Social Marketing Lecture I COMT 492/592 Overview Social marketing Application of proven concepts and techniques from commercial sector to promote changes in diverse socially important behaviors such as drug use, smoking, sexual behavior and family planning. Goals Social marketing seeks to impact personal behavior by persuading target audiences to: Avoid risky practices (e.g., smoking) Discontinue antisocial actions (e.g., littering) Seek counseling Take preventive measures (e.g., safety belts) Join, give or organize for a specific cause Terms Social marketing – Use of private marketing principles for social causes; however, it is so broadly defined that no one common definition exists. Cause-related marketing – Public relations by non-profits, or corporate sponsorship of social causes. Social Marketing vs. Advertising Causes Targets complex, psychological processes Tries to change deeply held beliefs Requires sophisticated research Needs emotional “hook” Ads Target simpler, feelgood behaviors (e.g. purchasing) Fit into existing social norms Research can be more informal Simple slogans Deep psychological processes underlie most social behaviors Addiction – Alcohol, drug use, risky behaviors Resistance to change Audience denial Fear defense mechanisms Disinterest in changing behavior Lack of perceived threat/benefit Peers may encourage risk behavior Fear of losing peer approval Lack of self-efficacy Prevalence 127 per 100,000 HIV+ in U.S. in 2003 406,000 AIDS cases in U.S. Ethnicity 50% of cases among Blacks Increasing among Whites, Hispanics, & Asian/Pacific-Islanders Sex 73% of cases among men Increasing among women: U.S.: 15% more cases among women vs. 1%, among men 20002003 Globally: increased from 2.1 million in 2003 to 17.6 million in 2004 Prevalence (cont’d) 45.5 million HIV+ worldwide Deaths 16,000 people died from AIDS in US in 2003 Transmission MSM & heterosexual contact account for 79% of HIV transmission in U.S. Men 62% MSM 16% IDU 13% heterosexual 8% MSM + IDU Women 73% heterosexual 25% IDU Barriers Potential of social marketing unappreciated People are hard to change Media is privately owned; airtime is expensive Social marketing is often done poorly; it is NOT the same as advertising Lack of conceptual underpinnings Campaign Planning requires more than simply insisting that people take on a new behavior It requires careful consideration of: Product – Nature of behavior to be promoted Need to ensure quality before you can promote a behavior or service Place – Price – Access & availability of recommended services/behavior Perceived costs & benefits of undertaking new behavior Promotion – Mix of media Personal selling Incentives Objective Social Marketing Directly benefits target individuals or society Commercial Marketing Profit Sales Target audience Social Audience is primary Centered on target customer Extensive audience research required Start with customer’s perspective Demographics Beliefs about behavior Social norms about behavior Beliefs in efficacy Alternative approaches Health education Persuasion Behavioral modification Social influence Health education Assumption = Individual will do the right thing if they understand the benefits and how to carry it out. Goal = Bring facts to audience in compelling manner. Theory = Health Belief Model (Hochbaum, 1958) Perceived susceptibility Perceived severity of threat Perceived benefits of action Perceived barriers to action Educational approach Cons: Focuses on changing beliefs, NOT behavior Ignores effects of social pressure Facts can have a boomerang effect Persuasion Assumption = Action takes place only if people are sufficiently motivated. Goal = Discover careful arguments and motivational “hot” buttons. Theory = ? Persuasion Cons: It is top-down. Focus is on getting customer to accept persuader’s point of view. Not customer-centered. Behavioral modification Assumption = People learn by observing others and seeing them get rewarded or punished for behaviors. Cons: Costly Hard to implement on a mass audience scale Social influence approach Assumption = Influencing community norms and social norms is the best way to bring about change (Wallack, 1990). Cons: Social norms must be well understood Limited to situations where pressures to conform are strong Only applies to visible behaviors May not be as relevant to more educated individuals Social marketing Consumer is bottom line Cost-effective Strategies begin with customer Four P’s = Product, price, place & promotion Market research is extensive Audience segmentation Competition recognized Customer is bottom line Increased knowledge and awareness are not enough Behavior change is necessary for success Understanding audience needs & wants is seen as essential ingredient Social marketing offering (product) must accommodate – be presented in a way audience needs Marketing research is key Formative research Pre-testing Audience segmentation Understanding needs & wants Perceived costs & benefits Test customer’s reactions to materials before disseminating Monitoring research Track audience responses Use feedback to tinker, revise message strategies Success stories National High Blood Pressure Education Program, 1972 -1982 Goal = get people to have blood pressure checked Strategy = Porter/Novelli in DC Results = By 1982, people who knew relationship between blood pressure & stroke increased from 29% to 59%; and those who knew b.p. & heart disease from 24% to 71%. By 1985, half of hypertensives had taken some action to control b.p. (e.g., cutting salt, exercise, or losing weight). By 1988-91, 73% of hypertensives were taking action. Success stories American Cancer Society Yul Brynner – Tells folks that he has died from the cause the sponsor is trying to prevent “I really wanted to make a commercial when I discovered that I was sick and my time was limited.” “I wanted to make a commercial that says simply, now that I’m gone, I tell you, don’t smoke. Whatever you do, just don’t smoke.” “If I could take back that smoking, we wouldn’t be talking about any cancer.” Success stories Smokey Bear (Ad Council/National Forest Service) Animation, jingles, scenic beauty Smoky is simple, straightforward and caring Smoky, although targeted at kids, appealed to all ages What effect? Studies are few Sex on TV increases perception that peers are having sex Teens unlikely to learn safe sex from TV Aggressive sex on TV increases acceptance of rape & sexual abuse Advocates for Youth, 1996. ASHA, 1996. Media effects TV violence studies show that violent programming teaches adolescents: behavior modeling (cool people are violent) social norms (guns are powerful) desensitization (killing people isn’t so bad) Same effects may occur with sex on TV: behavior modeling (stars have risky sex) social norms (premarital sex is OK) desensitization (violent sex won’t really hurt) UC-Santa Barbara, UNC-Chapel Hill, UTexas-Austin, UWisconsin-Madison. National Television Violence Study. Studio City, CA: Mediascope, 1997. TV videos in Nigeria related to increased family planning 30 25 20 15 %using 10 5 0 TV/radio Contraceptive use by Nigerian women in 1993 who had seen music videos and TV dramas to promote family planning in 1989-92 none Westoff C, Rodriguez G, Bankole A. Family Planning and Mass Media Effects. Unublished paper. Princeton University, 1996. TV celebrities can influence what people read & buy: When Oprah Winfrey recommends a book, it sells! The Deep End of the Ocean, Jaquelyn Mitchard Song of Soloman, Toni Morrison The Book of Ruth, Jane Hamilton Thigpen DE. Winfrey’s winners. Time, Dec. 2, 1996 before after Hamilton 900 800 700 600 500 400 300 200 100 0 Morrison Thousands of books in print before & after selection by Oprah Mitchard PSAs promote condoms in Portland, Oregon 1992-94 Teens who used condoms in last month increased from 32% to 40% Teens who used condoms with casual partners rose from 72% to 90% Teens who planned to discuss condoms with next partners rose from 53% to 80% Blair J. PSI/Project ACTION: Improving Teen Risk Reduction. Unpublished paper. Population Services International, 1995. Media’s potential Media can be powerful Media are not being used to their full potential In Western Europe, 3/4 of population learns about STDs from TV, books or magazines In U.S., 1/4 learn about STDs from media ASHA, 1996.