the role of research in social marketing

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Social Marketing Conference: Changing Behaviour Through Communications 30 November 2011 www.charitycomms.org.uk www.twitter.com/CharityComms www.facebook.com/CharityComms

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Social Marketing Conference: Changing Behaviour Through

Communications

30 November 2011

www.charitycomms.org.uk

www.twitter.com/CharityComms

www.facebook.com/CharityComms

The role of research in Social Marketing

Dan Wellings, Research Director

Ipsos MORI

Nudge, Mindspace, Social Marketing and all things Behaviour Change

Behaviour change very much the flavour of the month

You don ’t need to know everything but good to have some understanding

The Mnemonic of Mindspace

Nuffield Ladder of Interventions is as good a place as any to start…

Public health: the ethical issues, Nuffield Council of Bioethics (2007)

Models for where research fits in

Where does the research fit it in?

http://thensmc.com/

Get your evaluation in early

Insight research

Intervention developmen

t

Implementation

EvaluationBest

practise

PlanningImplementation

Evaluation

Intervention cycle

Project/programme cycle

EvaluationFORMATIVE EVALUATION:

- Insight research

- Baseline

- Pre testing

- Design of process and impact evaluation cycle

PROCESS EVALUATION

OUTCOME or IMPACT EVALUATION

+

DOCUMENTATION OF LEARNING/BEST PRACTICE

What do we want research to do?

School of thought that questions how useful market research is…

“Whether it is company executives seeking to define their corporate strategy or politicians wanting to understand the electorate, the idea that questions answered on a questionnaire or discussed in a focus group can provide useful insights on which to base business decisions is the cause of product failures, political blunders and wasted billions”

Philip Graves, Consumer.ology

Some results suggest he may have a point…

92%

87%

69%

62%

88%

Results from our global study on government intervention in 24 countries

% Strongly support/tend to support

Base: c.500 - 1,000 residents aged 16-64 (18-64 in the US and Canada) in each country, November 2010

Provide information

Provide incentives

Make companies act against behaviour

Source: Ipsos Global @dvisor

What, if anything, do you think government should do?

Make behaviour more expensive/ difficult

Ban behaviour

Force of

interventionAverage over all four policy areas

92%

90%

79%

69%

87%

People want financial incentives to save for their pension, and 7 in 10 support being forced to save

% Strongly support/tend to support

Provide information

Provide incentives

Make employers contribute to pension schemes

Source: Ipsos Global @dvisor

Next, thinking about how people plan for retirement. What, if anything, do you think government should do?

Make pension scheme enrolment automatic

Make pension scheme enrolment mandatory

Base: c.500 - 1,000 residents aged 16-64 (18-64 in the US and Canada) in each country, November 2010

But we also gave people the opportunity to say whether the government should not get involved in their behaviour

Half still have a negative gut reaction to the “nanny state”

% Strongly support/tend to support

Not get involved in what people choose to eat

Not get involved in whether or not people choose to live sustainably

Source: Ipsos Global @dvisor

What, if anything, do you think government should do?

Not get involved in what people choose to save for retirement

Not get involved in how people make decisions about smoking

Base: c.500 - 1,000 residents aged 16-64 (18-64 in the US and Canada) in each country, November 2010

Not get involved (average)

Average over all four policy areas

Inconsistent views?

� 53% agreed that “government should not get involved in what people choose to save for retirement”

� 69% agreed that “government should change the law so that everyone has to enrol in a pension scheme”

�AND 36% agreed with both statements!

What people say and how they act is different but…

“A measure which does not have public support is, in general, less likely to succeed”

House of Lords report on Behaviour Change

Putting the customer at the centre is not the same as asking them every time

Source: National Social Marketing Centre

The danger of not asking first…

“Doesn’t bother me, it’s shit here.”

Blackburn resident

Knowing about something does not mean you’ll do it

5%

10%

11%

13%

55%

6%

7%

10%

12%

14%

49%

8%

What is relevant to measure?

1 portion

Q Have you eaten any fruit and vegetables in the last 24 hours?

