From
Product Design
to
Policy Change


   Environmental strategies in plain language

Julie Swanson   Wisconsin Clearingho...
Meet Harriet


                         Eat
                       healthy!



Flickr: grantneufeld
Biggest barrier?
What can Harriet do?
Environmental Strategies

   • What they are
   • Why they work
Individual Strategies

Knowledge


                            Skills

Attitude
Individual Strategy




                      Flickr: kissyface
Flickr: castaway_in_wales
Remember Harriet?
Environmental Strategies


 1. Physical environment
 2. Social environment
 3. Policies and systems
Physical Environment

• Product Design
• Physical Space
Product Design

Fire-safe cigarettes




         Coalition for Fire Safe Cigarettes
Product Design


                                       Pre-cut carrots




Flickr: Cjdaniel, freddy
Product Design




Provide
feedback.




    Flickr: freegorifero
Flickr: simplerich
A fly


nudges.wordpress.com
Physical Environment


• Product design
• Physical Space
Physical Environment


• Product design
• Physical Space
Placement




www.cdcg.org
Flickr: nnecapa
Minneapolis Star Tribune, 9/2008
Flickr:neilwillsey
Retail Placement




                   Flickr: dallas123
November 2006
Washington Post, 4/2009
Physical environment

Product design: easier or safer

Physical space: change the
                  physical space
Time to help Harriet
Environmental Strategies

       1. Physical environment
       2. Social environment
       3. Policies and systems
We are influenced by others




                        Community norms
                        Social proof
Flickr: marca...
Community norms about alcohol?




                         Flickr: matt_grum
About walking?




                 flickr:titicat
About portion size?




Flickr: bourgeoisbee     Flickr: wyscan
Social proof
Flickr: room317
Social proof
Social Networks




The spread of obesity in a large social network over 32 years
             New England Journal of Medi...
Smoking behavior spreads through social ties




New England Journal of Medicine, Vol. 358, No. 21, pp. 2249-2258 May 22, ...
We are influenced by others




                        Community norms
                        Social proof
Flickr: marca...
Influence the social environment


 Make it visible
Show people what others are doing




                  Amazon.com
It’s Not Just Wisconsin
   24 states have comprehensive smoke-free air
                      laws




(Date law takes/took...
Wisconsin Wants Smoke-Free Air




          69%
Show role models
Show opinion leaders




Source: Community Action for
Tobacco-Free Living
Use social media
My Neighborhood
My Groups
My Friends
Find Friends
SmokeFree
Wisconsin


 “We didn’t
expect these
  results!”
How can Harriet use the social environment



Norms: What everybody else is doing

Social proof: Role models & opinion lea...
Environmental Strategies

       1. Physical environment
       2. Social environment
       3. Policies and systems
Policies and Systems
Policies and Systems

       • Available
       • Affordable
       • Attractive
       • Acceptable
Availability: Smokefree Air Laws
Availability: Minimum Age Laws
Availability




               www.afsz.org
Affordability: Increase taxes
Affordability: Incentives
Attractive
Restrict
advertising
Restrict sponsorship
Acceptable

Parents who host
Enforcement




Flickr: inkyhack
Change Policy and Systems
  Available    Where
               When

  Affordable   Cost

  Attractive   Advertising
      ...
Help Harriet
Competitive
Foods           Farm to School




 Flickr: trp0      Flickr: roswellsgirl
Environmental Strategies


    Make healthy behavior
     easy and popular.
Explaining Environmental Strategies
Environmental Strategies
Strategies that incorporate
 prevention efforts aimed at
 changing or influencing
 community cond...
Explaining Environmental Strategies


        •Who?
        •What ?
        •Why?
Who?
Individuals     Populations
What?




Knowledge      Physical environment
Skills         Social environment
Attitudes      Policies and systems
Why?

• More people
• Bigger impact
• Faster results
More people

Prevention classes       Increase tax




    Some kids         All kids in Wisconsin
Big Impact

Amount
people
buy




           Price

                   MDK@Klitzner-Assoc.com
Big Impact




No. of
lives




   Fisher: EnvPrevStrategies
Faster Results




Admissions for acute myocardial infarction during six-month periods from June to
November before, durin...
Faster Results




Admissions for acute myocardial infarction during six-month periods from June to
November before, durin...
Faster Results




Admissions for acute myocardial infarction during six-month periods from June to
November before, durin...
Environmental strategies work


