Eating Disorders Caroline Arnold Elizabeth Cozine Juliette MacRostie STRATEGY ANALYSIS REPORT page 2 Table of Contents 1 – Overview 2 – Background 9 – Target Audience 8 – Communications Strategies and Campiagns 8 – NEDA 12 – ANAD 15 – EDC page 3 Overview Eating disorders in the United States is a prevalent issue that has garnered national attention in the past 30 years with the rise of obesity rates, a growing dieting culture, and the explosion of the Internet and other media sources. In response to the growing number of cases of the disease, a number of different non-profit organizations emerged in order to educate, promote and support the issues of eating disorders on a national level. While each organization works diligently in order to educate and inform the public, many organizations struggle to communicate their messages to a large national audience. This report strives to inform its reader on each type of eating disorder, the efforts of the National Eating Disorder Association, the National Association of Anorexia Nervosa and Associated Disorders (ANAD) the Eating Disorder Coalition, and improvements that can better help to reduce eating disorders in the United States. page 4 Background What are eating disorders? An eating disorder is characterized by an abnormal or unhealthy relationship with food. As a result, the sufferer can face distorted thinking, excessive weight-loss, and a number of other symptoms (“General Information”). In the United States alone, over 24 million people of all ages and genders suffer from eating disorders (“Eating Disorders Statistics”). Studies had proved that genetics and environment have a correlation and influence over the development of eating disorders (“General Information”). Additionally, the disease has devastating consequences and effects; in fact, eating disorders have the highest mortality rate of all mental illnesses. There is a great deal in variance in causes of death in relation to eating disorders - those who suffer may experience heart or organ failure, malnutrition or suicide (“Eating Disorders Statistics”). Eating disorders additionally vary in their type. There are four major types of eating disorders - anorexia nervosa, bulimia nervosa, binge eating disorders, and eating disorders not otherwise specified (ENDOS). Each case has unique characteristics, with no two cases being the same. Type of Eating Disorder Symptoms Anorexia Nervosa • • • • Bulimia Nervosa • • • Binge Eating Disorder • • • • Psychological Explanation Intense fear of weight gain. Skipping meals. Resisting high caloric foods. Eating only specific types of food. • • • Intense fear of weight gain. Episodes of binging (excessive consumption of food) and purging (making oneself vomit). Abuse of laxatives and/or weight loss pills. • • • Difficulty regulating mood. Impulsivity. Family dysfunction. Rapid consumption of food. Frequent episodes. Bingeing until feeling sick or uncomfortable. Lack of control over food consumption. • • • • Depression. Low self-esteem. Loneliness. Body dissatisfaction. • Fear of growing up. Perfectionism. Need for control or attention. Family discord. page 5 Eating Disorders Not Otherwise Specified (EDNOS) • • Do not meet exact specification of anorexia or bulimia. Struggle with relationships with food or body image. • • • • • Body dissatisfaction. Distorted body image. Depression, anxiety. Low self-esteem. Rigid thinking. EDs in the 21st Century Eating disorders have risen to attract the public interest in the 20th and 21st century with the rise of social media, unrealistic standards set by the media, and the efforts set forth by the United States in order to raise awareness of rising rates of obesity. The case number of eating disorders exploded in the 1970s and 1980s, with adolescent girls accounting for most cases (Deans). Because of this, eating disorders became known as a teenage disease (Deam). It is important to understand that, during this time, obesity rates in the United States were increasing at an extremely high rate, prompting the emergence of low-fat eating and dieting through mainstream channels (Deans). Additionally, the media has become a critical platform that has set standards for the ideals of beauty in American culture. According to Mortality and Health: News Media Constructions of Overweight and Eating Disorders, “thinness is associated with high social status and is taken as evidence of moral virtue. In contrast, fatness is linked to low status and seen as a sign of sloth and gluttony” (Saguy, Gruys 231). The media feeds on this assumption, and promotes “thinness” as a ideal standard to strive for. The explosion of the Internet and social media has become a forum for the promotion and rise in awareness of eating disorders. Social networking websites have perpetuated and fueled the promotion of eating disorders, with the Internet providing an online community for those struggling with the unhealthy lifestyle. These networks include websites such as Facebook, Pinterest and Tumblr, to name a few. How EDs Are Being Addressed Eating disorders have been covered and addressed through the use of various media and communications channels in the United States. The portrayal of EDs have been displayed in print, television and onwline; through news and entertainment sources. However, one of the most significant efforts in raising awareness of eating disorder comes from non-profit organizations specific to advocating for eating disorders in the U.S. These nonprofit organizations are multifaceted - they provide