Time to Get Wet · income households 7.9 to 8.8 out of 10. 22% of parents said it provided new info...
Transcript of Time to Get Wet · income households 7.9 to 8.8 out of 10. 22% of parents said it provided new info...
Time to Get Wet:
How to make splash for public health using „old‟ and „new‟ media
Ian RoeManager, Health Promotion and Online Strategies
BC Centre for Disease Control
Outline
Overview of 2008 Immunization Social Marketing campaign
HPV videos for school campaign
Overview of HPV paid search campaign
2010 HPV “Booster” events for professionals
Social marketing in healthcare
Social marketing:applying commercial marketing practices to the development and implementation of healthcare programs that influence:
Why do a social marketing campaign?
Result of a provincial survey where
immunizers asked for a coordinated
provincial promotion campaign
Needed to address misinformation available
online
Campaign ran during the first quarter of
2008
Target: primarily parents of children from 0-
2, secondary audience health care providers
Campaign Development
Worked with Advertising agency to
execute the “what” and the “how”
The „what‟: multiple creative elements
boiled down to 3 creative „big ideas‟
Focus tested creative with parents to
choose approaches
ImmunizeBC Campaign
The “How”: The media mix
radio, newspaper, magazines, television, brochure, poster series, viral video, Google ad campaign
All media cross promoted the public to go to new website - www.immunizebc.ca
Whooping cough radio ad
12 Questions Brochure
Poster
Poster 2
Postcard
Postcard back
Targeted facilities
New Website!
Campaign Evaluation
Qualitative comments
Parental survey – measuring awareness,
knowledge, attitudes and beliefs
Google ad campaign
Health behaviour - measuring change in
immunization rates
Qualitative comments:
The good, bad and the ugly
I can‟t stop coughing!
Pig slaughter
Disturbing and painful but effective
Powerful ad
Remembering aspects of message
Educational opportunity
Acts as a reminder
Parental Survey
Objective to measure the impact of the campaign
on knowledge and behaviour with respect to
immunization
400 telephone interviews conducted pre and post
campaign
Unaided awareness of immunization advertising
increased – 44% to 67%
Statistically significant increase in support for
immunization post campaign – 8.4 to 8.8 out of 10
Parental Survey con‟t.
Greater increase in support from lower
income households 7.9 to 8.8 out of 10.
22% of parents said it provided new info
Awareness - radio the big winner
When asked: “Is there a vaccine against
whooping cough?” Pre: 52% (yes) Post
63% (yes)
Health Behaviour:
Measuring Immunization Rates
Number of DTaP-P-Hib doses entered into iPHIS within 90 daysdoses received before 2nd birthday
20000
22000
24000
26000
28000
30000
2006 2007 2008
Appointment years
Do
se
s
Q1
Q2
Q3
Q4
1% decrease from 06-07
9.5% increase from 07-08
Meningococcal C
Number of Men-C doses entered into iPHIS within 90 daysdoses received before 2nd birthday
10000
11000
12000
13000
14000
15000
16000
17000
2006 2007 2008
Appointment years
Do
se
s
Q1
Q2
Q3
Q4
1% decrease from 06-07
9% increase from 07-08
2008 HPV Vaccine Rollout in BC
New vaccine given to grade 6 & 9 girls in BC
“Controversial” climate
Chose NOT to do large public campaign
www = #1 place to look for health information
HPV Education & Promotion in BC
Train the trainer workshops/ “HPV Booster Events”
Information targeted directly to students/parents in schools
DVD targeted to schools/parents
Search Engine Marketing campaign
Social media – Facebook and Youtube
HPV Videos
Created as a result of a needs survey with Public health nurses
Short educational videos targeted at kids and parents
Targeted for schools and public libraries throughout BC
One video for web only
DVD Survey Results
Length – 75% said “about right”
Understanding – 96% said “everything” or “most everything”
Learning/knowledge - 1 out of 4 learned a “lot more”
Overall style – 75%
Overall grade – 75%
The Tyranny of ChoiceWhy Search Engine Marketing is important
Limitless access to information a doubled edged sword
SEM helps people find you thru keywords you „bid‟ on
SEM not expensive, easily adjustable
Provides precise/measurable results
Provides counterpoint to misinformation
Paid search = path of least resistanceMake it easy for people to find you
HPV Google Adwords Campaign
Ad placements went live on a variety of
health related websites on September
20th, 2008
Campaign ran from Sept-June 2008
Cost: $6,000
Ad geo-targeted to BC and by city
7 Adgroups created, 4 ad variations
tested
Developed four “flavours” of copy for the AdGroups:
1) HPV Causes Cancer &2) Don’t Get Cervical Cancer: Strong
and forceful headline, cancer as the resonance word, using a “nervy” question format for call to action
3) HPV vaccine in BC: Appeal to those seeking to learn more, uses neutral tone, focus on girls
4) What you should know: Injected mild sense of obligation followed by a neutral statement
1.
