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By René Mikkelsen and Rasmus Hansen
In cooperation with
The disease
“Obesity is the excessive accumulation of body fat resulting in a body mass index (BMI) that is
significantly above the norm and is associated with increased risk of illness, disability, and death”
Body mass index
Underweight: BMI below 18.5
Normal weight: BMI 18.5-24.9
Overweight: BMI 25.0-29.9
Obese: BMI 30 and above
Carson-DeWitt et al. 2011)
Health Belief Model
Problem
Barriers
Susceptibility
Severity
Solution
Cues to action
Benefits
“The stronger the perceptions of severity,
susceptibility, and benefits, and the weaker
the perception of barriers, the greater the
likelihood that health-protective actions will
be taken”.
(Sparks, 2008)
The disease - Susceptibility
Growing problem in United States:
◦ 71 million people are obese (33 %)
◦ 300.000 deaths attributed to obesity
Economic issue:
◦ Direct costs: preventive, diagnostic, and treatment
◦ Indirect: Lost resource
◦ morbidity (present) and mortality (future)
◦ Costs related to obesity - $147 billion (2008)
http://www.cdc.gov/obesity/adult/causes/index.html
Barriers to overcoming obesity
Post-industrialization
◦ Sedentary lifestyles: less physical work
◦ Technology
Social inheritage
◦ Children of obese parents are 13 times more likely to become obese
◦ Fat cells are inherited (endomorphic)
Society
◦ Advertisement of unhealthy foods
◦ Healthier foods are expensive and less available than unhealthy foods
◦ High level of inactive entertainment (TV, computer, etc.)
◦ Increased portion sizes
Carson-DeWitt et al., 2011, Frith and Mueller, 2010
Severity
Heart diseases
Type 2 diabetes
High blood pressure
Infertility
Cancer
◦ Colon, breast, prostate and endometrial cancer
Premature aging
Alzheimer’s disease
Formative research
Who is affected?
◦ Adults
◦ Children
◦ Those with low resources (both financially and mentally)
Preventing obesity
◦ Healthy eating
◦ Exercise
◦ Limiting stress
◦ Priorities (healthy food vs. snacks)
What leads to obesity?
Conceptualizing obesity
Culture and economy (Globalization)
◦ Post-industrialization
◦ Sedental lifestyles
◦ ”Faster, Bigger, Stronger”
◦ Convenience
◦ Fast-food, too little time for...
Media
generated
ideal self
vs. real self
Social
norms
(pressure)
Self-
esteem
issues
Low self-
efficacy
Societal effect on the individual
Solomon, 2010
Overall communicative goal
Main goal:
◦ ”To help people become healthier”
Sub-goals:
◦ Inform young people about the benefits of healthy eating
◦ Give them cues to how they can eat healthier
Target group
Demographics:
◦ 16-23 years of age
◦ San Diego State University students
◦ Closeness and budget
◦ San Diego (test area)
◦ ”Rookies in a kitchen”
◦ First time living by themselves
Why them?
◦ Influential (developing identity)
◦ Identity search before achievement (Lustig and Koester 2010)
◦ Ideal self is attractive and healthy
◦ Pass on the value of a healthy lifestyle
◦ To avoid limit overweight/obesity
”Children of obese parents are about 13 times
more likely than other children to be obese”
( Carson-DeWitt et al., 2011)
Research design – pretest focus areas
Triangulation – to understand the audience
Quantitative research to identify a trend
◦ Questionaire
◦ ”To which exent do you agree with the following statement?”
◦ No room for individual opion – easier to identify trend
◦ Provides statistics: ”How many value healthy meals over fast-food?”