support and literature on eating disorders and bring light to the various issues and consequences of the disease. The non-profit organizations are committed to educating and promoting the page 6 awareness of eating disorders in the United States. In this report, we chose to focus upon three different non-profit organizations: the National Eating Disorders Association (NEDA), the National Association of Anorexia Nervosa and Associated Disorders (ANAD) and the Eating Disorder Coalition. All three organizations have resources and sources of support, and aim to make eating disorders a national issue. Organization Founded Goals National Eating Disorders Association (NEDA) 2001, after merging of Eating Disorders Awareness & Prevention (EDAP) and American Anorexia Bulimia Association (AABA). This merged the largest and longest standing eating disorders prevention and advocacy organizations in the world (“Who We Are”). Campaign for prevention, treatment and research. Founded in early 1970s by Vivian Meehan. Oldest ED organization providing referral services. Fighting and supporting the recovery of eating disorders. Helps those struggling with EDs while providing resources for families, schools, and the ED community. Raises awareness of eating disorders in the world of public health a national and state level. The National Association of Anorexia Nervosa and Associated Disorders (ANAD) Eating Disorders Coalition (EDC) Founded in 2000. Efforts • • • • • • • • • • • • • Leading non-profit organization for eating disorders in the United States. Social media accounts. Conferences. Annual NEDA walks. NEDA Awareness Week. Spreading awareness in schools. Partnering to raise awareness. Social media accounts. Support groups and referral hotlines. Works with Congress to influence public policy. Support advocacy. Educating members of Congress. Social media accounts. page 7 Target Audience Young Women Ages 11-18 Due to the simple fact that any one or a combination of eating disorders plague approximately 24 million Americans, there are a plethora of target audiences to choose from. The primary target audience in this case is young women or adolescents, ages 11-18. Young girls, particularly those entering both middle and high school go through major changes physically and socially. Pressures from peers and the media become more significant than ever before. Currently, 5% of adolescents in the United States have either anorexia nervosa, bulimia nervosa, or binge eating disorder. With such a large number of young women affected, it only seemed fitting for this analysis to be written with them in mind. College Students Another very important audience to target is college students, ages 18-22. Attending college for the first time is both an exciting and challenging time for many young adults as they leave the comfort of their homes to enter a world where they must balance freedom with responsibility. They are offered more choices than ever before, and with those choices come additional pressures and stresses. According to NEDA, 35% of college students are pathological dieters—those who diet on and off for long periods of time. Of those, 20-25% progress to partial of full-syndrome eating disorders. Men Men are often forgotten or lost in the midst of attention and coverage that eating disorders receive. This is for a combination of reasons including the fact that eating disorders affect many more women than they do men and the idea that there is a certain sort of social stigma associated with men who have eating disorders. However, males account for approximately 5-15% of patients with anorexia nervosa or bulimia nervosa and 35% of those with binge eating disorder. Although, statistically, men are not equally as affected by this disease as women, they nevertheless are affected and should thus be part of the larger target audience. Parents: Mothers As previously mentioned, children are influenced everyday by external factors, which can lead them to developing an eating disorder. Parents can play a key role in the prevention of these eating disorders. This analysis will target mothers, especially the profound impact that their behaviors toward food, dieting, and self-image have on their children. A mother possessed by diets and calorie counting will only encourage page 8 similar behavior in her children. Thus, it is critical that mothers understand their own power and use it for preventative purposes. Children experience peer pressure and are exposed to a host of negative media messages. That is precisely why it is so important to combat these issues through positive communication in the home. Parents must discuss what truly has value in the real world and what does not. page 9 Health Communications Strategies and Case Studies National Eating Disorders Association NEDA works tirelessly to support individuals and families of those who struggle with eating disorders, and uses a number of effective strategies and tactics in order to communicate their messages and mission. NEDA’s website provides help and support for those interested or affected, and offers an online eating disorders screening, helpline, options for treatment, and resources to support groups. In addition to their website, NEDA communicates with the public through social networking websites such as Facebook and Twitter. NEDAwareness Week NEDA hosts and publicizes their annual event, National Eating Disorders Awareness Week, each February. Their slogan for the 2014 year was “I Had No Idea.” This theme, according to NEDA, was chosen