from product design to policy change: environmental strategies in plain language
DESCRIPTION
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.TRANSCRIPT
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From Product Design to Policy Change
Environmental strategies in plain language
Julie Swanson Wisconsin Clearinghouse for Prevention Resources
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Meet Harriet
Eat healthy!
Flickr: grantneufeld
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Biggest barrier?
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What can Harriet do?
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• What they are
• Why they work
Environmental Strategies
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Individual Strategies
Knowledge
Skills
Attitude
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Individual Strategy
Flickr: kissyface
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Flickr: castaway_in_wales
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Remember Harriet?
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Environmental Strategies
1. Physical environment2. Social environment3. Policies and systems
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Physical Environment
• Product Design• Physical Space
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Fire-safe cigarettes
Coalition for Fire Safe Cigarettes
Product Design
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Product Design
Flickr: Cjdaniel, freddy
Pre-cut carrots
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Product Design
Provide feedback.
Flickr: freegorifero
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Flickr: simplerich
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A fly
nudges.wordpress.com
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Physical Environment
• Product design• Physical Space
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Physical Environment
• Product design• Physical Space
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Placement
www.cdcg.org
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Flickr: nnecapa
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Minneapolis Star Tribune, 9/2008
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Flickr:neilwillsey
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Retail Placement
Flickr: dallas123
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November 2006
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Washington Post, 4/2009
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Physical environment
Product design: easier or safer
Physical space: change the physical space
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Time to help Harriet
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Environmental Strategies
1. Physical environment2. Social environment3. Policies and systems
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We are influenced by others
Community norms
Social proof
Social networksFlickr: marcalandavis
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Community norms about alcohol?
Flickr: matt_grum
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About walking?
flickr:titicat
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About portion size?
Flickr: bourgeoisbee Flickr: wyscan
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Social proof
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Flickr: room317
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Social proof
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The spread of obesity in a large social network over 32 years
New England Journal of Medicine, July 2007
Social Networks
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Smoking behavior spreads through social ties
New England Journal of Medicine, Vol. 358, No. 21, pp. 2249-2258 May 22, 2008
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We are influenced by others
Community norms
Social proof
Social networksFlickr: marcalandavis
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Influence the social environment
Make it visible
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Show people what others are doing
Amazon.com
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It’s Not Just Wisconsin24 states have comprehensive smoke-free air
laws
(Date law takes/took effect) Updated 8/2008
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Wisconsin Wants Smoke-Free Air
69%
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Show role models
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Show opinion leaders
Source: Community Action for Tobacco-Free Living
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Use social media
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My Neighborhood
My Groups
My Friends
Find Friends
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SmokeFreeWisconsin
“We didn’t expect these
results!”
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How can Harriet use the social environment
Norms: What everybody else is doing
Social proof: Role models & opinion leaders
Social networks: Connections
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Environmental Strategies
1. Physical environment2. Social environment3. Policies and systems
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Policies and Systems
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Policies and Systems
• Available• Affordable• Attractive• Acceptable
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Availability: Smokefree Air Laws
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Availability: Minimum Age Laws
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www.afsz.org
Availability
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Affordability: Increase taxes
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Affordability: Incentives
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Attractive
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Restrict advertising
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Restrict sponsorship
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Parents who host
Acceptable
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Enforcement
Flickr: inkyhack
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Change Policy and SystemsAvailable Where
When
Affordable Cost
Attractive AdvertisingSponsorship
Acceptable Incentives PenaltiesLaw enforcement
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Help Harriet
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Flickr: trp0 Flickr: roswellsgirl
Competitive Foods Farm to School
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Environmental Strategies
Make healthy behavior easy and popular.
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Explaining Environmental Strategies
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Environmental Strategies
Strategies that incorporate prevention efforts aimed at changing or influencing community conditions, standards, institutions, structures, systems and policies.
CADCA
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Explaining Environmental Strategies
•Who?•What ?•Why?
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Individuals PopulationsWho?
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Knowledge
Skills
Attitudes
Physical environment
Social environment
Policies and systems
What?
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Why?
• More people• Bigger impact• Faster results
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Some kids
More people
All kids in Wisconsin
Increase taxPrevention classes
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Big Impact
No. of lives
Fisher: EnvPrevStrategies
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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.
Faster Results
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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.
Faster Results
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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.
Faster Results
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Environmental strategies work
• More people• Bigger impact• Faster results
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Environmental Strategies
Make it easy
Make it popular
Make it the default
Product designPhysical space
Community norms
Social proof
Social networks
Change policies and systems
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Environmental Strategies
Make it easy and popular to be healthy.
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We can ignore the environment
Flickr: strikevenom
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We can work with the environment
Flickr: nealy-j/
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We can change the environment
Flickr: in-the-rainbow
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Environmental Strategies
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Credits
• Flicker Photos
• WI Tobacco Prevention and Control Program
• Micheal Klitzner CDM
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Environmental Strategies
• Challenges we face• Ideas for next steps
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Industry opposition
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Fear
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Milwaukee Journal Sentinel March 2006
Cultural values
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Knowledge and Skills
• Policy advocacy and lobbying• Community organizing• Persuasive communication• Media advocacy• Civics 101
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Environmental Strategies
• Challenges we face• Ideas for next steps
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Get out of our silos
Flickr: zoomzoom
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Use social influence
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Provide training and tools
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Answer questions
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Show people what to expect
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Change requirements
• Grant guidelines• Program boundary statements• Template objectives• Reporting requirements