Qualitative research to explain the background of the trend
◦ Focus group – representatives of target audience
◦ Explain attitudes and habits regarding healthy food
Pitfalls of research
Social Desirability Bias
◦ Telling people what you think they want to hear
Acquiscience bias
◦ It is easier to agree than disagree
Mindfullness
◦ Not knowing your attitude
Groupthink
◦ Conform to the values of the group (e.g focus group)
Gass and Seiter, 2011
Behavior and attitude
The research might show:
◦ Scenario 1: A healthy attitude and healthy behavior towards food
◦ Optimal
◦ Scenario 2: A healthy attitude but unhealthy behavior towards food
◦ Elements of cognitive dissonance
◦ Scenario 3: A unhealthy attitude and unhealthy behavior towards food
◦ Need for an attitude change in order to change behavior
Scenario 1 - Healthy attitude and healthy behavior
Confirm their attitude and that their behavior is the disired one
Can be used as opinion leaders/ early adaptors to reach:
◦ Early and late majority
Provide them with cues to (further) action
Scenario 2 -Healthy attitude but unhealthy behavior
◦ There may be dissonance between attitude and behavior
◦ May view the dissonance as less important (”healthy eating is no big deal”)
Campaign should emphazise:
◦ Low barriers
◦ Relative advantage
◦ Cues to action
◦ Simplicity
◦ Compatibility
Scenario 3 - Unhealthy attitude and unhealthy behavior
Create cognitive dissonance by
informing about healthy eating Attitude
change
• Benefits, cues to action, and low
barriers of healthy eating
Dissonance
• Change cognition
• ”Healthy eating prolongs your life”
Behavior
change
• Align cognition with behavior
• Think healthier  eat healthier
Importance of attitude
Dissonance
Campaign message
”Become What U Eat!”
Main verb (Become) induces action
Personal transfer:
◦ From real self  ideal self
◦ Assumption: ”Who wants to be a big burger?”
Imperative sentence structure
◦ Requiring the receiver to act
Addressing the receiver directly
◦ Personal pronoun ”U” (you)
Nutritive substance
◦ ”You are what you eat” -metaphor
Stillar, 1998
Campaign materials
Offline activities are used to engage the target audience online
Offline activities:
◦ Create an event to generate buzz
◦ Make posters to get awareness
◦ Hand out brochures to inform and activate people
◦ Inform about online activities
Off-line activity - Example 1
Event – based on how ideas flow
Tent with endorsers who provide information
◦ E.g an Aztec athlete and a nutrition expert
◦ To prove the relative advantage of healthy eating
◦ Chef cooking/serving healthy and tasty food
◦ Simplicity, observability and trialability
Set up race track
◦ Healthy food vs fast food (competants)
◦ Relative advantage
Set up small competitions
◦ trialability
Switch from sugar coated cereals to e.g. oatmeal
Eat a piece of fruit as a snack in between meals
Endure challenges of life
Gain mental strength
Offline activity – example 2
Online activities
The Facebook page
Resemblance to Weight Watchers
Facebook page
Provide information and cues to
action – recipes to engage in healthy
behavior
Reassure healthy behavior
◦ (e.g. after Thanksgiving it is hard to get
back on track)
Let the users support themselves
(own success stories – engagement)
KEY DIFFERENCE:
Young segment
(students)
Online activity -
• Facebook ad function allows you to define a very
specific target audience
Potential reach!
Facebook tool - Advertising on a budget
Facebook-objectives
Potential target audience: 33,760 students
Short term 0bjective (6 months)
- Aware of the campaign
(Facebook page)
Medium term 0bjective (9 months)
- To have an engaged user base
Long term 0bjective (1 year)
- Loyal user base functioning as
advocates  attracting new users
=
=
=
40% =13504 students
10% =1350 students
5% = 67 students
Li and Bernoff, 2010
Control with Facebook insights
Do we reach our objectives or do we
need to make changes?
Delivery – communication strategy
Gain Frame – ”Do No Harm”
◦ Limit reactance
◦ Emphazise; benefits, cues to action and low barriers
No use of fear appeals
◦ Avoid linking to unhealthy beahviors
◦ Boomerang effect
◦ Better reception when in a good mood
Lindstrøm, 2010
Delivery – place and time
Where:
◦ San Diego State University
◦ Test area
◦ Closeness
When:
◦ January through March
◦ New event each month
◦ New Year’s Resolution
Delivery – Who helps us?
