AOR 6 Communication Flashcards
HES use their professional training to _________________ communication messages.
create, tailor, pilot test, deliver, & evaluate
Communication Goal
Overall health improvement organization/agency strives to produce
- communication program is designed to support & contribute to achieving specific desired improvement
Communication Objectives
Communication outcomes aimed to support overall communication goal
- SMART descriptions of
changes in health status, behavior, attitude, or knowledge as a result of the health communication campaign - Small, specific factors
Communication Strategies
Overall approaches taken in the program to achieve communication outcomes to impact health & contribute to achieving defined goals & objectives
Cultural Sensitivity
Understanding, valuing, & respecting similarities and differences between culturally-based attitudes, beliefs, & behaviors
eHealth Literacy
Ability to locate, understand, exchange, & evaluate online health information in the presence of dynamic contextual factors (online & offline) & apply knowledge gained to maintain or improve health
Health Communication
Exchange of info used to inform & influence practices, behaviors, or policies to improve individual or community health
- uses communicative strategies to inform & influence decisions & behaviors to improve health
Health Literacy
Degree to which an individual has capacity to obtain, communicate, process, & understand basic health information & services to make appropriate health decisions
Health Marketing
Creation & delivery of health promotion programs using multidisciplinary, evidence-based strategies to motivate public toward positive health practices
Persuasive Communication
Targeted or tailored health-related messages to meet audience members needs and persuade them to adopt healthy attitudes and behaviors
Policies
Sets of rules & objectives to guide activities
Segmentation
Process of categorizing diverse populations into subgroups that have similar backgrounds, demographics, psychological characteristics, & experiences
Social Marketing
Method of using marketing principles in planning, implementation, & evaluation of health education programs designed to bring social change
- Goal: Influence action
Social Media
Activities & behaviors among people who are online to share info, knowledge, & opinions using social media platforms
- social media includes blogs, videos, image sharing, & social media networking sites
What factors can influence communication among intended audience?
Lifestyles, concerns, attitudes, beliefs, social norms, barriers to change, & sources for gaining health information
What communication approaches that can impact intended audience?
Cultural, Social, & Political environments
Identified Population vs Intended Audience
Identified Population - broad group of individuals within a community
Intended Audience - Segmented subgroup with identified population that is more narrowly defined (based on various characteristics), such as those who are high risk for specific health issue/concern
Communication objectives are impacted by ______________ & ____________ for making desired behavior change.
Motivation & Capacity of intended audience
Segmentation is used to ensure health education materials, communication strategies, activities, & best communication channels are relevant for intended audience’s specific _____________________________
preferences, needs, behaviors, beliefs, attitudes, & overall knowledge
Characteristics that population may be segmented
- Behavioral - level of readiness for change; information seeking, lifestyle choices
- Cultural - language preferences, spiritual beliefs, ethnicity, family structure
- Demographic - education, income, occupation, geographic location
- Physical - age, gender, sex, health risks, health status, family history
- Psychographic - values, beliefs, attitudes, personality, self-efficacy
- segmentation should be based on health behavior being targeted for change
BEHAVE Framework
Description of audience, behavioral change, motivation (factors/benefit & barrier determinants), & mechanism of change (activities)
Used to plan communication project
Steps for identifying needed resource materials
- Identify need
- Match need to likely source(s)
- pursue lead
- Judge quality & quantity of information
- Organize available material in format most useful to the user(s)
What does limited literacy mean? How many adults have limited literacy?
struggle with basic reading and writing
1/2 of adults
What does limited health literacy mean? How many adults have limited health literacy?
struggle with complex health information (including healthcare system)
9 out of 10 adults
What factors contribute to a person’s literacy status?
age, education, income, health status, stress
What factors impact health literacy?
- receipt for appropriate written health communication materials
- ability to accurately interpret written health-related information
- Communicate with health providers
Consequences of poor health literacy
- inappropriate or no usage of health care services
- improper use of medication
- poor health outcomes
- poor self-management of chronic conditions
People with low eHealth Literacy are less likely to _____________ & _____________
actively seek health information on the internet & engage in health promoting behaviors
Health Literacy _________________ are used to assist in reducing complexity of language so that people can understand verbal, non-verbal, & written recommendations and make informed decisions
universal precautions
What should HES do when using verbal communication to ensure higher health literacy?
- Speak slowly
- Focus on & repeat key messages
- Explain things in plain language (avoid jargon)
- Avoid using statistics
- Allow time for questions
- Use “teach back” technique - provides chance to show understanding of messages
- Use other communication materials or strategies to compliment interaction
What should HES do when providing written communication to ensure higher health literacy?
