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Behaviour change at your
fingertips:
Social Marketing’s use of
Smartphone Apps and
SMS
Professor Rebekah Russell-Bennett
Queensland University of Technology
HealthCAM 30 September 2014
My experience with social marketing
Definition of Social Marketing
Developing
and applying
marketing
theories and
concepts
In addition to
other
approaches
To influence
individuals,
communities,
structures,
and societies
To bring
about
positive social
change
Different to....
1. Education
 Education informs (job is done when people know)
 Social marketing influences behaviours (job is done when
people do)
Some misconceptions and
mythunderstanding
1. Social media
 A medium or communication
channel
 Can be used as part of an
overall social marketing
programme
2. Social Advertising
 One of the communications
options
 There are 3 other powerful
tools in the marketing mix
Review of 34 healthy
eating studies:
• 16 studies that met the
definition of social
marketing were more
effective in achieving
behavioural change
than the 18 studies
defined as social
advertising
• Carins and Rundle-
Thiele, Public Health
Nutrition, 2013
 This is social marketing
 Success measure:
behaviour
Obesity Example
 This is not
 Success measure: awareness
• Change4Life was England’s first ever
national social marketing campaign
to reduce obesity 2007+
• Full marketing mix used
• Engaged with networks and partners
• Database of local products and
services
• Behaviour outcomes: e.g. reduced
sugar intake/portion size, 60 min
activity done
• Go for 2&5 was introduced in 2005 by
Qld government
• TVCs, online information
• Campaign outcomes: awareness of
47%, 61% felt campaign was a good
reminder
Digital is being used everywhere
The customer’s reality
 Smartphone Ownership
 UK 70% (Arthur, 2014)
 Australia 64.6% (Godrey, 2013)
 USA 61% (Nielsen, 2013)
 Ireland 50% (RTE, 2013)
 Mobile app stores saw annual
downloads reach 102 billion in 2013
(Riveria & Meulen, 2013)
 145 billion SMS text messages were
sent in the UK in 2013 (Donnelly, 2014)
How can technology be used in social
marketing Services?
Cost-
effective
for large
markets
Personalised
and tailored
Peer
support
Facilitates
self-
monitoring
Interactive
and real-
time
Overcomes
embarrass
ment and
social
barriers
•Making a complex task simpler (eg. give them tips)Reduction
• Customization; providing more relevant information to individualsTailoring
•Guided persuasion; giving control over to an expert (the app)Tunnelling
•Intervene at the right time with a compelling suggestionSuggestion
•Automatically tracking desired behaviour (eg. a drink counter)Self-monitoring
•Reinforcing target behaviour (eg. give users praise and reward them
for good behaviour)Conditioning
•Observing one’s behaviour publicly (eg. sharing progress with peers)Surveillance
Smartphone apps in Social Marketing
Design Principles in Gamified Apps-Eagle, Dahl, Muscat & Low (2013)
Cases
MumBubConnect: SMS program to
support breastfeeding mothers
Quit for you, Quit for Two:
Smartphone app for pregnant women
Citysmart digital project: Low Income
Earners Energy Use
2014 Health Cam FINAL
MumBubConnect: A digital Service
intervention
The mbc support system was accompanied by:
1. A custom website offering information resources and further links to parenting and
government support websites
2. Support provided by ABA and Womens Health with ABA Counsellor providing outbound
calls
3. a Facebook page that enables participants to discuss common issues and receive peer
based, and Mum Bub Connect based professional support and advice.
Social Media Strategy
 Facebook
 285 people ‘liked’ the page
(compared to 167 at UQ Centre
for Mothers and Babies)
 Not an advice/problem-solving
site
 Generic mother-oriented issues
 Issues based- to media
articles/youtube
 Comments about mothering and
lifestyle that invited responses
Theoretical Framework
•Confidence in perceived capacity to control their motivation,
thought processes, emotional states and social environment in
performing specific behaviours (Bandura, 1977; Dennis 1999)
•When women feel disempowered and helpless in managing
breastfeeding they stop (Dennis & Faux, 1999).
