1 REACHING THE HARD TO REACH Getting your fire safety messages heard and understood Webinar March 23, 2016, CHES
ALTERNATE TITLE Why won t they just do what I tell them to do? 2
TODAY S GOAL Understanding nuances behind behavior change Use Health Belief Model to engage your audience and community Lower your frustration in getting people to change their ways 3
DAILY CHOICES IMPACTING OUR HEALTH 4
PERIODIC BEHAVIORS IMPACTING OUR HEALTH 5
RAISE YOUR HAND IF.. You have a piece of exercise equipment in your house You know that texting and driving increases your risk of a crash 6
GETTING PEOPLE TO CHANGE THEIR WAYS. Information Action 7
BEHAVIOR IS MADE UP OF Learned actions Attitudes Beliefs Cultural norms Economics Geography Historical Events 8
WHAT S NEEDED TO GET PEOPLE TO CHANGE THEIR BEHAVIOR? MOTIVATOR: A reason to do it ENABLER: Help, support, access to get it done REWARD: Benefit to doing it Adapted from: Kreuter and Green, Health Promotion Planning, An Educational and Ecological Approach 9
CHANGING BEHAVIOR TAKES PATIENCE Behaviors are ingrained Behaviors have an emotional component Behaviors have an environmental component To help people make changes, we need to understand what is behind their behaviors. 10
HEALTH BELIEF MODEL Developed in the 1950 s as a way to identify why people didn t take advantage of health services Mammograms Yearly Physical Exams Cholesterol Testing Immunizations. simple behavior changes Wearing Seatbelts Installing smoke alarms 11
PERCEPTIONS (BELIEFS) Perceived Susceptibility Will it happen to me? Perceived Severity Is it really that bad? Perceived Barriers What s getting in my way? Perceived Benefits What s in it for me? 12
UNDERSTANDING YOUR PARTICIPANTS PERCEPTIONS.. Crime Disease Trust of the system Internal vs. External locus of control Perception = Reality (even if they are wrong!) 13
ADDRESSING PERCEPTIONS What is the number one cause of death for women? A) Stroke B) Breast Cancer C) Heart Disease 14
ANSWER Heart Disease 15
PERCEIVED SUSCEPTIBILITY (MOTIVATOR) How likely am I to be the victim of fire? Do I know anyone who s experienced fire? Fire in my community? What s the real chance of a fire in my home? 16
WHAT IS THE INCREASED RISK OF A CRASH WHEN TEXTING AND DRIVING? A) 10 times more likely B) 23 times more likely C) 32 times more likely? 17
TEXTING AND DRIVING Answer: 23 Times more likely to crash 18
THE AVERAGE TEXT TAKES 4.6 SECONDS; ON THE HIGHWAY, HOW FAR HAVE YOUR DRIVEN "BLIND" IN THOSE 5 SECONDS? A) 100 feet B) 200 feet C) 300 feet 19
4.6 SECONDS WITH YOUR EYES OFF THE ROAD: Answer: 300 feet 20
OUR PERCEPTIONS We overestimate Our reflexes Our driving ability We underestimate Time eyes off road Risk of crash 21
PERCEIVED SEVERITY (MOTIVATOR) IF a fire were to happen.. I have time to get out I can call 911 I can put it out 22
PERCEIVED BENEFIT (REWARD) Will it really work anyway? Hard to accept a benefit that hasn t happened Each day a fire does not happen the issue is further out of mind 23
PERCEIVED BARRIERS (ENABLERS) WHICH ONE? How Much? How to install? How do I know it s working? Okay it s in, now what? 24
FIRST: UNDERSTAND PEOPLE S PERCEPTIONS Susceptibility: How likely is a fire to happen in your home? Severity: What might get in the way of you getting out in the dark in the smoke? Benefits: What do you value about your home and family? Barriers What would help you buy and install a smoke alarm? 25
THEN: ADDRESS PERCEPTIONS Susceptibility: Local Data, Local Stories/People Severity: Data, Real impact Benefits: What people value: time, energy, convenience, peace of mind Barriers: Resources, tools.. Be specific! 26
WHAT DO YOU SEE AS THE BARRIERS IN YOUR COMMUNITY? A) Knowledge B) Landlords C) Economics D) Language 27
CUES TO ACTION Visual, Audio item that reinforces and reminds your audience of what you want them to do. 28
PAY ATTENTION TO HEALTH LITERACY The ability to read and comprehend health information Impacted by: Literacy level Primary language Geography Choose your materials based upon the audience 29
INDIVIDUAL AND COMMUNITY APPROACH Changing behaviors is complex even for those with knowledge, resources Added complexity of low income, language barrier, reduced access means MORE work for you Engage those who have the power to make change: Local coalitions, Landlords, Public Safety Don t assume ONE and DONE 30
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CHANGE TAKES TIME Unfamiliar Discomfort Benefits not visible Barriers economic, social, physical 32
YOUR GOAL IS TO MOVE THE NEEDLE You are filling your audience s tank with information, access, tools 33
REMEMBER: PEOPLE NEED: A reason to do it Access/Help to do it Benefit to do it 34
QUESTIONS/COMMENTS? 35
THANK YOU FOR YOUR TIME!!!! 36