minutes to complete

Source: Study published in Public Opinion Quarterly (2001), authored by Sandra Berry and David Kanouse, funded by NIH.

½ sample was promised a check upon completion of survey

66% completion

½ sample was sent a check with the survey (pre-payment)

Only 26% of respondents who did not complete survey cashed checks.

78% completion

Page 23: National Health Council - Influencing Behavior Change

The Power of Now

We engage more strongly with current events than future ones.

Page 24: National Health Council - Influencing Behavior Change

What is the most effective way to stop speeding?

Page 25: National Health Council - Influencing Behavior Change

Photo taken and fine incurred.

Prevents 2.2 accidents

No photo taken, no fine incurred.

Prevents 3.1 accidents

Source: United Kingdom, Department of Transport Study, 2008, Angela Watkinson’s Report to House of Commons.

Page 26: National Health Council - Influencing Behavior Change

shorterERwait.com: updated every 30 minutes

• Digital platforms provide ER wait times in “real time”

• ER services up 2%

Mobile Application

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Regional HospitalEmergency Services

Page 27: National Health Council - Influencing Behavior Change

• Drive awareness and traffic through online, outdoor, social media

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Page 28: National Health Council - Influencing Behavior Change

Smoking causes cancer, lung disease, heart disease….

sometime in the future.

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Bar coasters engage the target when message is most relevant.

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Gas pump toppers send messages when smokers are likely to

purchase cigarettes.

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QR codes drive traffic to a mobile site to download or order a quit kit by phone.

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Elevator or stairs?

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Source: New York City Department of Health and Mental Hygiene.

Stair use increased immediately from 9.2% to 34.7%.

Page 34: National Health Council - Influencing Behavior Change

I don’t know… those cookies on the

counter smell good.

How do we get people to make healthier decisions?

Page 35: National Health Council - Influencing Behavior Change

How do we get more people to participate in our events?

Page 36: National Health Council - Influencing Behavior Change

I just want to go home.

How do we get more people who have been

waiting for hours at DMV to register to

become organ donors?

Page 37: National Health Council - Influencing Behavior Change

Evidence-based behavior change principles.

Page 38: National Health Council - Influencing Behavior Change

Denise Aube Joel MachakCrosby Marketing Communications

410-626-0805www.crosbymarketing.com

[email protected]

Page 39: National Health Council - Influencing Behavior Change

National Health CouncilCommunications Affinity Group

And Grassroots Team

November 14, 2012

Thank You for Participating!