Offline:
◦ Educate students to increase word of mouth about healthy eating
◦ Benefits:
◦ Similarity attraction - Avoid reactance
◦ Credibility - Goodwill and Trustworthiness
◦ Counter-attitudinal advocacy – advocates persuade themselves
◦ Referent power
Online:
◦ Facebook page
◦ Young segment
◦ Ability to share with friends
Sponsor
Center for disease control and prevention
Sponsored by Center for Disease Control and Prevention
Expert power and credible
Supports the message
◦ It makes sense for the campaign
◦ Reciprocity: ”I help you, you help me”
◦ Share the overall communicative goal
Future aspects
If/when successful
Expand campaign to other states
◦ Check compatibility
Use success of the campaign to incorporate healthier changes to the SDSU - environment
Incorporate exercising as a part of the campaign
◦ Supports overall communicative goal
References
Li, C. and Bernoff, J. (2011). Groundswell: Winning in a world transformed by social technologies.
Sparks., L. (2008): Health Communication and cCaregiving Research, Policy and Practice
Stillar., G., F. (1998): Analyzing everyday texts. Discourse, rhetoric and social perspectives, pp. 58-89. Sage Publications
Solomon., M. R., Barmossy, G., Askegaard., S. & Hogg, M. K. (2010). Consumer Behaviour – A European Perspective. (4th
ed.) Pearson Education.
Lindstrøm., M. (2010): Buy-ology :Truth and lies about why we buy
Carson-DeWitt, R. et al. (2011), 6: retrieved from Health and Resource Center -
http://galenet.galegroup.com.libproxy.sdsu.edu/servlet/HWRC/hits?r=d&bucket=all&n=10&m=Obesity&l=d&k=TE&seg=0
&c=1&locID=gale&secondary=false&s=2&TE=%22Obesity%22#Demographics
Frith, K., T., & Mueller, B (2010): Advertising and Societies
Gass, R.H. & Seiter, J.S. (2011). Persuasion, Social Influence, and Compliance Gaining, 4th Ed. Pearson

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Become what you eat health campaign

  • 1. By René Mikkelsen and Rasmus Hansen In cooperation with
  • 2. The disease “Obesity is the excessive accumulation of body fat resulting in a body mass index (BMI) that is significantly above the norm and is associated with increased risk of illness, disability, and death” Body mass index Underweight: BMI below 18.5 Normal weight: BMI 18.5-24.9 Overweight: BMI 25.0-29.9 Obese: BMI 30 and above Carson-DeWitt et al. 2011)
  • 3. Health Belief Model Problem Barriers Susceptibility Severity Solution Cues to action Benefits “The stronger the perceptions of severity, susceptibility, and benefits, and the weaker the perception of barriers, the greater the likelihood that health-protective actions will be taken”. (Sparks, 2008)
  • 4. The disease - Susceptibility Growing problem in United States: ◦ 71 million people are obese (33 %) ◦ 300.000 deaths attributed to obesity Economic issue: ◦ Direct costs: preventive, diagnostic, and treatment ◦ Indirect: Lost resource ◦ morbidity (present) and mortality (future) ◦ Costs related to obesity - $147 billion (2008) http://www.cdc.gov/obesity/adult/causes/index.html
  • 5. Barriers to overcoming obesity Post-industrialization ◦ Sedentary lifestyles: less physical work ◦ Technology Social inheritage ◦ Children of obese parents are 13 times more likely to become obese ◦ Fat cells are inherited (endomorphic) Society ◦ Advertisement of unhealthy foods ◦ Healthier foods are expensive and less available than unhealthy foods ◦ High level of inactive entertainment (TV, computer, etc.) ◦ Increased portion sizes Carson-DeWitt et al., 2011, Frith and Mueller, 2010
  • 6. Severity Heart diseases Type 2 diabetes High blood pressure Infertility Cancer ◦ Colon, breast, prostate and endometrial cancer Premature aging Alzheimer’s disease
  • 7. Formative research Who is affected? ◦ Adults ◦ Children ◦ Those with low resources (both financially and mentally) Preventing obesity ◦ Healthy eating ◦ Exercise ◦ Limiting stress ◦ Priorities (healthy food vs. snacks)
  • 8. What leads to obesity? Conceptualizing obesity Culture and economy (Globalization) ◦ Post-industrialization ◦ Sedental lifestyles ◦ ”Faster, Bigger, Stronger” ◦ Convenience ◦ Fast-food, too little time for... Media generated ideal self vs. real self Social norms (pressure) Self- esteem issues Low self- efficacy Societal effect on the individual Solomon, 2010
  • 9. Overall communicative goal Main goal: ◦ ”To help people become healthier” Sub-goals: ◦ Inform young people about the benefits of healthy eating ◦ Give them cues to how they can eat healthier