- use short sentences (no more than 25 words) using everyday language
- Use paragraphs (if necessary) no more than 250 words and 8 sentences
- Minimally use & define acronyms
- Use active voice
- Highlight, bold, or create text box to display important main points
- Supplement text with image, video, or other multimedia
Numeracy
Ability to access, use, interpret, & communicate numeric information in wide range of situations in life
- affects health care decisions & behaviors
Strategies to assist people with numeracy processing
- Present fewer health statistics
- Reduce need for inferences & calculations
- Use visual or displays to show numbers
- Focus on 1 numeric idea at a time
- Use analogies, physical items to represent quantity
- Teach with stories
Health Literacy is significantly correlated with ______________________ such as _____________________ to health concepts
Cognitive Abilities, specifically cognitive function;
ability to actively process, remember, & apply information learned
Prediction of mortality rates are based on both ______________ & ____________
Cognitive function & health literacy
Advantage & Disadvantage of readability formulas & what are examples of readability formulas?
SMOG, Fry Readability, Flesch-Kincaid
used to evaluate reading grade level of text, but cannot predict how well intended audience understands the material
Types of Communication Methods
- Interpersonal - healthcare professionals, family, friends
- Social Group - neighbors, work, church, social clubs
- Communal Group - meetings, conferences, events
- Mass Media - radio, TV, newspapers, magazines
- Social Media
What are the 3 things that should align when communicating?
Intended audience, Message, & Channel
_______________ perspective & ____________ aspects are both important when communicating with intended population
PHYSICAL perspective & PSYCHOSOCIAL aspects (i.e. source of message or who is delivering the message)
- Psychosocial aspects includes message’s reach & accessibility
HES must consider what factors that contribute or hinder success of communication goals related to health education and promotion?
Intrinsic & extrinsic factors including individual, social, cultural, & environmental contexts
How is communication determined at the individual level?
- information needs
- preferred channels & sources
How is communication motivated at the relational level?
- Method the message is delivered (verbal, nonverbal, text, multimedia)
- relationship among communicators who deliver and receive the message
How is communication affected at the environmental or system level?
Accessibility and ability to navigate information to effectively benefit from it
How are the communication objectives used for deciding on activities/message?
- blueprint for what will be accomplished
- Used to determine evaluation outcomes that will be measured
When developing communication objectives, they should be:
- Supportive of program goals
- Realistic & achievable
- Specific to desired change, the intended audience, & timeframe for change to occur
- Measurable to track progress
- Prioritized for resource allocation
What is the intent of health communication?
- Promote knowledge
- Change attitudes, beliefs, & actions through use of social influence & behavior change theoretical approaches
What should the HES consider when identifying desired outcomes and creating communication objectives?
- the health problem/issue
- the intended audience
- the ability of communication to have an impact on the health issue with the selected intended audience
Communication contributes to _________________ by enhancing social support systems & reinforcing socially normative behaviors
Community Activation
Communication that is effective and appropriate for given population can enhance _______________, promote ______________ & increase __________________. This will help to predict, motivate, support, and persuade intended behavior change related to a specific health issue.
Enhance MESSAGE RECALL, promote AWARENESS, increase KNOWLEDGE
Tips for establishing SMART communication objectives
- be specific about priority population & behavior or health issue
- Prioritize behaviors that will have greatest impact
- Use only 1 action verb in each objective
- Develop both short & long-term objectives
4 types of “noise” that can impede communication
- PHYSICAL FACTORS (setting, equipment, interactions among communicators)
- PHYSIOLOGICAL FACTORS (related to cognitive/emotional overload; speaking style; hearing capabilities)
- PSYCHOLOGICAL FACTORS (pre-conceived notions, beliefs)
- SEMANTIC FACTORS (use of jargon, interactions with members in priority population)
What are ways in which priority audience can respond to communication?
Feedback, information sharing, behavior change, avoidance
How can HES use communication to their advantage when working with diverse communities?
inform & adapt the content, delivery, & evaluation of health education programs
Crafting messages to influence behavior change based on consumer needs are what type of HES?
Consumer focused HES
Characteristics of public perceptions about health related messages
- Ease of solution
- Immediate results
- Perceived susceptibility
- Personal beliefs
Health communication campaign is used to support __________________ to solving public health problems
a multicomponent approach
Prior to material distribution of promotion, what does HES need to define about the market?
