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Preventing Childhood Obesity - Evidence Policy and Practice.pdf

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CHAPTER 28<br />

Social m arketing to p revent c hildhood o besity<br />

Nadine Henley 1 <strong>and</strong> S<strong>and</strong>rine Raffi n 2<br />

1 Centre for Applied Social Marketing Research, Edith Cowan University, Perth, Australia<br />

2 EPODE European Network, Paris, France<br />

Summary <strong>and</strong> recommendations<br />

for research <strong>and</strong> practice<br />

• Social marketing is one of many tools available for<br />

changing behavior; it applies commercial marketing<br />

principles to achieve socially desirable goals.<br />

• Seven overarching communication principles<br />

should be considered before designing a social marketing<br />

campaign.<br />

• Key marketing principles are: “ getting the right<br />

message ” <strong>and</strong> “getting the message right ” for different<br />

target markets; the 4Ps — Product, Place, Price,<br />

Promotion, <strong>and</strong> a 5th P: Partnerships.<br />

• The innovative French EPODE program addressing<br />

childhood obesity is used as a case study throughout<br />

this chapter to illustrate principles <strong>and</strong> process.<br />

Introduction<br />

This chapter first outlines the fundamental communication<br />

principles social marketers have to consider<br />

when approaching the issue of childhood obesity <strong>and</strong><br />

then explains the marketing principles on which their<br />

decisions are based when designing a social marketing<br />

campaign to address the issue. The innovative French<br />

EPODE program is used as a case study throughout<br />

this chapter to illustrate principles <strong>and</strong> process (Box<br />

28.1 ).<br />

The term “ social marketing ” was first used by<br />

Kotler <strong>and</strong> Zaltman 1 to refer to the application of<br />

<strong>Preventing</strong> <strong>Childhood</strong> <strong>Obesity</strong>. Edited by<br />

E. Waters, B.A. Swinburn, J.C. Seidell <strong>and</strong> R. Uauy.<br />

© 2010 Blackwell Publishing.<br />

commercial marketing principles in the context of<br />

socially desirable goals. Andreasen 2 de fined social<br />

marketing as: “ the application of commercial marketing<br />

technologies to the analysis, planning, execution,<br />

<strong>and</strong> evaluation of programs designed to influence the<br />

voluntary behaviour of target audiences in order to<br />

improve their personal welfare <strong>and</strong> that of their<br />

society ” (p.7). Donovan <strong>and</strong> Henley 3 modified this<br />

definition to include involuntary behaviors as there<br />

are many instances of social marketing where the<br />

individual ’ s voluntary behavior is constrained, for<br />

example, under threat of legal sanction (drink driving)<br />

or other regulations (smoke- free venues), or where<br />

the individual ’ s choices are restricted (e.g. government<br />

restrictions on trans - fatty acids in processed<br />

foods).<br />

Until recently, social marketing focused primarily<br />

on persuading the individual to adopt recommended<br />

behaviors (often referred to as the “ downstream ”<br />

approach). However, current thinking has extended<br />

the definition of social marketing to include achieving<br />

change in the social determinants of health <strong>and</strong> safety<br />

3 –<br />

(referred to as the “upstream” approach). 7 Upstream<br />

approaches attempt to bring about desired individual<br />

behavior, often without the individual ’ s conscious<br />

cooperation.<br />

In the present context of childhood obesity, the<br />

“ upstream ” advocacy role extends to working to<br />

ensure individuals have access to healthy foods (such<br />

as children ’ s school meals) <strong>and</strong> information about<br />

nutritional value of foods (as in food labels), as well<br />

as advocacy for public facilities to encourage physical<br />

activity (such as cycle paths <strong>and</strong> parks). Other possibilities<br />

include taxes on unhealthy foods or products,<br />

243

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