in order to “raise awareness towards the significant impact eating disorders have on individuals, families, and communities across the nation” (“Key Messages”). The purpose of the week is to increase the outreach and awareness of eating disorders and body images while reducing or dispelling misconceptions about the disease. NEDA believes that the week should spur conversation and prompt individuals to seek out information about eating disorders, which could ultimately save lives (“Key Messages”). The week used a number of platforms in which information about the disease could be communicated. Some of the actions taken by NEDAwareness Week included the distribution of pamphlets and posters, hosting volunteer speakers, posting on social networking websites and planning interactive events to be held within communities (“Key Messages”). The week prompted the everyday person to take action and participate through planning such events. One of the many key messages focused upon within this week was taking action through small efforts. NEDA asked their target audience to promote and expose the event within their respective communities, allowing those interested in participating to become directly involved (“Key Messages”). The event additionally made the effort to reach one of their key target audiences - adolescents in schools - by providing relevant information about NEDAwareness Week in the classroom environment. NEDA takes advantage of the week in communicating important messages to the public. NEDAwareness Week spurred conversation on online platforms when the hashtag #NEDAwareness became a trending topic on Facebook and Twitter this year and in years past. The hashtag attracted additional attention in 2012 when singer and actress Demi Lovato tweeted, "Most models are thinner than 98% of Americans. Instead of trying to change our bodies, how about we try to change our culture? #NEDAwareness” (Lovato). The tweet received 17,442 retweets and 3,866 favorites, page 10 further exposing awareness of the week. The actress, who has 22.2 million followers on Twitter, is known for her struggle with eating disorders and self-harm, and has become an important role-model in combating and preventing eating disorders (Steiner). In addition to Lovato, renowned television personality Dr. Phil tweeted in support of the week. During the 2014 year, NEDA partnered with a diverse range of partners that helped to raise awareness through hosting events and increasing dialogue. The 86 partnerships included hospitals, schools, and a number of other meaningful platforms in which NEDA’s messages could be communicated and spread. Forging partnerships were extremely effective in reaching a larger audience, and, according to NEDA, helped to “generate tremendous media attention to eating disorder issues at the local, regional and national level” (“Partners”). NEDA’s efforts throughout NEDAwareness Week did not go unnoticed by major news networks. Coverage of the week was reported on by a variety of different news sources, from Forbes to The Huffington Post to Psychology Today. These articles took advantage of the week in order to bring eating disorders to a national light. USA Today recognized the necessity for our nation to “overcome the ‘silent epidemic’” of eating disorders, and addressed the need for education about the deadly disease to be spread on college campuses (Adamczyk). This type of news coverage helped to make the week nationally recognized, and focused upon NEDA’s goal of destigmatizing the disease, a key message the organization was trying to communicate. Partnerships NEDA has forged relevant partnerships in the past five years. These partnerships not only help to add legitimacy to both organizations, but also bring in more audience members to target. In 2013, NEDA partnered with Screening for Mental Health, Inc. (SMH) to launch www.MyBodyScreening.org. The website is an anonymous source where people can take a free evaluation of their eating habits, which can help to indicate the presence of an eating disorder. This is an incredibly useful tool in which people struggling with eating disorders can anonymously identify their eating patterns. page 11 NEDA and SMH believe that the online resource can help people identify their illnesses and seek help thereafter. The partnership was formed before NEDA’s 26th annual NEDAwareness Week (“National Partnerships..”). In addition to partnering with SMH, NEDA partnered with popular microblogging website, Tumblr, in 2012. Tumblr had become a source for “pro-ana” information and affirmations; done so by a variety of users promoting the unhealthy behavior through words and images. NEDA partnered with the website to help them flag these pages through the Media Watchdog program, and additionally spread information and resources for support in response. Tumblr additionally agreed to promote NEDAwareness Week, which reached over 40 million users of the website (“National Eating Disorders..”). In 2010, NEDA announced that Whitney Thompson, the winner of Cycle 10 of America’s Next Top Model had become NEDA’s official ambassador. This announcement, like other partnerships mentioned, came prior to NEDAwareness Week, which attracted publicity and conversation about the week (“Top Model…”). Community Involvement NEDA, as stated prior, affords the opportunity for followers or volunteers to become directly involved with the organization. This can be done through advocating for NEDA and eating disorders in lobbying efforts, volunteering or