•When women feel confident, they breastfeed longer (Dennis &
Faux, 1999).
Self-
Efficacy
•Social support usually refers to roles performed for an individual by
significant others, such as partners, family members, friends,
relatives and neighbours (Thoits, 1985)
•Support validates behaviour and reduces anxiety
•When women have social support, they are more loyal to
breastfeeding (Parkinson, Russell-Bennett and Previte forthcoming)
Social
Support
Participant Profile

 How many women involved
 130 women registered to participate
 6 women withdrew before the
trial began
 4 women ceased participation
during the trial
 120 women completed the full 8
weeks
 114 women completed the second
survey
 95% response rate
 Demographics
 Mean age of 31.2 years
 Mean age of infants was 6.7 weeks
 Focus is therefore on the medium to long term
postnatal period where biggest drops in
breastfeeding occur
 95% were married or in a defacto relationship
 92% born in Australia
Results
• Self-efficacy
• Positive Coping
• Seeking social support
• Positive emotions
• Responsibility for BF
• Breastfeeding
duration
• Negative Coping
• Feeling challenged
Impact on Breastfeeding
0
10
20
30
40
50
60
70
80
90
2 -3
months
4 -5
months
MBC
AIFS
QLD 2007
Women Fully Breastfeeding at start (6 week baby)
MBC National
83% 62%
Women fully breastfeeding 8 weeks later
(14 week baby)
MBC National
79% 46%
(-4%) (-16%)
Quit for you, Quit for Two
Evaluation
Timing
Launched July 2013
Target
Hard to reach
market- young
pregnant smokers
Challenges:
Low self-efficacy
Language/literacy
barriers
Judgement-free and
discrete
Insights:
Pressure to confirm
to friends and family
smoking behaviours
is strong
A craving lasts for
approx. 3 min, need
distraction
•High penetration, with downloads in
the first week equating to
approximately 15% of all pregnant
women who smoke
•9 months later the app has been
downloaded nearly 25,000 times(out
of 40,000).
•Ongoing tracking research will
measure the actual shifts in behaviour,
but early indications from the level of
adoption of the app, are very positive
Outcomes
Understanding Consumer
Motivation to Reduce
Energy Consumption: A
Digital approach Jo Little
18 March 2014
Marketing Energy Consumption
Not on the
agenda
Low
involvement
category
Intangible
and invisible
What is a
high bill?
Scepticism
Online noise /
competition
Social change
via digital
channels
• Cost of living challenges
• Unemployment / underemployment
• Time at home
• Lack of control
• Live in the now, instant gratification
• Materially endowed
• Middle-class aspirations
• Digitally engaged and connected
• Sceptical
• Financially motivated
Motivations and barriers
Customer segments
Intent to Reduce Energy Use
Low
(1-4 rating)
Medium
(5 & 6 rating)
High
(7 rating)
ElectricityBill
Size
Low (<$301)
Whatevs…
(38%)
Medium ($300-$500) Breaking Even
(34%)
Help Me!
(28%)
High ($501+)
Avoid TargetEngage
Digital strategy
…build a digital solution which guides
households through a phased journey of stealthy
learning to make
• the invisible visible
• the intangible tangible
• the unvalued valuable
Goals
Cognitive/
information
processing
Use when:
- High involvement behaviour,
importance to customer
- Possibly high risk
- Customer willing to make
effort
- Knowledge and attitudes
occurs before the behaviour.
Theories:
social cognitive theory,
stages of change,
standard learning
hierarchy (learn, feel do),
theory of planned
behaviour.
Behavioural
Use when:
- Low involvement behaviour,
not central to customer’s life
- Possibly low risk
- Consumer not willing to
make effort
- Behaviour needs to occur to
achieve learning & knowledge.
Theories:
instrumental learning
(reinforcement),
classical conditioning,
experiential learning (do,
feel learn).
