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Reaching out and Reaching in . . .
The Priester Conference 2012




                    Marin P. Allen, Ph.D.,
        Deputy Associate Director Communications and
            Public Liaison, Office of the Director,
                 National Institutes of Health
                        10 April 2012
What do Dancing Queen and Stayin’
     Alive have in common?

                         • Leisure Suits?

                         • Disco Balls?

                         • Bad times?




                            Marin P. Allen, Ph.D. 4/10/12
. . .Translation of Findings to Practice




                                  Marin P. Allen, Ph.D. 4/10/12
• Fears and Concerns: Mouth to mouth; harming the
  person; legal consequences; won’t perform properly

• Solutions: Chest compressions only; can’t hurt
  them any more; Good Samaritan Laws; SIMPLIFY
  THE PROCESS




                                         Marin P. Allen, Ph.D. 4/10/12
From American Heart Association
Or pick your song . . .use your smartphone. . .

•   Lay Your Hands on Me (Bon Jovi)
•   Kickstart My Heart (Motley Crue)
•   Ain’t No Mountain High Enough (Diana Ross)
•   Thank God I’m a Country Boy (John Denver)
•   Man in the Mirror (Michael Jackson)

Sarver Heart Center Univ of Arizona College of
 Medicine and SHARE M.C. Guy and S.J. Coons
                                            Marin P. Allen, Ph.D. 4/10/12
The Common Thread-
The Audience, Message, and Purpose




                             Marin P. Allen, Ph.D. 4/10/12
• “No problem can be
  solved from the same
  level of consciousness
  that created it.”
• “Concern for man and his
  fate must always form the
  chief interest of all
  technical endeavors.
  Never forget this in the
  midst of all your diagrams
  and equations.”

                 Marin P. Allen, Ph.D. 4/10/12
Public Servants-
    What are we doing with their money?
“In a recent radio interview a leading senior physicist
described the modern scientific dilemma. ‘When I was in
graduate school I thought I would go into a room and
people would slide money through a slot in the door. I
would do science, and then slide the results back out. But
as my career has gone on, they are increasingly opening
the door and asking me what I am doing with their money’.”

NIMH release


                                             Marin P. Allen, Ph.D. 4/10/12
What’s in it for me? What are you
learning that will help my life and my
   family and friends and others?

        Tell me what I need to know
         Tell me what I need to do
  Give me skills and resources I didn’t have
          Don’t miss critical steps


                                      Marin P. Allen, Ph.D. 4/10/12
At the Core . . .
• Ethos “credibility” “trustworthiness”
         assigned by listener

• Pathos emotional appeal

• Logos   logical appeal




                                          Marin P. Allen, Ph.D. 4/10/12
Items to Consider




                    Marin P. Allen, Ph.D. 4/10/12
Marin P. Allen, Ph.D. 4/10/12
Back to the Future . . .again!




                         Marin P. Allen, Ph.D. 4/10/12
Aye, there’s the rub . . .
Balancing opportunity and responsibility




                                           Marin P. Allen, Ph.D. 4/10/12
• Sender - “encoder”
• Receiver - “decoder”
• Noise—
   − Relationship
   − Status difference
   − Receiver’s interest
   − Receiver’s emotional state
   − Receiver’s knowledge
   − Receiver’s communication skills


                                       Marin P. Allen, Ph.D. 4/10/12
Identification without . . .
  losing our good name




                           Marin P. Allen, Ph.D. 4/10/12
Allen’s reminder:


Communication is fundamental, constant, dynamic,
and changes over time. Translation, implementation,
and dissemination are dependent upon finely-honed,
dynamic communication strategies and effective and
evidence-based tools and tactics.




                                        Marin P. Allen, Ph.D. 4/10/12
The basics

• Know your audience (s)!

• Know your message

• Know your purpose




                                   Marin P. Allen, Ph.D. 4/10/12
Some old theories still apply
• Rhetorical communication: Stimulating a source-selected
  meaning in the mind of a receiver (McCroskey)
• Imagery: Making the audience see, hear, taste, touch,
  feel more than is actually present…
• Active “listening”: How do they know they’ve been heard?




