Risk Communication: Warren K. Sinclair Keynote Lecture

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Risk Communication: Warren K. Sinclair Keynote Lecture March 8, 2010, Bethesda, Maryland NCRP Annual Meeting Dr. Vincent T. Covello Director Center for Risk Communication New York, New York Tel. (917) 270-5280 Email: vincentcovello@ix.netcom.com vcovello@centerforriskcommunication.org

Presentation Objective To review: the research and practitioner literature on best practice in risk communication.

Definition Risk: a threat of loss, real or perceived, to that which we value. Risk Communication: the exchange of information about risks.

Risk Communication: Definition Is an interactive process of exchange of information and opinion among individuals, groups, and institutions Involves multiple messages about the nature of risk Involves messages not strictly about risk, such as legal and institutional arrangements for risk management Improving Risk Communication, National Academy of Sciences, 1989 1-5

Mental Noise Threats (risks) produce stress Stress produces emotion (e.g., anxiety, worry, fear, anger, outrage) Stress and emotion produce mental noise, which changes in the way people process information

Risk Communication Goals enhance knowledge and understanding build trust and credibility encourage appropriate attitudes, behaviors and beliefs

Risk Communication Theories Trust Determination Theory Mental Noise Theory Negative Dominance Theory Risk Perception/Outrage Theory

Radiation and Risk Communication (40 th Anniversary): Risk Perception Theory Perception equals reality. That which is perceived as real is real in its consequences. When people are stressed and upset, the gap between perceptions and reality often becomes wider.

Risk Perception Theory When people are stressed and upset, the gap between perceptions and reality often becomes wider.

Risk Perception (Fear) Factors Lower Concern/Fear Higher Concern/Fear 1. Trustworthy sources 2. Large benefits 3. Under one s control 4. Voluntary 5. Fair 6. Natural origin 7. Children not victims Untrustworthy sources Few or unclear benefits Controlled by others Involuntary Unfair Human origin Children as victims

Risk Perception (Fear) Factors Lower Concern/Fear Higher Concern/Fear 1. Trustworthy sources 2. Large benefits 3. Under one s control Untrustworthy sources Few or unclear benefits Controlled by others

Risk Perception (Fear) Factors Trust Listening/Caring Competence/Expertise Honesty/Transparency Benefits/Fairness Societal Community Personal Control/Voluntariness Choice Voice Knowledge HERC v 3.1

Cause of death Motor vehicle accident Annual risk 1 in 6700 Lifetime risk 1 in 88 Lightning 1 in 3,000,000 1 in 39,000 Shark Attack 1 in 280,000,000 1 in 3,700,000

Risk Communication: Key Messages Risk communication is a science- based discipline High concern situations change the rules of communication The key to risk communication success is anticipation, preparation, and practice

Risk Communication Literature Over 8000 Articles in Peer Reviewed Scientific Journals 2000 Books Over 20 Percent Deal with Radiation Issues

Risk Communication Literature: Example Dr. R. Hyer and Dr. V. Covello Effective Media Communication During Public Health Emergencies: A World Health Organization Handbook World Health Organization, United Nations: Geneva, April 2007 (www.amazon.com or www.who.int/bookorders)

Risk Communications Literature Communicating Radiation Risks Sample scenarios Pre-approved messages Lessons learned

Risk Communication Literature: Example Five Essential Elements of Immediate and Mid- Term Mass Trauma Intervention: Empirical Evidence, Psychiatry, 70(4): 2007 Authors: Steven Hobfoll et. al. Conclusion of Research Provide people a sense of: Hope Self- and community efficacy Safety Calm Connectedness HERC v 3.1

Risk Communication: Resources M. Gladwell, Blink J. Lehrer, How We Decide S. Bok, Lying R. Fisher, Getting to Yes P. Ekman, Telling Lies: Clues to Deception (see also P. Ekman, Emotions Revealed ) D. Morris, Body Talk: A Dictionary of Human Gestures E. Tufte, Visual Explanations

Risk Communication: Key Messages Risk communication is a science- based discipline High concern situations change the rules of communication The key to risk communication success is anticipation, preparation, and practice

Risk Communication: Core Concepts When people are stressed or concerned, they typically: have difficulty, hearing, understanding, and remembering information want to know that you care before they care what you know. focus most on what they hear first and last.