  • 10. Target group Demographics: ◦ 16-23 years of age ◦ San Diego State University students ◦ Closeness and budget ◦ San Diego (test area) ◦ ”Rookies in a kitchen” ◦ First time living by themselves Why them? ◦ Influential (developing identity) ◦ Identity search before achievement (Lustig and Koester 2010) ◦ Ideal self is attractive and healthy ◦ Pass on the value of a healthy lifestyle ◦ To avoid limit overweight/obesity ”Children of obese parents are about 13 times more likely than other children to be obese” ( Carson-DeWitt et al., 2011)
  • 11. Research design – pretest focus areas Triangulation – to understand the audience Quantitative research to identify a trend ◦ Questionaire ◦ ”To which exent do you agree with the following statement?” ◦ No room for individual opion – easier to identify trend ◦ Provides statistics: ”How many value healthy meals over fast-food?” Qualitative research to explain the background of the trend ◦ Focus group – representatives of target audience ◦ Explain attitudes and habits regarding healthy food
  • 12. Pitfalls of research Social Desirability Bias ◦ Telling people what you think they want to hear Acquiscience bias ◦ It is easier to agree than disagree Mindfullness ◦ Not knowing your attitude Groupthink ◦ Conform to the values of the group (e.g focus group) Gass and Seiter, 2011
  • 13. Behavior and attitude The research might show: ◦ Scenario 1: A healthy attitude and healthy behavior towards food ◦ Optimal ◦ Scenario 2: A healthy attitude but unhealthy behavior towards food ◦ Elements of cognitive dissonance ◦ Scenario 3: A unhealthy attitude and unhealthy behavior towards food ◦ Need for an attitude change in order to change behavior
  • 14. Scenario 1 - Healthy attitude and healthy behavior Confirm their attitude and that their behavior is the disired one Can be used as opinion leaders/ early adaptors to reach: ◦ Early and late majority Provide them with cues to (further) action
  • 15. Scenario 2 -Healthy attitude but unhealthy behavior ◦ There may be dissonance between attitude and behavior ◦ May view the dissonance as less important (”healthy eating is no big deal”) Campaign should emphazise: ◦ Low barriers ◦ Relative advantage ◦ Cues to action ◦ Simplicity ◦ Compatibility
  • 16. Scenario 3 - Unhealthy attitude and unhealthy behavior Create cognitive dissonance by informing about healthy eating Attitude change • Benefits, cues to action, and low barriers of healthy eating Dissonance • Change cognition • ”Healthy eating prolongs your life” Behavior change • Align cognition with behavior • Think healthier  eat healthier
  • 18. Campaign message ”Become What U Eat!” Main verb (Become) induces action Personal transfer: ◦ From real self  ideal self ◦ Assumption: ”Who wants to be a big burger?” Imperative sentence structure ◦ Requiring the receiver to act Addressing the receiver directly ◦ Personal pronoun ”U” (you) Nutritive substance ◦ ”You are what you eat” -metaphor Stillar, 1998
  • 19. Campaign materials Offline activities are used to engage the target audience online Offline activities: ◦ Create an event to generate buzz ◦ Make posters to get awareness ◦ Hand out brochures to inform and activate people ◦ Inform about online activities
  • 20. Off-line activity - Example 1 Event – based on how ideas flow Tent with endorsers who provide information ◦ E.g an Aztec athlete and a nutrition expert ◦ To prove the relative advantage of healthy eating ◦ Chef cooking/serving healthy and tasty food ◦ Simplicity, observability and trialability Set up race track ◦ Healthy food vs fast food (competants) ◦ Relative advantage Set up small competitions ◦ trialability
  • 21. Switch from sugar coated cereals to e.g. oatmeal Eat a piece of fruit as a snack in between meals Endure challenges of life Gain mental strength Offline activity – example 2
  • 23. Resemblance to Weight Watchers Facebook page Provide information and cues to action – recipes to engage in healthy behavior Reassure healthy behavior ◦ (e.g. after Thanksgiving it is hard to get back on track) Let the users support themselves (own success stories – engagement) KEY DIFFERENCE: Young segment (students)
  • 24. Online activity - • Facebook ad function allows you to define a very specific target audience Potential reach!