                                             Marin P. Allen, Ph.D. 4/10/12
Communication (McCroskey)

• Accidental Communication

• Expressive Communication

• Rhetorical Communication




                               Marin P. Allen, Ph.D. 4/10/12
Findings on persuasion
• One is persuaded by someone he/she likes
• One is persuaded by someone he/she believes
• One is persuaded by someone he/she is close to
  (proximate)

(Cialdini)




                                         Marin P. Allen, Ph.D. 4/10/12
Key Encoding (McCroskey)

• Selection
• Apportionment
• Arrangement




                                Marin P. Allen, Ph.D. 4/10/12
Marin P. Allen, Ph.D. 4/10/12
The David K. Berlo Observation




                           Marin P. Allen, Ph.D. 4/10/12
“Did You Know?”- NCI
Time it took to reach adoption by 50 million persons

Radio        →     38 years
Television   →     13 years
Internet     →     4 years
iPod         →     3 years
Facebook     →     2 years



                                             Marin P. Allen, Ph.D. 4/10/12
. . . and Twitter


 “13% of online adults use the status update service
 Twitter, which represents a significant increase from
 the 8% who identified themselves as Twitter users in
 November 2010. 95% of Twitter users own a mobile
 phone and half of these users access the service on
 their handheld device.”
A Smith, PEW Charitable Trust


                                           Marin P. Allen, Ph.D. 4/10/12
Comparisons
When people evaluate an experience, they are performing
one or more of the following comparisons:
2.Comparing the experience to what they hoped it would
be
3.Comparing the experience to what they expected it to be
4.Comparing the experience to other experiences they
have had in the recent past
5.Comparing the experience to experiences that others
have had.
Schwartz, 2004


                                             Marin P. Allen, Ph.D. 4/10/12
Behavior change theory… Diffusion

 Individual effects         [individuals improve knowledge
                             and attitudes]
 Social diffusion           [change in public norms]

 Institutional              [change in elite opinion,
  diffusion                  influencing policy, influencing
                             individuals]
Robert C. Hornik in Public Health Communication: Evidence for Behavior
Change . ed. Hornik RC. Mahwah, New Jersey: Lawrence Erlbaum
Associates, 2002. p 14


                                                        Marin P. Allen, Ph.D. 4/10/12
Cultural competence

• Not an appliqué… Part of
        the fabric…




                                    Marin P. Allen, Ph.D. 4/10/12
Language challenges
• According to current Federal data, there are at least 329
languages* spoken or signed in the United States. In some
cities, less than 60 percent of the population has English as
a first language.

* [note apparently missing data from the 550+ recognized American Indian
tribes—including 223 Alaskan native]




                                                            Marin P. Allen, Ph.D. 4/10/12
Additional Challenges
• How fast do we talk? How fast do we think?

• How much of what we know that we have learned by
  listening?

• Amount of the time we are distracted, preoccupied or
  forgetful? 75%

• How much we usually recall immediately after we listen
  to someone talk?
                                               Marin P. Allen, Ph.D. 4/10/12
. . . And why the sound bite is actually
                    important
• We listen at 125–250 words per minute, but think at
  1000–3000 words per minute.
  (High Gain, Inc.)
• How much of what we know that we have learned by
  listening? 85% (Shorp)
• Amount of the time we are distracted, preoccupied or
  forgetful? 75% (Hunsaker)
• How much we usually recall immediately after we listen
  to someone talk? 50% (International Listening
  Association)
                                              Marin P. Allen, Ph.D. 4/10/12
What communication alone can do
• Increase the intended audience’s knowledge and
  awareness of a (health issue), problem, or solution
• Influence perceptions, beliefs, and social norms
• Prompt action
• Demonstrate of illustrate skills
• Reinforce knowledge, attitudes, or behavior
• Show benefits of behavior change
• Advocate a position
• Increase demand or support for services
• Refute myths and misconceptions
• Strengthen organizational relationships
The Pink Book NCI
                                               Marin P. Allen, Ph.D. 4/10/12
Communication combined with other
            strategies can do:
• Cause sustained change in which an individual maintains
  a new (health) behavior or an organization adopts and
  maintains a new policy direction
• Overcome barriers/ systematic problems