Behaviour change theory
Experiential learnikng
REINFORCEMENT, MOTIVATION
REINFORCEMENT
REWARDS
FEEDBACK
EXPERIENTIAL HIERACHY
Best practice
Simple, visual approach
Tailored, interactive features and content
Customised, instant feedback
Continuous engagement and reminders
Online community / collective engagement
Motivation and encouragement
Challenge or competition
Progression and reward
Ability to meet needs at different stages
Social sharing and pledges
The program will be…
Relevant
Real-time/
live
Interwoven/
complement
s lifestyle
Valued/helpful
content
Tailored/
Personalised
Personal
Agile
Flexible
Evolving
ResponsiveSimple –
but not
simplistic
Visual
Free –
time,
effort and
money
Effortless
Easy
Supportiv
e
Credible
and
trustworthy
Innovative
New and
fresh
Leverages
all
benefits
of digital
Sociable/
shareable
Community/
collective
engagement
Meshing
online/
offline
Seamless
interface
Accessible
and
convenient
Entertaining
Engaging
Fun
Addictive
Interesting
Clever
Interactiv
e
Learning
by stealth
Recognitio
n
and rewardEdutainmen
t
Quality
content
Subtle
Continuous
engagemen
t &
feedback
Progressiv
e journey
Makes me
feel good /
motivationa
l
Game 2
Washing in
cold water
Game 1
Keeping Cool
w/0 air-con
Game 3
Turning
switches off
So………
Decide on strategic
purpose of your digital
approach
(awareness/education
vs behaviour change)
Identify key
motivators/barriers in
your target market
Co-create your digital
concept with the
target market
Evaluate
• Social marketing uses all marketing mix tools
• Works with communication but is not a substitute
• Smartphones can be used as more than communication
tools – they can also be a service to facillitate behaviour

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2014 Health Cam FINAL

  • 1. Behaviour change at your fingertips: Social Marketing’s use of Smartphone Apps and SMS Professor Rebekah Russell-Bennett Queensland University of Technology HealthCAM 30 September 2014
  • 2. My experience with social marketing
  • 3. Definition of Social Marketing Developing and applying marketing theories and concepts In addition to other approaches To influence individuals, communities, structures, and societies To bring about positive social change
  • 4. Different to.... 1. Education  Education informs (job is done when people know)  Social marketing influences behaviours (job is done when people do)
  • 5. Some misconceptions and mythunderstanding 1. Social media  A medium or communication channel  Can be used as part of an overall social marketing programme 2. Social Advertising  One of the communications options  There are 3 other powerful tools in the marketing mix Review of 34 healthy eating studies: • 16 studies that met the definition of social marketing were more effective in achieving behavioural change than the 18 studies defined as social advertising • Carins and Rundle- Thiele, Public Health Nutrition, 2013
  • 6.  This is social marketing  Success measure: behaviour Obesity Example  This is not  Success measure: awareness • Change4Life was England’s first ever national social marketing campaign to reduce obesity 2007+ • Full marketing mix used • Engaged with networks and partners • Database of local products and services • Behaviour outcomes: e.g. reduced sugar intake/portion size, 60 min activity done • Go for 2&5 was introduced in 2005 by Qld government • TVCs, online information • Campaign outcomes: awareness of 47%, 61% felt campaign was a good reminder
  • 7. Digital is being used everywhere
  • 8. The customer’s reality  Smartphone Ownership  UK 70% (Arthur, 2014)  Australia 64.6% (Godrey, 2013)  USA 61% (Nielsen, 2013)  Ireland 50% (RTE, 2013)  Mobile app stores saw annual downloads reach 102 billion in 2013 (Riveria & Meulen, 2013)  145 billion SMS text messages were sent in the UK in 2013 (Donnelly, 2014)
  • 9. How can technology be used in social marketing Services? Cost- effective for large markets Personalised and tailored Peer support Facilitates self- monitoring Interactive and real- time Overcomes embarrass ment and social barriers
  • 10. •Making a complex task simpler (eg. give them tips)Reduction • Customization; providing more relevant information to individualsTailoring •Guided persuasion; giving control over to an expert (the app)Tunnelling •Intervene at the right time with a compelling suggestionSuggestion •Automatically tracking desired behaviour (eg. a drink counter)Self-monitoring •Reinforcing target behaviour (eg. give users praise and reward them for good behaviour)Conditioning •Observing one’s behaviour publicly (eg. sharing progress with peers)Surveillance Smartphone apps in Social Marketing Design Principles in Gamified Apps-Eagle, Dahl, Muscat & Low (2013)
  • 11. Cases MumBubConnect: SMS program to support breastfeeding mothers Quit for you, Quit for Two: Smartphone app for pregnant women Citysmart digital project: Low Income Earners Energy Use
  • 13. MumBubConnect: A digital Service intervention
  • 14. The mbc support system was accompanied by: 1. A custom website offering information resources and further links to parenting and government support websites 2. Support provided by ABA and Womens Health with ABA Counsellor providing outbound calls 3. a Facebook page that enables participants to discuss common issues and receive peer based, and Mum Bub Connect based professional support and advice.