  • 25. Facebook tool - Advertising on a budget
  • 26. Facebook-objectives Potential target audience: 33,760 students Short term 0bjective (6 months) - Aware of the campaign (Facebook page) Medium term 0bjective (9 months) - To have an engaged user base Long term 0bjective (1 year) - Loyal user base functioning as advocates  attracting new users = = = 40% =13504 students 10% =1350 students 5% = 67 students Li and Bernoff, 2010
  • 27. Control with Facebook insights Do we reach our objectives or do we need to make changes?
  • 28. Delivery – communication strategy Gain Frame – ”Do No Harm” ◦ Limit reactance ◦ Emphazise; benefits, cues to action and low barriers No use of fear appeals ◦ Avoid linking to unhealthy beahviors ◦ Boomerang effect ◦ Better reception when in a good mood Lindstrøm, 2010
  • 29. Delivery – place and time Where: ◦ San Diego State University ◦ Test area ◦ Closeness When: ◦ January through March ◦ New event each month ◦ New Year’s Resolution
  • 30. Delivery – Who helps us? Offline: ◦ Educate students to increase word of mouth about healthy eating ◦ Benefits: ◦ Similarity attraction - Avoid reactance ◦ Credibility - Goodwill and Trustworthiness ◦ Counter-attitudinal advocacy – advocates persuade themselves ◦ Referent power Online: ◦ Facebook page ◦ Young segment ◦ Ability to share with friends
  • 31. Sponsor Center for disease control and prevention Sponsored by Center for Disease Control and Prevention Expert power and credible Supports the message ◦ It makes sense for the campaign ◦ Reciprocity: ”I help you, you help me” ◦ Share the overall communicative goal
  • 32. Future aspects If/when successful Expand campaign to other states ◦ Check compatibility Use success of the campaign to incorporate healthier changes to the SDSU - environment Incorporate exercising as a part of the campaign ◦ Supports overall communicative goal
  • 33. References Li, C. and Bernoff, J. (2011). Groundswell: Winning in a world transformed by social technologies. Sparks., L. (2008): Health Communication and cCaregiving Research, Policy and Practice Stillar., G., F. (1998): Analyzing everyday texts. Discourse, rhetoric and social perspectives, pp. 58-89. Sage Publications Solomon., M. R., Barmossy, G., Askegaard., S. & Hogg, M. K. (2010). Consumer Behaviour – A European Perspective. (4th ed.) Pearson Education. Lindstrøm., M. (2010): Buy-ology :Truth and lies about why we buy Carson-DeWitt, R. et al. (2011), 6: retrieved from Health and Resource Center - http://galenet.galegroup.com.libproxy.sdsu.edu/servlet/HWRC/hits?r=d&bucket=all&n=10&m=Obesity&l=d&k=TE&seg=0 &c=1&locID=gale&secondary=false&s=2&TE=%22Obesity%22#Demographics Frith, K., T., & Mueller, B (2010): Advertising and Societies Gass, R.H. & Seiter, J.S. (2011). Persuasion, Social Influence, and Compliance Gaining, 4th Ed. Pearson

Editor's Notes

  1. We have decided to use the health belief model as a tool to explain why overweight and obesisty is a serious disease. It helps define the problem and reveal what can be the focus areas for at potential solution. Since there are so many people overweight and obese people in the U.S it can be argued that there is a high level of perceived barriers towards healthy eating. Moreover, it can be argued, that overweight and obesity have high susceptibility and severity. Our solution will therefore mainly be concerned with the benefits of healthy eating and cues to action, due to the statement provided by Sparks, 2008.