The Pink Book NCI




                                             Marin P. Allen, Ph.D. 4/10/12
Communication cannot:
• Compensate for inadequate systems/resources
• Produce sustained change in complex behaviors without
  support of a larger program for change
• Be equally effective in addressing all issues or relaying
  all messages or suggested behavior change may be
  complex, because the intended audience may have
  preconceptions about the topic or the message sender,
  or because the topic may be controversial
The Pink Book NCI




                                               Marin P. Allen, Ph.D. 4/10/12
What kind of learner?

• Auditory

• Visual

• Tactile




                                     Marin P. Allen, Ph.D. 4/10/12
Some Take Home Messages
• Communication is a fundamental skill-and an art
• Communication makes ideas live and have greater
  impact on civilization
• Communication should be both honest and skillfully
  constructed
• You must know your audience (s), your purpose and your
  message every time
• Scientists have an increasing need to communicate
• Prepare carefully-and out loud
• Enjoy the process and the product
• Stay in touch with new opportunities
                                            Marin P. Allen, Ph.D. 4/10/12
Marin P. Allen, Ph.D. 4/10/12
Urgent STOP New Romantics
             discovered STOP Send poetry
              and drawings STOP survival
              depends on it STOP Grateful
                         END
                                 D.H. Lawrence


*Thought it was MY idea, but shows up on a blog:
  “Is Twitter Telegram 3.0? by Beverly Macy on
  January 14, 2009
                                     Marin P. Allen, Ph.D. 4/10/12
A note from my sponsor!


      Your NIH



                     Marin P. Allen, Ph.D. 4/10/12
NIH Mission
. . .to seek fundamental knowledge about the nature
   and behavior of living systems and the application of
   that knowledge to enhance health, lengthen life, and
   reduce the burdens of illness and disability.




                     Marin P. Allen,
NCI
        The National Institutes of Health                                                     NINR




NCCAM                                                                                         NIEHS
              NCATS                           OD                               NIAMS


  NIMHD                                                                                    NIDA
                      NLM                                              NIMH
        NEI                                                                        NIDDK
                                  NIBIB                 NINDS
                                             NHLBI
                 NHGRI                                                  NIDCR

                            NIA                                NIDCD
  NIGMS                                                                                 CIT
                                     NIAAA           NICHD
                                             NIAID
                  FIC                                                         CC

                                                               CSR



          Extramural only                                    No Funding Authority
                                                                              Marin P. Allen, Ph.D. 4/10/12
Emerging Public Health Challenges
     Shift from Acute to Chronic Conditions


     Aging Population


     Health Disparities


     Emerging and Re-emerging Infectious Diseases


      Emerging Non-communicable Diseases — Obesity


      Biodefense
                                              Marin P. Allen, Ph.D. 4/10/12
Evolving Public Health Challenges

    Shift from Acute to Chronic Conditions




                                       Marin P. Allen, Ph.D. 4/10/12
Translating Evidence-Based
     Research Results

   NIH: News in Health



                         Marin P. Allen, Ph.D. 4/10/12
Marin P. Allen, Ph.D. 4/10/12
Two New Resources




                    Marin P. Allen, Ph.D. 4/10/12
Marin P. Allen,
Marin P. Allen,
ORWH—setting the pace

 52 weeks blog



   − Originally a publication, the 52 weeks of women’s
     health will first become a blog. From there, we
     have the ability to feed it into several social media
     outlets, an RSS feed, Twitter, Facebook, and a
     Mobile App

                                             Marin P. Allen, Ph.D. 4/10/12
The Front Page of the
Women’s Health App:




                        52 Weeks of Women's Health Mobile   Marin P. Allen, Ph.D. 4/10/12
                                      App
Marin P. Allen, Ph.D. 4/10/12
NIH . . .Turning Discovery Into Health


       Everyday . . .Every way . . .24/7




                                           Marin P. Allen, Ph.D. 4/10/12
marin_allen@nih.gov

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Marin allen priester2012

  • 1. Reaching out and Reaching in . . . The Priester Conference 2012 Marin P. Allen, Ph.D., Deputy Associate Director Communications and Public Liaison, Office of the Director, National Institutes of Health 10 April 2012
  • 2. What do Dancing Queen and Stayin’ Alive have in common? • Leisure Suits? • Disco Balls? • Bad times? Marin P. Allen, Ph.D. 4/10/12
  • 3. . . .Translation of Findings to Practice Marin P. Allen, Ph.D. 4/10/12
  • 4. • Fears and Concerns: Mouth to mouth; harming the person; legal consequences; won’t perform properly • Solutions: Chest compressions only; can’t hurt them any more; Good Samaritan Laws; SIMPLIFY THE PROCESS Marin P. Allen, Ph.D. 4/10/12
  • 5. From American Heart Association Or pick your song . . .use your smartphone. . . • Lay Your Hands on Me (Bon Jovi) • Kickstart My Heart (Motley Crue) • Ain’t No Mountain High Enough (Diana Ross) • Thank God I’m a Country Boy (John Denver) • Man in the Mirror (Michael Jackson) Sarver Heart Center Univ of Arizona College of Medicine and SHARE M.C. Guy and S.J. Coons Marin P. Allen, Ph.D. 4/10/12
  • 6. The Common Thread- The Audience, Message, and Purpose Marin P. Allen, Ph.D. 4/10/12
  • 7. • “No problem can be solved from the same level of consciousness that created it.” • “Concern for man and his fate must always form the chief interest of all technical endeavors. Never forget this in the midst of all your diagrams and equations.” Marin P. Allen, Ph.D. 4/10/12
  • 8. Public Servants- What are we doing with their money? “In a recent radio interview a leading senior physicist described the modern scientific dilemma. ‘When I was in graduate school I thought I would go into a room and people would slide money through a slot in the door. I would do science, and then slide the results back out. But as my career has gone on, they are increasingly opening the door and asking me what I am doing with their money’.” NIMH release Marin P. Allen, Ph.D. 4/10/12
  • 9. What’s in it for me? What are you learning that will help my life and my family and friends and others? Tell me what I need to know Tell me what I need to do Give me skills and resources I didn’t have Don’t miss critical steps Marin P. Allen, Ph.D. 4/10/12
  • 10. At the Core . . . • Ethos “credibility” “trustworthiness” assigned by listener • Pathos emotional appeal • Logos logical appeal Marin P. Allen, Ph.D. 4/10/12
  • 11. Items to Consider Marin P. Allen, Ph.D. 4/10/12
  • 12. Marin P. Allen, Ph.D. 4/10/12
  • 13. Back to the Future . . .again! Marin P. Allen, Ph.D. 4/10/12
  • 14. Aye, there’s the rub . . . Balancing opportunity and responsibility Marin P. Allen, Ph.D. 4/10/12
  • 15. • Sender - “encoder” • Receiver - “decoder” • Noise— − Relationship − Status difference − Receiver’s interest − Receiver’s emotional state − Receiver’s knowledge − Receiver’s communication skills Marin P. Allen, Ph.D. 4/10/12
  • 16. Identification without . . . losing our good name Marin P. Allen, Ph.D. 4/10/12
  • 17. Allen’s reminder: Communication is fundamental, constant, dynamic, and changes over time. Translation, implementation, and dissemination are dependent upon finely-honed, dynamic communication strategies and effective and evidence-based tools and tactics. Marin P. Allen, Ph.D. 4/10/12
  • 18. The basics • Know your audience (s)! • Know your message • Know your purpose Marin P. Allen, Ph.D. 4/10/12