2 portions

3 portions

4 portions

5+ portions

Not stated

Awareness of 5-a-day recommendation

2005 2009 % %

5 portions a day 68 781-4 portions a day 14 86+ portions a day 3 1Don’t know 14 10

Not stated 2 3

Base: All respondents living in core wards (1,732). (2 February 27-March 2009)

Think about what you are trying to achieve

20052009

Moving beyond standard methodologies

Just because it is new and creative does not mean it is good

A methodology needs to be fit for purpose rather than just innovative

A couple of case studies#1 Cervical Screening in Tower Hamlets

Our research approach

Secondary research

11 pilot interviews with women in Tower

Hamlets

9 key stakeholder interviews

Peer research: 15 peer researchers speaking to 82

women in their social networks

Ethnographic interviews: 6 detailed video interviews

Primary research

What is peer research?

� a participatory qualitative approach based on training

members of a community (peer researchers) drawn from hard -to-reach groups , to carry out in-depth conversational interviews with individuals from within their own social networks

� by tapping into established relationships of trust peer research generates rich narratives about people’s lives quickly,

providing a depth of insight into how people view their world, conceptualise their behaviour and experiences, and make decision on key issues.

� it also builds channels through which the voices of frequently

excluded groups can be heard, and enables these groups to enter into dialogue with programmes, implementers and decision makers

Our approach to peer research

We recruited 15 peer researchers (through nurseries, schools, housing associations & community

organisations) - 7 Bangladeshi women, 6 white British women and 2 Somali women

All women were invited to two half days of training

The peer researchers were given 2-3 weeks to undertake at least 5 interviews with their friends and family. The

women were given quotas they were asked to fill

They were given a data collection sheet to record the findings of each interview as well as NHS leaflets on the

facts of cervical screening to hand out after the interviews

After each interview they completed, they were asked to phone us to feedback the findings

Findings feedback workshops were held after each group of peer researchers had completed their interviews

Competition analysis – cervical screening

� Internal factors:

– Women’s perceptions of screening as painful, embarrassing or inconvenient

– The fear of detection of cancer

– Lack of awareness of the tests’indications and benefits

– Lack of awareness of the screening procedure (e.g. due to absence of screening in home country)

– Considering oneself not to be at risk of developing cervical cancer

– Linguistic difficulties

� External factors:

– Administrative and process failures (incomplete addresses, reminders not sent)

– System failure (formal and informal opt-outs, no mechanism for chasing non-attenders)

– Inconvenient clinic times

– Unavailability of a female screener

– Lack of information in appropriate language

– Social and cultural norms (which contradict health advice)

Aim is to understand what factors compete for the t ime and attention of the audience, and includes internal (e.g. psycho logical factors) and external (e.g. people and contextual influences ) competition

#2 Increasing brief interventions for alcohol in A&E

Aims of the project

� To increase the number of patients seen in A&E whoreceive a brief intervention for alcohol ;

� To effectively engage with health professionals working at A&E departments in Tower Hamlets

� To increase the number of health professionals who believe that delivering the brief intervention for alcohol is effective ;

� To increase the number of referrals from A&E to relevant local services.

� To establish how best to integrate and utilise two new specialist alcohol nurses in A&E

Our research approach

Secondary research

Review of secondary literature, including

previous work in this area and with this audience.

Primary research

Stakeholder interviews

11 Interviews with a range of A&E staff to understand the initial issues around the

delivery of brief interventions.

Ethnography: observation

Shadowing of healthcare professionals during their shifts in A&E to observe

barriers and observations in practice, cross-checking

early findings.

Scoping phase

Access all staff – 11 shifts

Ambulance workers

Shadowed member of staff

Police in the department

Nurses at all levels

Doctors at all levels

GP streamers

Receptionist

We followed one staff member each but accessed

10-20 people each

shift

We accessed A&E at different times of the day and night andweekdays and weekends

Pattern drinking is perceived as binary not on a continuum

The attitude in A&E seems to place drunks in two categories: ‘Problem drinker’ and ‘A few too many’

The danger of ‘Us vs. Them’ – two models

It was very clear that for referrals to work the relationship must be a partnership

Referral

teams

A&E

Referral

teamsA&E

Vs.