  2. Why is the disease such a big problem in the U.S? (Professor Andersen, this slide will require that you ”play” the presentation to see the animations of the statistics)
  3. This slide explains the side effects and diseases that may be a result of overweight and obesity
  4. Explanation of model: The media plays a large role in the development of a gap between the individual’s real self and his/her ideal self. That gap may be reinforced by the social norms, which also are influenced the media’s depiction of e.g beauty. A large gap between ideal and real self will then lead to self-esteem issues, which most likely results in low self-efficacy. Thus creating a vicious circle for the individual.
  5. We will use more than one research method to better understand the audience and the problem, and thereby develop a stronger message/solution. Pretest the focus areas of the campaign to identify the audience’s attitude and behavior towards healthy eating.
  6. Pitfalls related to the quantitative and qualitative research. Acquiscience bias identified by the Implicit associations test.
  7. Possible outcomes of the pretest
  8. We want to reinforce the target audience’s behavior
  9. By informing about healthy eating with a focus on benefits, cues to action, and barriers we may reach an attitude change. The attitude change is a change of cognition, which creates dissonance between attitude and behavior. This will then lead to an increased likelihood of changing behavior to match the new cognition.
  10. This further explains slide 15. We will focus on the beliefs and and evaluation of the behavior in order to change the receiver’s behavior by affecting their attitude.
  11. The components of the message, ”Become What U Eat!”. This slide explains why the chosen message components are intended to persuade the receiver and create desired associations to engage in healthy eating. Based on the theory from multimodal discourse analysis,
  12. Offline activities to engage people online is an idea based on message design strategies, where we will try and increase exposure and repitition through mulitple channels
  13. We want to create an event where two people dressed as a carrot and a burger compete on a race track. The carrot will win the race, which illustrates the idea behind ”Become what u eat” (healthy food is a winner, and fast-food is a loser) This will appeal to the opinions of referent other (theory of reasoned action) and the American cultural value of competition
  14. Posters and brochures present the slogan, ”Become What U Eat!”. Posters and brochures are used to provide the audience with healthy eating benefits like, physical and mental performance in sport and school work, and give them cues to action, like small everyday changes and easy recipes
  15. The campaign will also consist of online activities in the form of a facebook page. In order to give an idea of how we plan to create the page we have chosen to focus on the facebook page of ”Weight Watchers” – as this page have many similarities to want we intend our page should contain e.g. Recipies for healthy eating, the possibility for our users to upload their own material in the form of recipies and success stories of switching to a healthier lifestyle. However, our page should distinguish itself from the weight watchers page by attracting a younger segment
  16. This slide explains the intention with our Facebook page content wise and the basic idea behind the site.
  17. Facebook has a function that allows you to make a rather excat calculation of how big your potential reach can be with an advertisment on Facebook. By putting in the different demographics about our target audience, Facebook caltulates our potentioal reach to be 33,760 persons.
  18. Facebook provides a tool to create relatively cheap and easy-made advertisements to reach the part of our target audience who are on Facebook, but perhaps have not participated in the offline activities. Thus, enabling us to reach a larger part of our target audience. The ad function on Facebook, allows you to set a budget of e.g. $100 and you will get promotion for that amount of money with e.g. pay pr. Click management. Pay pr. click management – different advertising options lets you advertise relatively cheap
  19. Awareness = liking the facebook page
  20. Facebook insights is another Facebook function, which allows you to control your campaign, and thereby be very specific in terms of reaching the goals of the campaign. Insights give you knowledge as a campaign planner about how your audience respond to content on your Facebook page and if you need to make any changes to the campaign.
  21. We will focus on the positive aspects of healthy eating in order to avoid scaring people away – limit message and source reactance. This is why we have chosen to emphasize the benefits and cues to action, and inform about the low barriers regarding healthy eating.
  22. Students beome opinion leaders Counter attitudinal advocacy is an element in cognitive dissonance theory