interning, participating, sponsoring, or planning NEDA Walks, and joining Media Watchdog, which works to improve messages about body image and eating disorders online (“Get Involved”). These efforts directly engage NEDA’s followers, and aim to spur conversation within a plethora of different communities. Social Media Although NEDA has online accounts on major social networking websites, their followers do not accurately represent the 24 million Americans that struggle with eating disorders or body image issues. Collectively, NEDA’s social networking accounts amount to 49,207 followers. These followers include Facebook, Pinterest, Instagram and Twitter users. Although the organization posts frequently, they struggle to attract more followers. page 12 National Association of Anorexia Nervosa and Associated Disorders (ANAD) The National Association of Anorexia Nervosa and Associated Disorders (ANAD) uses partnerships, social media, and various events to promote the awareness of eating disorders. Their partnerships consists of four nationally ranked rehabilitation centers such as The Ranch, Rogers Memorial Hospital and Center for Discovery, among others. ANAD is partnered with sorority, Delta Phi Epsilon, as their national philanthropy. In addition, ANAD has Facebook and Twitter accounts that clients, members, and the general public can utilize to get more information about eating disorders. Throughout the year, ANAD hosts a series of events that are open to the public. For example, ANAD is hosting their 11th Annual ANAD Candlelight Vigil at Edward Hospital. It is a memorial celebration to remember those who have lost their lives to eating disorders to and celebrate and support those in recovery. Mission and Key Messages On ANAD’s website they describe themselves as “a non-profit corporation that seeks to prevent and alleviate the problems of eating disorders, especially including anorexia nervosa and binge eating disorder” (“Get Information”). The messages that ANAD intends to spread are more about physical health rather than mental health, evidenced by the framing of eating disorders as a self-image problem instead of a mental illness issue. As articulated in their mission statement, ANAD targets women ages 18-30 years old who suffer from eating disorders. Their secondary audience includes adults with ages ranging from 18-60, specifically targeting the parents, family members, and friends of those who have an eating disorder. Partnerships ANAD remains relevant by forming strategic partnerships with various rehabilitation centers and other organizations, such as Delta Phi Epsilon. The rehabilitation centers that ANAD has become associated with are are nationally ranked. Some have hosted high-profile figures who have struggled with eating disorders. These strategic partnerships have helped ANAD become more relevant, as celebrity-gossip is a prevalent topic among adolescents. Since some well-known celebrities have gone to certain rehabilitation centers that are partnered with ANAD, people can associate ANAD with the rehabilitation centers, which can become more of a topic of conversation among their targeted audience. These partnerships give ANAD more credibility as the public is able to see a celebrity, such as Demi Lovato, recover from an eating disorder and continue on a path to success. In return, victims of eating disorders regain hope that recovery is possible. Additionally, partnering with a sorority helps facilitate conversation about eating disorders on college campuses by targeting an organization that caters to the primary page 13 audience of ANAD. Additionally, knowledge and awareness of ANAD is spread through the philanthropy’s various events aimed at raising awareness about the cause. ANAD reaches out to the sorority with three specific goals: Increase awareness of eating disorders, address body image, media influence, and self-perception; increase development of philanthropic endeavors on the college campus; and increase fundraising for awareness, prevention, education and advocacy of eating disorders. From February 23- March 1, the sorority has ANAD week. During this week, Delta Phi Epsilon has various events and activities that help raise awareness about eating disorders, including a candlelight vigil (“Get Involved”). ANAD uses the Candlelight Vigil to remember those who have lost their lives and recognize those who have recovered and survived, while also promoting eating disorder awareness to the general public. The event is meant to raise awareness of eating disorders and promote a positive self-image through the theme of “Accept Yourself...Accept Others” (“Get Involved”) ANAD recognizes the importance of this vigil in saving lives, as the information and testimonials from survivors can act as a catalyst for a victim of an eating disorder to seek help, as the vigil reduces the stigma surrounding the disease. In conclusion, this program allows Delta Phi Epsilon chapters to host a sponsored event on their campus that supports eating disorder awareness, prevention, education and advocacy. Social Media ANAD uses multiple platforms to promote eating disorder awareness among their target audience. The organization keeps an online presence through Facebook and Twitter by posting content about eating disorders in the news, as well as highlighting positive ways that society can improve on their perception of eating disorders. Facebook On ANAD’s Facebook page under their “About” section, they use the same phrases as their website in their “Who Are We” section, gave a summary