2.
3.
4.
AdGroup Comparative Results
28
Lower CTR for
virtually the
entire „Disease‟
Ad Group at a
Global level
AdGroups that
resonate with BC‟ers
Copyright 2009
HPV Adwords Key Findings
Critical 1st month generated 70% of all traffic to ImmunizeBC
45% of all traffic to the HPV page on the Immunizebc.ca web site for the year
Provided intelligence on what tone works online (neutral) and keywords
Top BC search words: „HPV‟, „hpv vaccine‟, „vaccine‟, „hpv virus‟, „hpv vaccination‟ and „gardasil‟
Google Ad Campaign: Lessons Learned
Integrate AdWord campaigns as part of future social marketing initiatives – but plan these well in advance
Use varied and compelling AdWord copy
Test, tweak and repeat
Coordinate online audience behaviour and traditional media campaign to get greatest impact and optimize dollars spent.
Facebook Ads
Ran two ads: One for influenza and one for HPV
HPV targeted at girls 13-18 in BC only (89,000)
High impressions/low Click thru rate
Low average time on sight once there
Interesting demographic and psychographic data
Where to innovate?
Social media as a force multiplier
New mediaOld media
• Initial splash not as important
• Utilize wildlife in pond to make
many small splashes
• Distribution channels limitless
• Getting attention is difficult
• Social capital („Ripple-ability‟) is
the value of message and this is key
• more ripples = bigger rock
• Top down
• Rigidly controlled
• Few distribution channels
2010 HPV “Booster” Events
Context: Limited resources, 66% vaccination rate
Looking for key influencers/mavens within communities
Under utilized „partnership‟ with BC Family Practice Oncologists (FPOs)
FPO unique perspective – stories and science
Survey conducted with 44 FPOs to determine next steps
FPO - Survey Results
Create a HPV Continuing Medical Education (CME) course
Organize events throughout the province
10 physicians offered to act as advocates within their community
1/3 of respondents offered to help organize and conduct CME events in their community
2010 HPV Booster Events
Locations: 7 events held this far: Victoria, Prince George, Dawson Creek, Kelowna, Gibsons, Powell River, Sea to Sky - more to come this fall
Audience: FPOs, PHNs, Medical Health Officers (MHOs), pharmacists, nurse practitioners, student nurses
Objective: gauge if events are effective in increasing engagement between health professionals and parents/teens about HPV vaccine
Creating a Coalition of Support
Welcoming New Providers
Booster Events: Evaluation
60% of respondents said they learned “a lot about the HPV vaccine”
98% found event “useful” or “very useful”
88% said they feel more confident in discussing vaccine with parents and girls
92% said they would attend again
87% signed their name to commit to speaking with 5 people about the benefits of vaccine in the next month
Several physicians writing „Letter to the Editor‟ to local newspapers this September
Provided opportunity for HPs to: Get CME credit Get up-to-date info about HPV Learn how to promote HPV vaccine locally Network with other health professionals in
their community – a force multiplier Tell us what they wanted to help promote
vaccine: more online materials, brochures & posters, office prompt
Legacy a perpetual „coalition of support‟ within a community that goes far beyond the event itself
Booster Events: Lessons Learned
Overall Lessons Learned
Opinions and advertising - remember you are an “n” of 1.
For traditional media, hard hitting messages worked best
Opposite true for online approaches
Google ads best „bang for the buck‟ vs. traditional media
Look for force multipliers - social media or engaging key groups face to face
Don‟t be afraid of trying new things!
Acknowledgements
Immunization Promotion Working Group
Craig Thompson with Ministry of Healthy Living and Sport
Brittany Deeter and Sarah Gorringe for HPV Boosters Events
BCCDC Immunization Team
Web links
www.youtube.com/immunizebc
www.bccdc.ca
www.immunizebc.ca