Simple Shifts In Thinking – Positive Impact on Behavior Denise Aube, Vice President, Health Care Practice Leader Joel Machak, Executive Creative Director What should I wear? Which doctor should I choose? Traditional economic theory portrays people as rational. Traditional communications provide consumers with education. Trends in Current Cigarette Smoking Among High School Students 34.8% 27.5% 36.4% 34.8% 30.5% 28.5% 21.9% 1991 1993 Source: Centers for Disease Control and Prevention. 1995 1997 1999 2001 2003 23% 2005 20% 2007 19.5% 2009 Knowledge is not enough. Brain science tells us that the unconscious mind controls 95% of behavior. People actually behave in predictably irrational ways. A few principles…. and some applications. Loss Aversion The possibility of loss motivates people to action more than the idea of gain. If you insulate your home fully you will save 50 cents a day. If you fail to insulate your home you will lose 50 cents a day. 4% response 10% response Source: Robert B. Cialdini, Influence: The Psychology of Persuasion, 1993. “We need to get more women to schedule a heart exam with our docs.” A conventional approach • Give them facts. • Heart disease is the #1 killer of women. • 1 in 2 women die of heart disease. • 6 times more than breast cancer. • Risks are all preventable. We tapped into #1 thing Mom does not want to lose. All available appointments booked. Social Norming People do what they think other people like them are doing. Help save the environment. Reuse your towels during your stay. 35% reuse NO SIGNJoin 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. “We need more people to register to become organ donors.” A conventional approach • This is a crisis – we need your help. • 118,498 people are waiting for an organ. • 18 people will die each day waiting for an organ. • 1 organ donor can save up to 8 lives. Make organ Make organ donation a movement of millions of people. Made breast cancer screening the norm – “8 in10 women right here in AA Cty.” 2011 Postcard – 1 mail drop Utilizes “Social Norming” Nearly 600 county residents respond 4.5% response rate 2010 Postcard – I mail drop Traditional Health Education Focus < 100 county residents respond (DMA benchmark 2.5%) 21 Chunking People are more likely to embark on a difficult task if it’s presented in bite-sized stages, rather than one continuous act. Survey with 96 questions. Q1 – Q96 Survey with 96 questions divided into 8 sections, 12 questions in each. 6% response 61% of responders complete the entire form 26% response 87% of responders complete the entire form Source: Richard Storey, AAAA, Behavioral Economics: Small Change, Big Difference, 2010. “We need to increase sales among current customers.” We made it easy for stressed clinicians to implement urine drug monitoring. The 5 Step Guide. Utilization increases. Volume and revenue goals surpassed. Break down financial planning into 7 simple steps. Reciprocity People are more likely to give if they receive something first. Physician Surveys National sample, 2,147 physicians Mailed survey – 25 minutes to complete ½ sample was promised a check upon completion of survey ½ sample was sent a check with the survey (pre-payment) 66% completion 78% completion Only 26% of respondents who did not complete survey cashed checks. Source: Study published in Public Opinion Quarterly (2001), authored by Sandra Berry and David Kanouse, funded by NIH. “We need to generate more leads for our sales force.” A conventional approach • Direct mail offering an incentive. • Fill out this form and we’ll send you a gift. We grabbed prospects attention and opened doors with a gift. 20% response rate 14% conversion The Power of Now We engage more strongly with current events than future ones. What is the most effective way to stop speeding? Photo taken and fine incurred. No photo taken, no fine incurred. Prevents 2.2 accidents Prevents 3.1 accidents Source: United Kingdom, Department of Transport Study, 2008, Angela Watkinson’s Report to House of Commons. “ER visits are down. We need to turn that around.” A conventional approach • Tell consumers how great we are. • Top quality care. • Showcase awards. • Give the credentials. We provided ER wait times in real time with innovative digital tools. ER volume up 2%. 37 Smoking causes cancer, lung disease, heart disease…. sometime in the future. Bar coasters engage the target when message is most relevant. 39 QR codes drive traffic to a mobile site to download or order a quit kit by phone. Requests for kits up 27%. 40 I don’t know… those cookies on the counter smell good. How do we get people to make healthier decisions? How do we get more people to participate in our events? 1. Carefully select the behavior 2. Identify the barriers and benefits 3. Design your strategy Identify the behavior Not separable into parts, incapable of being divided Learn more. Visit our Website. Schedule a heart check. Register to be an organ donor. Identifying barriers and benefits Literature Review Observation Focus Groups Surveys Design your strategy • Find a principle that might work for your program. • Pick one primary approach. • Positively frame the call to action or desired behavior. Plan, execute, measure • Apply your theory across all platforms. • Build your plan, create your tactics and execute. • Build in metrics and form of data collection. Resources nudges.org danariely.com Influenceatwork.com (Dr. Robert B. Cialdini) cbsm.com (Community-Based Social Marketing) TED Talks – Alex Laskey and Sendhil Mullainathan Thank you. Denise Aube daube@crosbymarketing.com @deniseaube Joel Machak jmachak@crosbymarketing.com Connect with Crosby Marketing: www.crosbymarketing.com www.facebook.com/CrosbyMarketing @CrosbyMarketing 410-626-0805 or 301-261-1570