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Communication programs can take<br />

advantage of the strengths of each of the<br />

above by using multiple methods. A program<br />

to decrease tobacco use among youth, for<br />

example, could include:<br />

(See Appendix B for an overview of some<br />

other relevant theoretical models.) Social<br />

marketing concentrates on tailoring<br />

programs to serve a defined group and is<br />

most successful when it is implemented as<br />

INTRO<br />

• Paid advertising to ensure that youth are<br />

exposed to on-target, unfiltered<br />

motivational messages<br />

• Media advocacy to support regulatory or<br />

policy changes to limit access to tobacco<br />

• Public relations to support<br />

anti-tobacco attitudes<br />

• Media literacy instruction in schools<br />

to reduce the influence of the<br />

tobacco industry<br />

• Entertainment education and advocacy<br />

to decrease the depiction of tobacco use<br />

in movies<br />

• Partnerships with commercial enterprises<br />

(such as retail chains popular<br />

among youth) to spread the<br />

anti-smoking message<br />

Using multiple methods increases the need<br />

for careful planning and program<br />

management to ensure that all efforts are<br />

integrated and consistently support program<br />

goals and objectives.<br />

Planning Frameworks, Theories,<br />

and Models of Change<br />

Sound health communication development<br />

should draw upon theories and models that<br />

offer different perspectives on the intended<br />

audiences and on the steps that can<br />

influence their change. No single theory<br />

dominates health communication because<br />

health problems, populations, cultures, and<br />

contexts vary. Many programs achieve the<br />

greatest impact by combining theories to<br />

address a problem. The approach to health<br />

communication we use in this <strong>book</strong> is based<br />

on the social marketing framework.<br />

NATIONAL OBJECTIVES FOR RESEARCH<br />

AND EVALUATION<br />

The Health Communication chapter of<br />

Healthy People 2010, the nationwide<br />

health promotion and disease<br />

prevention agenda, identifies increasing<br />

the proportion of health<br />

communication activities that include<br />

research and evaluation as one of six<br />

objectives for the field for the next<br />

decade (objective 11-3). This objective<br />

focuses attention on the need to make<br />

research and evaluation integral parts of<br />

initial program design. Research and<br />

evaluation are used to systematically<br />

obtain the information needed to<br />

refine the design, development,<br />

implementation, adoption, redesign,<br />

and overall quality of a<br />

communication intervention.<br />

Making Health Communication Programs Work 7

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