of their mission, gave their helpline phone number and email under their “Contact Info.” The Facebook page itself consists of posts that are mainly inspirational messages about positive body image and pictures of events that ANAD held. With 9,757 “likes”, ANAD tries to support women who are struggling with eating disorders and may be reluctant to seek help due to public perception about the disease. page 14 Over the course of six years on Facebook, ANAD has increased their number of inspirational graphics and decreased the amount of posts containing political activism. In 2009, it seems that ANAD used Facebook as a way to get the word out about distorted body images, exemplified by the petition against Ralph Lauren for their distorted media advertising campaign. They also posted news articles and research that identified the linkage between eating disorders and media coverage. For example, ANAD posted, “Study indicates preschool girls worry about their body image...What do you think” and placed a link to the study saying, “Half of preschool girls worry about fat.” This gives the audience a shocking idea about how children are being affected by media advertising. Posts like these spur the audience to action by tugging on their heartstrings, with action coming in form of increased participation and involvement with ANAD. Additionally, in 2010, ANAD was able to get a time slot on the Today Show and posted the interview on their page. This segment on the Today Show cast the national spotlight on eating disorders. It was able to reach a number of audiences, including one of the largest law firms in the country: McDermott, Will, and Emery. The law firm agreed to help ANAD in their efforts to remove Pro ANA/ MIA websites. page 15 In 2011, the website still kept up with current event issues involving eating disorders while starting to post inspirational quotes that encourage people to stay healthy. ANAD continued to get media coverage with large cable news networks such as the Today Show and ABC News as they advocated eating disorder awareness. In addition, they continued to provide studies and news articles about the public’s perception of weight, such as “From Parenting.com, 44% of women polled stated that they would rather be 15 pounds thinner, than have their child be 15 points smarter. Are you surprised?” By presenting concrete statistics with an element of “shock value,” ANAD was able to effectively spark conversation on their Facebook page. In 2012, ANAD continued to show studies of how people feel about weight by supporting these claims with relevant issues in current events; over 50 percent of their content was inspirational graphics and posters to help people to feel better about themselves. ANAD also addressed Barneys’ scandalous campaign of changing Disney characters to look extremely thin and tall. Their Facebook post stated, “Barney’s New York ad is inappropriate- tell Disney and Barneys what we think!” and included a link to the Huffington Post article. In 2013 and 2014, ANAD begins to reduce posts pertaining to current events and studies related to eating disorder sentiments, and instead increases the amount of inspirational graphics to around 90% of their Facebook content. The strategy of posting inspirational graphics, rather than shocking news articles, has been more effective in garnering “likes” for each post, which in turn increases the amount of internet traffic reaching their page. The success of these inspirational graphics may be due to their simplistic nature that allows visitors to casually scroll through the page and find posts that relate to their own struggle or the struggle of a loved one, without delving too deep into the subject. Furthermore, the generality of these inspirational quotes facilitate its application to a number of life struggles, not just eating disorders. page 16 Twitter ANAD’s Twitter page uses similar tactics as their Facebook page. However, they do not have as much information about how to get in contact with them as their Facebook does. Created in 2010, the page now has 2,056 followers with over 1,000 tweets. ANAD’s tweets consist of inspirational quotes, retweets of other organizations and celebrities who tweeted about positive body image, and scientific facts about nutrition. ANAD advocates the practice of healthy habits, particularly how to have a healthy relationship with food and exercise on this medium. In 2010, ANAD focused on communicating scientific facts and relevant current events issues to their followers. They focused on linking their website to their tweets to draw in more web traffic to their organization. They also tweeted about their various partnerships and events. They regularly communicated with their associated partners and followers. In 2012, ANAD continued to support different reactions to eating disorders. For instance, Lady Gaga tweeted, “Just killed back to back spin classes. Eating a salad dreaming of a cheeseburger #PopSingersDontEat #IWasBornThisWay.” ANAD then tweeted back, “@ladygaga Eating Disorders are deadly. As a role-model, you should page 17 know better than to joke about it. #Wellness Not Weight.” This was able to help keep ANAD more relevant while pointing out the issues that people tweet: it helps people to realize that what they’re saying about weight can be potentially harmful especially since social media has grown exponentially among various audiences. As ANAD continued to tweet, they use retweets as a way to convey scientific research on nutrition and any information from the