  • 19. Some old theories still apply • Rhetorical communication: Stimulating a source-selected meaning in the mind of a receiver (McCroskey) • Imagery: Making the audience see, hear, taste, touch, feel more than is actually present… • Active “listening”: How do they know they’ve been heard? Marin P. Allen, Ph.D. 4/10/12
  • 20. Communication (McCroskey) • Accidental Communication • Expressive Communication • Rhetorical Communication Marin P. Allen, Ph.D. 4/10/12
  • 21. Findings on persuasion • One is persuaded by someone he/she likes • One is persuaded by someone he/she believes • One is persuaded by someone he/she is close to (proximate) (Cialdini) Marin P. Allen, Ph.D. 4/10/12
  • 22. Key Encoding (McCroskey) • Selection • Apportionment • Arrangement Marin P. Allen, Ph.D. 4/10/12
  • 23. Marin P. Allen, Ph.D. 4/10/12
  • 24. The David K. Berlo Observation Marin P. Allen, Ph.D. 4/10/12
  • 25. “Did You Know?”- NCI Time it took to reach adoption by 50 million persons Radio → 38 years Television → 13 years Internet → 4 years iPod → 3 years Facebook → 2 years Marin P. Allen, Ph.D. 4/10/12
  • 26. . . . and Twitter “13% of online adults use the status update service Twitter, which represents a significant increase from the 8% who identified themselves as Twitter users in November 2010. 95% of Twitter users own a mobile phone and half of these users access the service on their handheld device.” A Smith, PEW Charitable Trust Marin P. Allen, Ph.D. 4/10/12
  • 27. Comparisons When people evaluate an experience, they are performing one or more of the following comparisons: 2.Comparing the experience to what they hoped it would be 3.Comparing the experience to what they expected it to be 4.Comparing the experience to other experiences they have had in the recent past 5.Comparing the experience to experiences that others have had. Schwartz, 2004 Marin P. Allen, Ph.D. 4/10/12
  • 28. Behavior change theory… Diffusion  Individual effects [individuals improve knowledge and attitudes]  Social diffusion [change in public norms]  Institutional [change in elite opinion, diffusion influencing policy, influencing individuals] Robert C. Hornik in Public Health Communication: Evidence for Behavior Change . ed. Hornik RC. Mahwah, New Jersey: Lawrence Erlbaum Associates, 2002. p 14 Marin P. Allen, Ph.D. 4/10/12
  • 29. Cultural competence • Not an appliqué… Part of the fabric… Marin P. Allen, Ph.D. 4/10/12
  • 30. Language challenges • According to current Federal data, there are at least 329 languages* spoken or signed in the United States. In some cities, less than 60 percent of the population has English as a first language. * [note apparently missing data from the 550+ recognized American Indian tribes—including 223 Alaskan native] Marin P. Allen, Ph.D. 4/10/12
  • 31. Additional Challenges • How fast do we talk? How fast do we think? • How much of what we know that we have learned by listening? • Amount of the time we are distracted, preoccupied or forgetful? 75% • How much we usually recall immediately after we listen to someone talk? Marin P. Allen, Ph.D. 4/10/12
  • 32. . . . And why the sound bite is actually important • We listen at 125–250 words per minute, but think at 1000–3000 words per minute. (High Gain, Inc.) • How much of what we know that we have learned by listening? 85% (Shorp) • Amount of the time we are distracted, preoccupied or forgetful? 75% (Hunsaker) • How much we usually recall immediately after we listen to someone talk? 50% (International Listening Association) Marin P. Allen, Ph.D. 4/10/12