Risk Communication: Core Concepts - continued When people are stressed or concerned: the gap between reason and emotion (risk perceptions) often becomes wider. they typically focus much more on negative information than positive information. they typically process information at four grades below their education level. they typically seek out additional third party sources of credible information.

Risk Communication: Key Messages Risk communication is a science- based discipline High concern situations change the rules of communication The key to risk communication success is anticipation, preparation, and practice

Seven Step Risk Communication Strategy 1. Identify a risk communication issue or scenario 2. Identify the primary stakeholders/target audience 3. Identify potential questions or concerns 4. Develop key messages using message mapping 5. Develop supporting information for key messages 6. Test and practice messages 7. Deliver messages through appropriate communication channels

Risk Communication: Core Principles Most of the concerns and questions of upset or concerned people can be predicted and prepared for in advance.

Mark Twain It takes me an average of two weeks to prepare an impromptu speech. Mark Twain Copyright, Dr. V Covello, Center for Change/Risk Copyright, Communication Dr. V Covello,

Stakeholder Predictability 50 Most Frequently Asked Questions by Terminally Ill Patients

Stakeholder Predictability 77 Most Frequently Asked Questions by Journalists in a Disaster (handout)

Stakeholder Predictability 65 Most Frequently Asked Questions about Pandemic Influenza (www.pandemicflu.gov) 205 Most Frequently Asked Questions Following a Water Security or Water Contamination Event (USEPA, Effective Risk Communication during Water Security Emergencies EPA/600/R-07/027)

Radiological Emergency Research Finding: (NUREG) Radiological Events Over 450 questions anticipated from the media and the public 14 categories of questions (for example, questions about evacuation, sheltering in place, health and safety, KI, and economic impacts)

Risk Communication: Key Messages Risk communication is a science- based discipline High concern situations change the rules of communication The key to risk communication success is anticipation, preparation, and practice

Risk Communication Literature: Example The Magic Number Seven, Plus or Minus Two: Some Limits on Our Capacity for Processing Information George A. Miller (Department of Psychology, Princeton University) The Psychological Review, 1956, vol. 63, pp. 81-97

Message Map Key Message 9 words on average Stakeholder Question or Concern: Key Message 9 words on average Key Message 9 words on average Supporting Info. 1.1 Supporting Info. 2.1 Supporting Info. 3.1 Supporting Info.. 1.2 Supporting Info. 2.2 Supporting Info. 3.2 Supporting Info. 1.3 Supporting Info. 2.3 : Supporting Info. 3.3

Risk Communication Templates (see handout) CCO Rule of 3 27/9/3 Primacy/Recency AGL-4 1N=3P IDK

Risk Communication/Message CCO Mapping Templates

Caring/Empathy Principle When people are stressed and upset, they want to know that you care before they care what you know.

The CCO Template Compassion Conviction Optimism

Trust Factors in High Stress Situations Listening/ Caring/ Empathy/Compassion 50% Assessed in first 9-30 seconds Competence/ Expertise 15-20% Honesty/ Openness 15-20% All Other Factors 15-20%

Templates CCO Rule of 3 27/9/3 Primacy/Recency

Mental Noise (Attention Span) 20% 0 100 Mental noise can reduce the ability to process communication up to 80% Contact: CenterforRiskCommunication.org

Templates Rule of 3 27/9/3 Primacy/Recency

Mental Noise: The Rule of 3 Everything in Threes Three Key Messages Repeat Messages Three Times (e.g., Triple T Model) Key Messages Supported by Three Supporting Messages or Three Credible Sources

Templates CCO Rule of 3 27/9/3 Primacy/Recency

The 27/9/3 Template 27 words 9 seconds 3 messages

Templates CCO Rule of 3 27/9/3 Primacy/Recency

Primacy/Recency When people are stressed and upset, they typically focus most on that which is said first (primacy) and last (recency).

Primacy/Recency Template Low Stress Situations: Brain processes information based on linear order (e.g., 1, 2, 3) High Stress Situations: Brain processes information based on primacy/recency (e.g., 1, 3, 2)

TBC Template (Trust, Benefits, Control) Key Message 1: Trust Message Key Message 2: Benefits/Fairness Message Key Message 3: Control Message

Risk Communication: Key Messages Risk communication is a science- based discipline High concern situations change the rules of communication The key to risk communication success is anticipation, preparation, and practice