  • 15. Social Media Strategy  Facebook  285 people ‘liked’ the page (compared to 167 at UQ Centre for Mothers and Babies)  Not an advice/problem-solving site  Generic mother-oriented issues  Issues based- to media articles/youtube  Comments about mothering and lifestyle that invited responses
  • 16. Theoretical Framework •Confidence in perceived capacity to control their motivation, thought processes, emotional states and social environment in performing specific behaviours (Bandura, 1977; Dennis 1999) •When women feel disempowered and helpless in managing breastfeeding they stop (Dennis & Faux, 1999). •When women feel confident, they breastfeed longer (Dennis & Faux, 1999). Self- Efficacy •Social support usually refers to roles performed for an individual by significant others, such as partners, family members, friends, relatives and neighbours (Thoits, 1985) •Support validates behaviour and reduces anxiety •When women have social support, they are more loyal to breastfeeding (Parkinson, Russell-Bennett and Previte forthcoming) Social Support
  • 17. Participant Profile   How many women involved  130 women registered to participate  6 women withdrew before the trial began  4 women ceased participation during the trial  120 women completed the full 8 weeks  114 women completed the second survey  95% response rate  Demographics  Mean age of 31.2 years  Mean age of infants was 6.7 weeks  Focus is therefore on the medium to long term postnatal period where biggest drops in breastfeeding occur  95% were married or in a defacto relationship  92% born in Australia
  • 18. Results • Self-efficacy • Positive Coping • Seeking social support • Positive emotions • Responsibility for BF • Breastfeeding duration • Negative Coping • Feeling challenged
  • 19. Impact on Breastfeeding 0 10 20 30 40 50 60 70 80 90 2 -3 months 4 -5 months MBC AIFS QLD 2007 Women Fully Breastfeeding at start (6 week baby) MBC National 83% 62% Women fully breastfeeding 8 weeks later (14 week baby) MBC National 79% 46% (-4%) (-16%)
  • 20. Quit for you, Quit for Two
  • 21. Evaluation Timing Launched July 2013 Target Hard to reach market- young pregnant smokers Challenges: Low self-efficacy Language/literacy barriers Judgement-free and discrete Insights: Pressure to confirm to friends and family smoking behaviours is strong A craving lasts for approx. 3 min, need distraction •High penetration, with downloads in the first week equating to approximately 15% of all pregnant women who smoke •9 months later the app has been downloaded nearly 25,000 times(out of 40,000). •Ongoing tracking research will measure the actual shifts in behaviour, but early indications from the level of adoption of the app, are very positive Outcomes
  • 22. Understanding Consumer Motivation to Reduce Energy Consumption: A Digital approach Jo Little 18 March 2014
  • 23. Marketing Energy Consumption Not on the agenda Low involvement category Intangible and invisible What is a high bill? Scepticism Online noise / competition Social change via digital channels
  • 24. • Cost of living challenges • Unemployment / underemployment • Time at home • Lack of control • Live in the now, instant gratification • Materially endowed • Middle-class aspirations • Digitally engaged and connected • Sceptical • Financially motivated Motivations and barriers
  • 25. Customer segments Intent to Reduce Energy Use Low (1-4 rating) Medium (5 & 6 rating) High (7 rating) ElectricityBill Size Low (<$301) Whatevs… (38%) Medium ($300-$500) Breaking Even (34%) Help Me! (28%) High ($501+) Avoid TargetEngage
  • 26. Digital strategy …build a digital solution which guides households through a phased journey of stealthy learning to make • the invisible visible • the intangible tangible • the unvalued valuable