   • More people
   • Bigger impact
   • Faster results
Environmental Strategies

                      Product design
Make it easy          Physical space


Make it popular     ...
Environmental Strategies




Make it easy and popular to be healthy.
We can ignore the environment




                          Flickr: strikevenom
We can work with the environment




                             Flickr: nealy-j/
We can change the environment




Flickr: in-the-rainbow
Environmental Strategies
Credits
• Flicker Photos
• WI Tobacco Prevention and Control Program
• Micheal Klitzner CDM 
Environmental Strategies

     • Challenges we face
     • Ideas for next steps
Industry opposition
Fear
Cultural values




Milwaukee Journal Sentinel March 2006
Knowledge and Skills

•   Policy advocacy and lobbying
•   Community organizing
•   Persuasive communication
•   Media adv...
Environmental Strategies

    • Challenges we face
    • Ideas for next steps
Get out of
our silos




     Flickr: zoomzoom
Use social influence
Provide training and tools
Answer questions
Show people what to expect
Change requirements
•   Grant guidelines
•   Program boundary statements
•   Template objectives
•   Reporting requirements
From Product Design to Policy Change: Environmental strategies in plain language
From Product Design to Policy Change: Environmental strategies in plain language
From Product Design to Policy Change: Environmental strategies in plain language
From Product Design to Policy Change: Environmental strategies in plain language
From Product Design to Policy Change: Environmental strategies in plain language
From Product Design to Policy Change: Environmental strategies in plain language
From Product Design to Policy Change: Environmental strategies in plain language
From Product Design to Policy Change: Environmental strategies in plain language
From Product Design to Policy Change: Environmental strategies in plain language
From Product Design to Policy Change: Environmental strategies in plain language
From Product Design to Policy Change: Environmental strategies in plain language
From Product Design to Policy Change: Environmental strategies in plain language
From Product Design to Policy Change: Environmental strategies in plain language
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From Product Design to Policy Change: Environmental strategies in plain language

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A presentation outlining how environmental strategies are effective at promoting healthy behavior change. Explains difference between environmental strategies and individual strategies. Provides examples of effective environmental strategies in public health campaigns. Shares resources to consult for further guidance.

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From Product Design to Policy Change: Environmental strategies in plain language

