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