Healthy Influence – Persuasion Blog

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Archive for the 'Health' Category

all things morbid and mortal

Walking (Aimlessly) for Health

8th May 2012

Ambling along we observe . . .

Dr. Freeman leads a group called Walk With a Doc, which encourages patients to get out, once a month or so, to stroll the city with their physicians. The group’s most recent walk, in January — walkers can be hard-core, too, no matter the season — drew 135 people, including 10 doctors.

Let me count the ways.

1. Everyone who walks with a doc is healthy enough to not need a doc. The intervention is not an intervention, but merely an indicator of healthiness and sociability.

2. A 14 patients to 1 doc ratio. The AMA won’t like that because it would mean they’d have to wildly increase the number of students they admit and pass through medical programs. Think that might cut into physician pay?

3. You train people in biology, anatomy, pharmacology, cardiology, and on and on and then how do you use that skill? As a walking leader? Yeah. That makes sense.

4. Count the steps this program generates. Go ahead do the math even if it requires data mining and huge datasets since we’re going national with it. Healthy people walking with physicians once a month. As a persuasion intervention aimed at making healthier people, this is a crazy waste of time and effort. As a fun social event, it’s fine, but that’s not the point.

5. Imagine the liability issues when someone gets hurt. If you’re out walking with your doc and you blow a knee or get hit by a biker (sweet irony there) who pays for it? Imagine the press on that one.

Mavens, what’s the strategy behind this persuasion play tactic? Clearly the muggles are out on the streets in gangs of 150 huffing and puffing FauxItAlls, but to what end? Sure, we’ve got a bunch on nice Cues (Authority, Liking, Comparison, Commitment/Consistency), but no one is thinking about the strategy.

But, if you don’t jeté, then at least strut!

Posted in Health, Rules | Comments Off

Hiding Good Persuasion in Bad Persuasion

7th May 2012

Sure, the CDC can’t get anyone to change anything about their behavior and sometimes manages to make it worse, vaccines anyone? But, now the for-profit guys are weighing on lifestyle. This time for sure!

THE ADVERTISING COUNCIL has joined forces with Clear Channel Media and Entertainment to run a new series of radio ads about childhood obesity on Clear Channel’s 850 stations for three months . . . According to the Ad Council and Clear Channel, the value of the advertising is $30 million.

First, my compliments to the mavens at the Ad Council and Clear Channel. This is great brand building. Clear Channel really cares about you and is putting $30 million on the line to show it. Of course, it’s all tax deductible and part of a charitable project. So, look like you are doing good and along the way you can do well, too. Wonder if Ashton Kutcher is on board?

Second, this $30 million campaign will have the same effect as the current CDC $50 million campaign on smoking and the former $400 million campaign on childhood activity. That would be zero. If anyone takes the time to do a serious evaluation study of the Ad Council/Clear Channel partnership they will find zero change in behavior. Lots of Reception and Exposure. Lots of kids and their parents will know and recognize words like “Ad Council” and “Clear Channel” and “we care.” But any change to youthful waistlines? No.

At least one academic spills the beans while playing nice.

Dr. Marlene Schwartz, deputy director of the Rudd Center for Food Policy and Obesity at Yale University, said that although she appreciated the campaign’s effort to address childhood obesity issues, she was concerned it “almost gives people too many choices. Research has shown that people get overwhelmed when they are given too many options and sometimes choose to not act at all.”

Excellent observation. The campaign, like virtually all activity campaigns, cannot focus upon one TACT for one targeted set of Other Guys, but instead includes messages on a wide variety of actions that count as Being Active! (The exclamation point is important.) All those different messages and all those different TACTs destroy effectiveness. Of course, as I already noted, the Ad Council and Clear Channel avoid that scatter when it comes to sourcing the ad. While no one knows exactly what to do, everyone knows exactly who’s saying it.

Let me play the arrogant know-it-all. With my research colleague, Bill Reger-Nash, we ran the famed Wheeling Walks! physical activity campaign that collected hard numbers to demonstrate real change in people’s activity as a result of a media campaign. It was easy. Define a TACT. Target the right Other Guys. Pound them with Arguments that address the Easy, Fun, and Popular elements from the Theory of Planned Behavior. And, use an exclamation point!

You can persuade people to change on physical activity as long as you aim at persuading people to change on physical activity instead of trying to build a brand, satisfy a committee, or play a hunch. Trust me. I’m a blogger.

But past my trivial concerns about behavior change, see the Good Persuasion hiding in the Bad Persuasion in this campaign.  Everybody knows your name!

 

Posted in Business, Health | Comments Off

High WATT Eating Cures Obesity!

7th May 2012

Really.

TRY this: place a forkful of food in your mouth . . . Put the fork down. This could be a lot more challenging than you imagine, because that first bite was very good and another immediately beckons. You’re hungry. Today’s experiment in eating, however, involves becoming aware of that reflexive urge to plow through your meal like Cookie Monster on a shortbread bender. Resist it. Leave the fork on the table. Chew slowly. Stop talking. Tune in to the texture of the pasta, the flavor of the cheese, the bright color of the sauce in the bowl, the aroma of the rising steam. Continue this way throughout the course of a meal, and you’ll experience the third-eye-opening pleasures and frustrations of a practice known as mindful eating.

Okay, stop giggling there in back. This is serious. There’s a pay off. Keep reading.