  1. 1. From Product Design to Policy Change Environmental strategies in plain language Julie Swanson Wisconsin Clearinghouse for Prevention Resources
  2. 2. Meet Harriet Eat healthy! Flickr: grantneufeld
  3. 3. Biggest barrier?
  4. 4. What can Harriet do?
  5. 5. Environmental Strategies • What they are • Why they work
  6. 6. Individual Strategies Knowledge Skills Attitude
  7. 7. Individual Strategy Flickr: kissyface
  8. 8. Flickr: castaway_in_wales
  9. 9. Remember Harriet?
  10. 10. Environmental Strategies 1. Physical environment 2. Social environment 3. Policies and systems
  11. 11. Physical Environment • Product Design • Physical Space
  12. 12. Product Design Fire-safe cigarettes Coalition for Fire Safe Cigarettes
  13. 13. Product Design Pre-cut carrots Flickr: Cjdaniel, freddy
  14. 14. Product Design Provide feedback. Flickr: freegorifero
  15. 15. Flickr: simplerich
  16. 16. A fly nudges.wordpress.com
  17. 17. Physical Environment • Product design • Physical Space
  18. 18. Physical Environment • Product design • Physical Space
  19. 19. Placement www.cdcg.org
  20. 20. Flickr: nnecapa
  21. 21. Minneapolis Star Tribune, 9/2008
  22. 22. Flickr:neilwillsey
  23. 23. Retail Placement Flickr: dallas123
  24. 24. November 2006
  25. 25. Washington Post, 4/2009
  26. 26. Physical environment Product design: easier or safer Physical space: change the physical space
  27. 27. Time to help Harriet
  28. 28. Environmental Strategies 1. Physical environment 2. Social environment 3. Policies and systems
  29. 29. We are influenced by others Community norms Social proof Flickr: marcalandavis Social networks
  30. 30. Community norms about alcohol? Flickr: matt_grum
  31. 31. About walking? flickr:titicat
  32. 32. About portion size? Flickr: bourgeoisbee Flickr: wyscan
  33. 33. Social proof
  34. 34. Flickr: room317
  35. 35. Social proof
  36. 36. Social Networks The spread of obesity in a large social network over 32 years New England Journal of Medicine, July 2007
  37. 37. Smoking behavior spreads through social ties New England Journal of Medicine, Vol. 358, No. 21, pp. 2249-2258 May 22, 2008
  38. 38. We are influenced by others Community norms Social proof Flickr: marcalandavis Social networks
  39. 39. Influence the social environment Make it visible
  40. 40. Show people what others are doing Amazon.com
  41. 41. It’s Not Just Wisconsin 24 states have comprehensive smoke-free air laws (Date law takes/took effect) Updated 8/2008
  42. 42. Wisconsin Wants Smoke-Free Air 69%
  43. 43. Show role models
  44. 44. Show opinion leaders Source: Community Action for Tobacco-Free Living
  45. 45. Use social media
  46. 46. My Neighborhood My Groups My Friends Find Friends
  47. 47. SmokeFree Wisconsin “We didn’t expect these results!”
  48. 48. How can Harriet use the social environment Norms: What everybody else is doing Social proof: Role models & opinion leaders Social networks: Connections
  49. 49. Environmental Strategies 1. Physical environment 2. Social environment 3. Policies and systems
  50. 50. Policies and Systems
  51. 51. Policies and Systems • Available • Affordable • Attractive • Acceptable
  52. 52. Availability: Smokefree Air Laws
  53. 53. Availability: Minimum Age Laws
  54. 54. Availability www.afsz.org
  55. 55. Affordability: Increase taxes
  56. 56. Affordability: Incentives
  57. 57. Attractive
  58. 58. Restrict advertising
  59. 59. Restrict sponsorship
  60. 60. Acceptable Parents who host
  61. 61. Enforcement Flickr: inkyhack
  62. 62. Change Policy and Systems Available Where When Affordable Cost Attractive Advertising Sponsorship Acceptable Incentives Penalties Law enforcement
  63. 63. Help Harriet
  64. 64. Competitive Foods Farm to School Flickr: trp0 Flickr: roswellsgirl
  65. 65. Environmental Strategies Make healthy behavior easy and popular.
  66. 66. Explaining Environmental Strategies
  67. 67. Environmental Strategies Strategies that incorporate prevention efforts aimed at changing or influencing community conditions, standards, institutions, structures, systems and policies. CADCA
  68. 68. Explaining Environmental Strategies •Who? •What ? •Why?
  69. 69. Who? Individuals Populations
  70. 70. What? Knowledge Physical environment Skills Social environment Attitudes Policies and systems
  71. 71. Why? • More people • Bigger impact • Faster results
  72. 72. More people Prevention classes Increase tax Some kids All kids in Wisconsin
  73. 73. Big Impact Amount people buy Price MDK@Klitzner-Assoc.com
  74. 74. Big Impact No. of lives Fisher: EnvPrevStrategies
  75. 75. Faster Results Admissions for acute myocardial infarction during six-month periods from June to November before, during and after the smoke-free ordinance. The law was implemented on June 5, 2002. Source: BMJ 2004;328:977-80.
  76. 76. Faster Results Admissions for acute myocardial infarction during six-month periods from June to November before, during and after the smoke-free ordinance. The law was implemented on June 5, 2002. Source: BMJ 2004;328:977-80.
  77. 77. Faster Results Admissions for acute myocardial infarction during six-month periods from June to November before, during and after the smoke-free ordinance. The law was implemented on June 5, 2002. Source: BMJ 2004;328:977-80.
  78. 78. Environmental strategies work • More people • Bigger impact • Faster results
  79. 79. Environmental Strategies Product design Make it easy Physical space Make it popular Community norms Social proof Social networks Make it the default Change policies and systems
  80. 80. Environmental Strategies Make it easy and popular to be healthy.
  81. 81. We can ignore the environment Flickr: strikevenom
  82. 82. We can work with the environment Flickr: nealy-j/
  83. 83. We can change the environment Flickr: in-the-rainbow
  84. 84. Environmental Strategies
  85. 85. Credits • Flicker Photos • WI Tobacco Prevention and Control Program • Micheal Klitzner CDM 
  86. 86. Environmental Strategies • Challenges we face • Ideas for next steps
  87. 87. Industry opposition
  88. 88. Fear
  89. 89. Cultural values Milwaukee Journal Sentinel March 2006
  90. 90. Knowledge and Skills • Policy advocacy and lobbying • Community organizing • Persuasive communication • Media advocacy • Civics 101
  91. 91. Environmental Strategies • Challenges we face • Ideas for next steps
  92. 92. Get out of our silos Flickr: zoomzoom
  93. 93. Use social influence
  94. 94. Provide training and tools
  95. 95. Answer questions
  96. 96. Show people what to expect
  97. 97. Change requirements • Grant guidelines • Program boundary statements • Template objectives • Reporting requirements

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