  • 27. Goals Cognitive/ information processing Use when: - High involvement behaviour, importance to customer - Possibly high risk - Customer willing to make effort - Knowledge and attitudes occurs before the behaviour. Theories: social cognitive theory, stages of change, standard learning hierarchy (learn, feel do), theory of planned behaviour. Behavioural Use when: - Low involvement behaviour, not central to customer’s life - Possibly low risk - Consumer not willing to make effort - Behaviour needs to occur to achieve learning & knowledge. Theories: instrumental learning (reinforcement), classical conditioning, experiential learning (do, feel learn). Behaviour change theory
  • 29. Best practice Simple, visual approach Tailored, interactive features and content Customised, instant feedback Continuous engagement and reminders Online community / collective engagement Motivation and encouragement Challenge or competition Progression and reward Ability to meet needs at different stages Social sharing and pledges
  • 30. The program will be… Relevant Real-time/ live Interwoven/ complement s lifestyle Valued/helpful content Tailored/ Personalised Personal Agile Flexible Evolving ResponsiveSimple – but not simplistic Visual Free – time, effort and money Effortless Easy Supportiv e Credible and trustworthy Innovative New and fresh Leverages all benefits of digital Sociable/ shareable Community/ collective engagement Meshing online/ offline Seamless interface Accessible and convenient Entertaining Engaging Fun Addictive Interesting Clever Interactiv e Learning by stealth Recognitio n and rewardEdutainmen t Quality content Subtle Continuous engagemen t & feedback Progressiv e journey Makes me feel good / motivationa l
  • 31. Game 2 Washing in cold water Game 1 Keeping Cool w/0 air-con Game 3 Turning switches off
  • 32. So……… Decide on strategic purpose of your digital approach (awareness/education vs behaviour change) Identify key motivators/barriers in your target market Co-create your digital concept with the target market Evaluate • Social marketing uses all marketing mix tools • Works with communication but is not a substitute • Smartphones can be used as more than communication tools – they can also be a service to facillitate behaviour

Editor's Notes

  • #2: Materials Copies of the weekly readings
  • #8: http://www.nydailynews.com/life-style/app-user-quit-job-text-message-article-1.1578077
  • #10: Technologyis a cost-effective means of reaching large audiences in a personalised way which engages people with the product, is empowering, and can be anonymous which is desirable for problems which are personal and private The use of social technologies in health can address some of the key barriers for health services by creating peer support networks, self-monitoring devices and easy access to information.
  • #13: Brand Name Mum Bub Connect Creative Rationale The branding concept has been specifically devised to appeal to mothers from a wide socioeconomic and geographic area. Understanding that many mothers are time poor, stressed but information hungry the brand concept has specifically followed a set of pre-requisites: To be super simple, fresh and lively Professional and reputable but not corporate Feminine but not stereotypical Fun but not childish A balanced reference to technology and mothering   To have a good assimilation with current ‘social networking’ styles and identity (and functionality)
  • #20: Beh loyalty: 68% of babies were exclusive BF – higher than national average of x%?? 97% were supplying more than 50% of babys intake with BF – higher than national average of x%   After MBC: Even though 15% had thought of stopping feeding during the pilot: Beh loyalty: 80% of babies were exclusive BF – higher than national average of x% 94% were supplying more than 50% of babys intake with BF – higher than national average of x% 115/126 women were feeding baby with any BF 91%– higher than national average of x%   Mean of 5/7 for “The SMS encouraged me to continue breastfeeding” and “The messages made me feel more in control” As a result of these messages I felt:
  • #21: Start at 40:30min