“As we practice this regularly, we become aware that we don’t need to eat as much,” said Phap Khoi, 43, a robed monk who has been stationed at Blue Cliff since it opened in 2007. “Whereas when people just gulp down food, they can eat a lot and not feel full.” It’s this byproduct of mindful eating — its potential as a psychological barrier to overeating — that has generated excitement among nutritionists like Dr. Cheung.

The article then details a variety of mindful eating experiences weaving threads of Buddhist mediation as a metaphor that guides the mental state behind the chewing. Remove the spiritualist notions and the inevitable Silicon Valley example (Google holds a weekly one hour silent vegan lunch in their cafeteria) and the New New Thing here is quite familiar: WATTage.

Most of us, most of the time, buy and consume food in a Low WATT state. We Cue from color, smell, recommendation, comparisons or scribbles on the menu chalkboard. Then, most often surrounded by family, friends, or just a mass of humanity in the café, diner, or table we eat while we talk, laugh, drink, hoot, stare, drift, or hurry. With food easily accessible, safe, abundant, tasty, affordable, and omnipresent, just throw the WATTage switch to Low and you get that spare tire.

We don’t need synonyms or metaphors or religion or the Google Cool (Lunch)Table for this from a persuasion theory perspective. We’re just talking about good old WATTage, that dimmer switch we turn from moment to moment, but most often left in the efficient and effective Low WATT setting. No fooling: think while you eat and you will eat less.

Thus, standard persuasion theory strongly supports mindful eating as a reasonable intervention to control eating and overweight. But, persuasion theory and research also proves that High WATT plays are the most difficult to trigger and maintain. Most people most of the time simply cannot sustain High WATTage in the way mindful eating requires. Let’s recall the brilliant Professor Whitehead from 1911.

A society advances by the number of operations it can perform without thinking.

This from the guy who cowrote the Principia Mathematica. Whitehead goes on to note.

Operations of thought are like cavalry charges in a battle — they are strictly limited in number, they require fresh horses, and must only be made at decisive moments.

Thus, even before your favorite 1970s dual process model (Kahneman and Tversky, Petty and Cacioppo, Shelly Chaiken and just on the persuasion side), we’ve got a mathematician, of all people, seeing WATTage and its variation. Whitehead’s military comparison also illuminates the rarity of High WATT operation, restricting it to decisive engagements, not everyday experience.

Thus, mindfulness advocates are essentially arguing for “Charge!” everytime we eat which is easy, fun, and popular if you score high on the Need for Cognition scale. Those in the top 15% have no trouble with daily cavalry assaults and cannot understand why the rest of us want to sit in the shade pounding down Twinkies with nary a thought. These differences in cognition and human nature escape even the mindful.

Thus, mindful eating is yet another example of confusing the word for the thing, of, gasp, eating the menu. To say, “Think!” and believe we have a solution is like clicking your heels and thinking of Dorothy, Toto, and Kansas when you want to escape. You only awaken to the loving arms of Auntie Em in the movies.

Or more artfully expressed with George Booth.

The last words go to Whitehead.

It is a profoundly erroneous truism, repeated by all copy-books and by eminent people when they are making speeches, that we should cultivate the habit of thinking of what we are doing. The precise opposite is the case.

Think about it, mavens and muggles.

Posted in Health, Metaphors | Comments Off

Trojan Horse for Cancer Prevention

5th May 2012

Here’s a free sample of cancer. Care for one? How about you? What, no takers?

Okay, here’s how you prevent cancer. Like that better? Sure, you do. So do this.

Keep a predictable schedule.
Move frequently and avoid prolonged sitting.
Ditch the vitamins and supplements.
Get an annual flu shot.
If you’re over 40, talk with your doctor about the benefits and risks of taking a statin and low-dose daily aspirin.
Wear comfortable shoes.
Take inventory of your medicine cabinet once a year.
Cash in on healthy-living incentives.
Think of your doctor as a partner, not a friend.
Know yourself by keeping records of your medical data.

This from a review of a book from Dr. David Agus, professor of medicine (and scientific science) at USC. Lots of great blurb quotes for the book, too, from well known scientific sources like Al Gore, Michael Dell, Lance Armstrong, and Steve Case.

People will believe anything if you wear an attractive lab coat. Stethoscope optional. Comfortable shoes required.

All Bad Science Is Persuasive!

P.S. Quite a crew of scientific scientists at USC. They know about the new perils of traffic fumes and cell phones.

Posted in Health, Rules | Comments Off

Distracted Campaign Persuasion

5th May 2012

Now, we’re getting serious.

SAN ANTONIO, April 26 (Reuters) – U.S. Transportation Secretary Ray LaHood called on Thursday for a federal law to ban talking on a cell phone or texting while driving any type of vehicle on any road in the country.

This is a US Federal Government Cabinet Secretary here, not some Cool Table academic at Charlie Rose U. Of course, laws specifically banning cell phone use while driving have no, none, nada impact on accident, injury, or mortality rates, but those kind of numbers don’t count. What counts is the politics and the self concept, baby.

Is this an election year or what?

Seriously. This is an election year and such persuasion follies are haute cuisine for the Obama base. Implicit in LaHood’s charge is the thought that as long as Obama is President, we might actually get legislation like this. No Obama, No Hope!

Of course, even with Obama, Hope, but alas, No Change.

Must be lots of Dissonance Reduction served at the Table of Brother-and-SisterHood. Mmmmm, these Warning Labels sure taste good!

Posted in Government, Health, Politics | Comments Off

 

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