rehabilitation centers. In 2014, ANAD combines the information together of retweeting, replying to followers and adding pictures, therefore becoming more of an interactive entity. They also address ways to eat healthy and how to keep healthily active. Eating Disorder Coalition The Eating Disorders Coalition strives to advance the recognition of eating disorders as a public health issue on both a national and state level. The EDC uses several effective strategies to reach a varied audience. The EDC’s website provides information for both those affected by the issue and those interested in making change on the congressional level. Much of the information and research studies included on their website is purely for the purpose of education. They also include outlets for those who wish to become more involved by writing letters and holding insurance companies accountable for categorically denying patients treatment for eating disorders. In addition to their web presence, the EDC is present on various social media platforms such as Twitter, Facebook, and YouTube. Social Media The EDC’s Facebook page—where they regularly posts photos, news, and videos pertaining to their cause—currently has over 3,000 likes. This has proven to be a platform where the EDC updates the public on their efforts and encourages them to join the cause, which is a successful way to raise awareness. The EDC has been on Twitter since February of 2009 and currently has upwards of 1,500 followers. Many of page 18 their tweets get favorite and retweeted by followers as a sign of support. The EDC uses this platform mainly to interact with their followers and give shout outs to celebrities and spokespeople. This interactivity has been relatively successful, however could be even more effective with a larger audience. Advocacy In addition to their efforts online, the EDC also hosts an annual National Lobby Day where those interested and passionate can join the EDC on Capitol Hill to address eating disorders on a Federal level (www.eatingdisorderscoalition.org). This is a great opportunity to learn more about the process of lobbying, while gaining connections on the Hill, not to mention making policy change regarding eating disorders. This is one of the many ways that the public can become more involved with the Eating Disorders Coalition and their efforts in legislation. Partnerships One very effective way that the EDC transmits their message to the public is by associating themselves with a recognizable spokesperson who people can identify with (www.eatingdisorderscoalition.org). In 2002, former model Kate Dillon was honored to be the EDC’S first spokesperson (www.eatingdisorderscoalition.org). She herself struggled with severe anorexia during her adolescence. The former Vogue and Glamour realized that if she did not get help she would die from the disease (www.eatingdisorderscoalition.org). Dillon has been committed increasing eating disorder awareness ever since and has presented her struggle to many Members of Congress. Having a positive icon such as Dillon helps shed light on the cause and on the EDC. page 19 Policy The EDC uses various key messages in order to both educate and work hand in hand with congress to effectively influence federal policy. All eating disorders pose severe health risks for those affected, which is why the EDC’s primary goal is to raise the awareness of these risks among policy makers and the general public (www.eatingdisorderscoalition.org). In doing this, they wish to promote federal support for improved access to care for those suffering from this disease (www.eatingdisorderscoalition.org). Another key message that the EDC tirelessly stresses to the public and Congress is the increased need for resources regarding the research, education, and prevention of eating disorders (www.eatingdisorderscoalition.org). Lastly, they encourage concerned citizens to mobilize and advocate on behalf of those suffering from an eating disorder, their families, and professionals within the field (www.eatingdisorderscoalition.org). The EDC addresses Congress by creating and proposing bills to have passed. One of their most successful and widely known bills is The Eating Disorders Awareness, Prevention, and Education Act (www.eatingdisorderscoalition.org). It urges Congress to raise awareness of the issue and create educational programs to prevent eating disorders. The EDC urged congress to pass this bill for several reasons. Mainly due to eating disorders high prevalence rate, affecting nearly 24 million Americans alone (“Eating Disorders Statistics”). Also because eating disorders are on the rise—doubling in incidences since the1960s—and increasingly seen affecting younger age groups (www.eatingdisorderscoalition.org). Not to mention their negative impact on both health and educational advancement and achievement (www.eatingdisorderscoalition.org). Although eating disorders have shown to have negative impacts on the educational advancement of students, the issue is often disregarded in the American public school system. This bill strives to ameliorate these issues and make positive changes by implementing educational programs in public schools. page 20 RECOMMENDATIONS Partner with relevant authority figures. We live in a media saturated world in which a majority of the population is influenced by authority figures and their opinions. These figures can be found in a number of different fields; celebrities, doctors and legislators are some of many key influencers. Members of the public