- Segmentation
- Analyze Segments
- Choose target market with shared consumer preferences
What perspective and levels should health communications represent?
Social Ecological Perspective with multi-level strategies
- Individual - Tailored messages
- Group - Targeted messages
- Community - Social marketing
- Policy - Media advocacy
- Population - Mass media
How can communication processes & messages contribute to behavior change for intended population?
- Increase awareness & knowledge
- Influence perceptions & attitudes
- Debunk misconceptions
- Potentially prompt action
Finding out how much the audience cares about an issue can help HES craft effective messages is based on what model?
Elaboration Likelihood Model
Since everyone is limited in amount of info that can be retained, what should the HES do according to the Information Processing Theory?
- Include no more than 2-3 main messages
- Break information into small chunks that are simple & easy to understand
Social Marketing Theory
4 Ps:
PRODUCT - health behavior, program, or idea
PRICE - financial, physical, psychological, time
PLACE - how/where learning will take place
PROMOTION - approach used to reach audience
What is the 5th “P” added to the 4 Ps of Social Marketing Theory?
PARTNERS - importance of mobilizing resources by working with other organizations
What are other Ps that should be considered in addition to the 4 Ps when using Social Marketing Theory?
PUBLIC - primary & secondary audiences involved in program
POLICY - creating environmental supports to sustain behavior change
PURSE STRINGS - amount of money available for campaign
Steps to engage in desired behavior change based on Communications for Persuasion Theory
- Exposure to message
- Attention to massage
- Interest in or personal relevance of message
- Understanding the message
- Personalizing the behavior
- Accepting the change
- Remembering the message & continuing to agree with it
- Being able to think of the message
- Making decisions based on bringing message to mind
- Behaving as decided
- Receiving positive reinforcement for behavior
- Accepting behaviors into one’s life
5 communication components to communicate effectively to achieve desired outcomes
- Credibility of message source
- Overall message design
- Message delivery channel
- Intended audience
- Intended behavior
How does Consumer Information Processing Model (CIP) view the use of information?
as an intellectual process with individual motivation driving how much info is sought out & used
Central assumptions of CIP
- Individuals are limited by amount of info they can process
- Individuals divide info into usable “chunks” called HEURISTICS to use info in a faster/easier way
Health information will be used more effectively if it is….
- available
- viewed as new & useful
- user-friendly & processable
What theory provides understanding of how new ideas, products, behaviors, & social practices spread through communities?
Diffusion of Innovations Theory
Characteristics related to the likelihood of adoption based on appeal when using Diffusion of Innovations Theory
- Relative Advantage
- Compatibility
- Complexity
- Trialability
- Observability
Diffusion of Innovations Theory Categories
- INNOVATORS - those who first adopt/try innovation
- EARLY ADOPTERS - opinion leaders who embrace change opportunities
- EARLY MAJORITY - those who adopt new ideas before general population
- LATE MAJORITY - those who are skeptical of change, but adopt after majority has tried innovation
- LAGGARDS - hardest group to engage in innovation (due to being very skeptical)
Social Norms Theory
behavior is influenced by incorrect perceptions of how others in their social group behave & if thoughts on beliefs is correct
- misperceptions based on peers impacts individual behavior
- focuses on peer influences & importance of norms
Health Communication campaign using Social Norms Theory is centered around __________________
- Correcting misperceptions as proactive prevention approach
- provides accurate info on attitudes & behaviors to increase healthy norms
What model describes how rational considerations (efficacy beliefs) & emotional (fear of health threat) combine to show how people determine behavioral decisions?
Extended Parallel Process Model (EPPM)
In EPPM, what determines a person’s motivation to act and what action they will take to address the threat?
Motivation to Act = Degree to which a person feels threatened
Perceived severity + perceived susceptibility
What action they will take = Confidence to effectively reduce/prevent threat
Response Efficacy + Self Efficacy
In EPPM, when does self-protective behavior occur? Maladaptive denial/rejection of protective behavior occur?
Self-protective behavior = perceived threat is HIGH and response efficacy is HIGH
Denial/Rejection = perceived threat is HIGH and perceived response efficacy is LOW
Prospect Theory
Message framing in which messages illustrate positive or negative consequences of adopting or failing to adopt a behavior
- “gain-framed” messages show benefits of behavior & “loss-framed” messages reveal costs of not engaging in behavior
- Promoting disease detection results from “loss- framed” messages
- Promoting disease prevention results from “gain-framed” messages