Referral system needs to be easy to use and become second nature

The key to the success of the nurses is that they are seen to decrease rather than increase workload

� Fast

� Clear

� Easy to use

� Need limited involvement

� Not need further paperwork

Senior staff really set the tone

Senior staff must be aware how their perception of alcohol affects that of everyone else

Interesting to revisit this in light of the findings…

An example of ethnographic research

Oldham Film to be inserted

Segmentation

Willing to Act

Ability to act High potential and willing

Low potential and unwilling

Segment willingness and ability

1: Positive greensI think it’s important that I do as much as I can to limit my impact

on the environment.18%

High

Low

HighLow

7: Honestly disengaged

Maybe there’ll be an environmental disaster, maybe not. Makes no difference to me, I’m just living life the way I want

to.18%

6: Stalled startersI don’t know much about

climate change. I can’t afford a car so I use public

transport.. I’d like a car though.

10%

5: Cautious participantsI do a couple of things to help the environment. I’d really like to do more, well as long as I

saw others were.14%

2: Waste watchers‘Waste not, want not’ that’s

important, you should live life thinking about what you are

doing and using.12%

3: Concerned consumers

I think I do more than a lot of people. Still, going away is

important, I’d find that hard to give up..well I wouldn’t, so carbon off-

setting would make me feel better.14%

4: Sideline supportersI think climate change is a big problem for us. I know I don’t

think much about how much water or electricity I use, and I forget to turn things off..I’d like to do a bit

more.14%

Existing Examples (1): Defra’s Environmental Segmentation ModelPlotting the Segments

Key principles for segmentation

Segmentation is…1. A practical tool

Key question: What do you want the model to do?

(eg. tightly predict specific behaviours, or show differences/similarities between different audience groups?)

(eg. will you be conducting further research with the segments, or ‘just’targeting them?)

If a behaviour change tool: segment on the behaviou r(s) in question, OR the most proximal determinants of those behaviours

2. An iterative process

Make this as transparent as possible but keep it fl exible

3. As much an art as a science

Focus on practical purposes of the model for divers e stakeholders: more heads are better than one (steering group, adv isory group etc)

Attributes of an effective segmentation model

1. Usability

- Is the model easily understandable, and memorable –can people assimilate and use it?

- Can the segments be reached in the ‘real world’?

2. Replicability

- Can the segments be easily found in subsequent qualitative and quantitative samples?

3. Stability

- Will the segments be relatively stable over time?

1. Scoping Stage / Survey Design

2. Survey Fieldwork, Topline Findings

3. Factor/Cluster Analysis

4. Profiling the Segments

5. Embedding and Replication

A 5 stage process for segmentation

Again do look to see what has already been done

Planning with a small budget

Spending money on the research versus the intervention

Difficult to justify research sometimes when conducting it will take money away

from interventions

Research

Intervention

What can you do to save money?

� Find out what has been done already

– Move away from every population is different

– Contact research companies, government departments, academics

– This means you are filling in the gaps rather than starting afresh

� Is there routinely available data out there?

– Possibly very useful for evaluation

� Who can you team up with to pool resources?

– Shared aims and resources

� Be sure what you need

– The sharper the brief the more you will get back

A brief word on evaluation

Developing a theory of change

Outputs:• What will/has

happened/been done as a result of the inputs?

Outcomes (short and medium

term):•What are the interim ways

to measure whether the impacts are likely to occur

Impacts (longer term):

• What is the long term reason for the programme –what is it designed to bring

about

The model sets out the links between the chosen focus of this initiative and the activities, short and longer-term outcomes whose effectiveness is being evaluated.

Inputs:• What resources have been made available for the

programme?

Some examples of when it didn’t work out as expected

� The teenage pregnancy intervention that had a rather different outcome from the one intended

� Introducing sterilising tablets into prisons to clean needles which had an unfortunate side effect

� The initiative to reduce the level of mugging in Deptford which proved unpopular with their neighbours

Unintended consequences show the importance of research

So what do you need to do?

So…

� Start early

� Be clear where you want to get to

� All this is not as new as it seems

� Design a methodology fit for purpose but flexible!

� Think about what data you already have

� Look at what has already been done

� Look to innovation when appropriate

� Always think about unintended consequences

� Good luck!

Thank you

For further information contact:[email protected] 020 7347 3000