oftentimes place trust and reliance on these people, and therefore could act or think based on their suggestions. Creating partnerships with these important figures is an effective and tactical method in raising awareness of non-profit organizations which support the prevention and outreach of eating disorders. Partnering with a relevant figure who has personally struggled with an eating disorder not only brings a greater awareness to the issue, but also creates the opportunity for conversation within their respective fan base. Many organizations that focus upon eating disorders lack a large social media following. In adopting a relevant spokesperson, these numbers can feasibly rise if the authority figure uses social media to publicize the cause. In addition, a spokesperson could appear in advertisements in print, television and online to further advocate for the cause, which can spur a greater national conversation. Relevant authority figures can often set the agenda for the media, so incorporating one or many into these non-profit organizations can help to better raise awareness of the issue. Recently, the White House released a one-minute PSA featuring relevant celebrities and policymakers addressing the issue of rape on college campuses. The advertisement, which features President Obama, Steve Carell and other high profile celebrities, attracted national attention for its “star” power, but more importantly sent a message in communicating that rape is never O.K (Feldman). The association of these important figures helped to better raise awareness of the issue, and set the agenda for national conversation and coverage, as a number of third-party sources covered the issue in response to its release. This is a strong and effective tactic that could benefit organizations focusing on increasing awareness of eating disorders on a national level. Increase advertising on a national level in order to raise awareness of EDs in America. Although eating disorders are recognized and often detailed in print and media, there is a lack of its advertisement on a national level. Advertising is an effective strategy in raising awareness of a pertinent issue. Increasing print, online and television advertisements can help to further impact audiences that may have not otherwise been aware of EDs in the United States. Increasing national advertising for non-profit organizations can better help to reach a broader audience and call people to action. page 21 Additionally, increasing Public Service Announcements (PSAs) are a successful method in appealing to the emotions of its viewers. These non-profit organizations could benefit from these television spots as it could affect and therefore promote the effort for advocating for EDs in the United States. Create larger-scale national campaigns. In order to create an impactful campaign, organizations should take into consideration who their primary and secondary target audiences are, and research what will appeal to them (Berger 30). They also need to consider the goals of the campaign and their end goals. Creating partnerships with the right organizations and spokespeople who embody their values and ideals is an essential method of creating an impactful campaign (“Corporate Partnering”). National advertising is also a critical step in creating a large-scale campaign. Using different channels of media, from print to television to online, can increase awareness and visibility of a campaign and its goals. Creating advertisements and PSAs that incorporate some form of shock-value can better help engage and motivate its consumers. Print advertisements should be strategically publicized in specific national magazines and newspapers in order to attract members of their target audience. Organizations should additionally aim to increase and attract a greater social media presence. This can be done by tweeting or posting relevant issues happening in relation to a campaign as well as promoting and engaging user-generated content. Using social media outlets should be done often and consistently using a campaign’s hashtag or key messages. The organization should examine and evaluate their efforts throughout their campaign and highlight what was or was not effective in doing so. This can help to better strengthen and improve future efforts. Increase online presence with social media. Social networking websites have become an important, if not essential, means of communicating key messages to the public. Organizations and companies have benefitted in promoting their respective messages or products through these channels; in fact, some non-profit organizations have attracted millions of followers or ‘likes’ on their social media pages. Creating a strong online presence is an effective method in communicating key messages to the public audience. Because a majority of patients who suffer with eating disorders fall into a younger demographic, using social media is a relevant tool in reaching those affected. Another way to reach targeted audiences is through the use of sponsored advertisements. By doing so, these advertisements would appear on newsfeeds and timelines, better publicizing the nonprofit organization, which in turn could attract more followers or ‘likes.’ page 22 Staying up to date with these social media tools is crucial step in maintaining relevance and attracting viewers. Updating and uploading frequently on these mediums can spur conversation, “shares,” and overall fan base. Social media updates could additionally bolster and increase page viewerships on the organization’s main website, which would offer more information and sources for support for those who struggle day-to-day with eating disorders. Implement eating disorder programs in schools/universities. As the Eating Disorders Coalition suggested in their Eating Disorders Awareness, Prevention, and Education Act, it is recommended that all United States public school implement some sort of eating disorder programs into their middle school health classes. Children between the ages of 12-14 are critically developing physically, mentally, and socially. They undergo many changes and often become subject to bullying and peer pressure. Implementing a unit on body image and eating disorders throughout a semester of health would raise awareness about the issue and also provide critical facts and information to children. When doing this, including resources and prevention methods is key. Taking the approach of educating children will prove to be a preventative measure and could help save lives. page 23 Works Cited Adamczyk, Alicia. "National Eating Disorders Awareness Week: Overcoming the 'Silent Epidemic'" USA TODAY College. USA Today, 22 Feb. 2014. Web. 14 May 2014. <http://college.usatoday.com/2014/02/22/national-eating-disorders-awareness-weekovercoming-the-silent-epidemic/>. Berger, Arthur Asa. Media and Communication Research Methods: An Introduction to Qualitative and Quantitative Approaches. Thousand Oaks: SAGE Publications, 2011. Print. "Corporate Partnering Institute." Corporate Partnering Institute. N.p., n.d. Web. 15 May 2014. <http://corporatepartnering.com/2-partner-acquisition-campaign.htm>. "General Information." ANAD. National Association of Anorexia Nervosa and Associated Disorders, n.d. Web. 11 May 2014. <http://www.anad.org/get-information/about-eating-disorders/general-information/>. "Get Involved." NEDA. National Eating Disorders Association, n.d. Web. 14 May 2014. <https://www.nationaleatingdisorders.org/get-involved>. “Eating Disorders Statistics." ANAD. National Association of Anorexia Nervosa and Associated Disorders, n.d. Web. 14 May 2014. <http://www.anad.org/getinformation/about-eating-disorders/eating-disorders-statistics/>. Deam, Jenny. "The Scary Rise in Adult Eating Disorders." Women's Health. Women's Health, 29 Feb. 2012. Web. 14 May 2014. <http://www.womenshealthmag.com/health/adult-eating-disorders>. Deans, Emily, MD. "A History of Eating Disorders." Psychology Today. Psychology Today, 11 Dec. 2011. Web. 13 May 2014. <http://www.psychologytoday.com/blog/evolutionary-psychiatry/201112/historyeating-disorders>. "Eating Disorders Coaltion for Research, Policy & Action." Eating Disorders Coaltion for Research, Policy & Action. N.p., n.d. Web. 15 May 2014. Feldman, Brian. "The White House Released a Celeb-Filled Anti-Rape PSA." The Wire. The Wire, 30 Apr. 2014. Web. 14 May 2014. <http://www.thewire.com/national/2014/04/the-white-house-released-a-celeb-filledanti-rape-psa/361416/>. "Key Messages." NEDAwareness Week 2014. National Eating Disorders Association, n.d. Web. 14 May 2014. <http://nedawareness.org/key-messages>. page 24 Lovato, Demi (ddlovato). “Most models are thinner than 98% of Americans. Instead of trying to change our bodies, how about we try to change our culture? #NEDAwareness.” 27 Feb. 2012, 2:52 P.M. Tweet. <https://twitter.com/ddlovato/statuses/174220276249276416>. McGraw, Phil (DrPhil). “Know someone struggling with an eating disorder? Early intervention is key to recovery. Talk about it. http://NEDAwareness.org #NEDAwareness.” 26 Feb. 2014, 7:47 P.M. Tweet. <https://twitter.com/DrPhil/statuses/438837710149525504>. "National Partnership Between NEDA & SMH Brings Free Online Eating Disorder Screenings to the Public." NEDA. National Eating Disorders Association, 19 Feb. 2013. Web. 14 May 2014. <http://www.nationaleatingdisorders.org/national-partnershipbetween-neda-smh-brings-free-online-eating-disorder-screenings-public>. "National Eating Disorders Association Partners with Tumblr." NEDA. National Eating Disorders Association, 29 Feb. 2012. Web. 14 May 2014. <http://www.nationaleatingdisorders.org/press-room/press-releases/2012-pressreleases/national-eating-disorders-association-partners-tumblr>. "National Eating Disorders Association." National Eating Disorders Association. N.p., n.d. Web. 14 May 2014. “Partners.” NEDAwareness Week 2014. National Eating Disorders Association. n.d. Web. 14 May 2014. Saguy, Abigail C., and Kjerstin Gruys. "Morality and Health: News Media Constructions of Overweight and Eating Disorders." JSTOR. JSTOR, May 2010. Web. 14 May 2014. <http://www.jstor.org/stable/10.1525/sp.2010.57.2.231>. Steiner, Laura. "Demi Lovato Joins National Eating Disorders Awareness Week." The Huffington Post. The Huffington Post, 02 Mar. 2012. Web. 14 May 2014. <http://www.huffingtonpost.com/2012/03/02/demi-lovato-joined-national-eatingdisorder-week-_n_1316440.html>. "Teen Health and the Media." Teen Health and the Media. N.p., n.d. Web. 12 May 2014. "Top 10 Tips for an Effective Advertising Campaign." All Business. Dun & Bradstreet, n.d. Web. 15 May 2014. <http://www.allbusiness.com/10-tips-effectiveadvertising/16566950-2.html>. "Top Model Becomes Model Spokesperson for National Eating Disorders Association." NEDA. National Eating Disorders Association, 4 Feb. 2010. Web. 14 May 2014. page 25 <http%3A%2F%2Fwww.nationaleatingdisorders.org%2Fpress-rom%2Fpressreleases%2F2010-press-releases%2Fg%25C3%25A7%25C3%25BFtopmodelg%25C3%25A7%25C3%25B6-becomes-model-spokesperson-national-eatingdisorders-association>.