  • 33. What communication alone can do • Increase the intended audience’s knowledge and awareness of a (health issue), problem, or solution • Influence perceptions, beliefs, and social norms • Prompt action • Demonstrate of illustrate skills • Reinforce knowledge, attitudes, or behavior • Show benefits of behavior change • Advocate a position • Increase demand or support for services • Refute myths and misconceptions • Strengthen organizational relationships The Pink Book NCI Marin P. Allen, Ph.D. 4/10/12
  • 34. Communication combined with other strategies can do: • Cause sustained change in which an individual maintains a new (health) behavior or an organization adopts and maintains a new policy direction • Overcome barriers/ systematic problems The Pink Book NCI Marin P. Allen, Ph.D. 4/10/12
  • 35. Communication cannot: • Compensate for inadequate systems/resources • Produce sustained change in complex behaviors without support of a larger program for change • Be equally effective in addressing all issues or relaying all messages or suggested behavior change may be complex, because the intended audience may have preconceptions about the topic or the message sender, or because the topic may be controversial The Pink Book NCI Marin P. Allen, Ph.D. 4/10/12
  • 36. What kind of learner? • Auditory • Visual • Tactile Marin P. Allen, Ph.D. 4/10/12
  • 37. Some Take Home Messages • Communication is a fundamental skill-and an art • Communication makes ideas live and have greater impact on civilization • Communication should be both honest and skillfully constructed • You must know your audience (s), your purpose and your message every time • Scientists have an increasing need to communicate • Prepare carefully-and out loud • Enjoy the process and the product • Stay in touch with new opportunities Marin P. Allen, Ph.D. 4/10/12
  • 38. Marin P. Allen, Ph.D. 4/10/12
  • 39. Urgent STOP New Romantics discovered STOP Send poetry and drawings STOP survival depends on it STOP Grateful END D.H. Lawrence *Thought it was MY idea, but shows up on a blog: “Is Twitter Telegram 3.0? by Beverly Macy on January 14, 2009 Marin P. Allen, Ph.D. 4/10/12
  • 40. A note from my sponsor! Your NIH Marin P. Allen, Ph.D. 4/10/12
  • 41. NIH Mission . . .to seek fundamental knowledge about the nature and behavior of living systems and the application of that knowledge to enhance health, lengthen life, and reduce the burdens of illness and disability. Marin P. Allen,
  • 42. NCI The National Institutes of Health NINR NCCAM NIEHS NCATS OD NIAMS NIMHD NIDA NLM NIMH NEI NIDDK NIBIB NINDS NHLBI NHGRI NIDCR NIA NIDCD NIGMS CIT NIAAA NICHD NIAID FIC CC CSR Extramural only No Funding Authority Marin P. Allen, Ph.D. 4/10/12
  • 43. Emerging Public Health Challenges Shift from Acute to Chronic Conditions Aging Population Health Disparities Emerging and Re-emerging Infectious Diseases Emerging Non-communicable Diseases — Obesity Biodefense Marin P. Allen, Ph.D. 4/10/12
  • 44. Evolving Public Health Challenges Shift from Acute to Chronic Conditions Marin P. Allen, Ph.D. 4/10/12
  • 45. Translating Evidence-Based Research Results NIH: News in Health Marin P. Allen, Ph.D. 4/10/12
  • 46. Marin P. Allen, Ph.D. 4/10/12
  • 47. Two New Resources Marin P. Allen, Ph.D. 4/10/12
  • 50. ORWH—setting the pace 52 weeks blog − Originally a publication, the 52 weeks of women’s health will first become a blog. From there, we have the ability to feed it into several social media outlets, an RSS feed, Twitter, Facebook, and a Mobile App Marin P. Allen, Ph.D. 4/10/12
  • 51. The Front Page of the Women’s Health App: 52 Weeks of Women's Health Mobile Marin P. Allen, Ph.D. 4/10/12 App
  • 52. Marin P. Allen, Ph.D. 4/10/12
  • 53. NIH . . .Turning Discovery Into Health Everyday . . .Every way . . .24/7 Marin P. Allen, Ph.D. 4/10/12

Notas do Editor

  1. 04/10/12 National Cancer Institute
  2. [Animated, 6 clicks: one per challenge]
  3. This mobile application or “app” will serve as a companion piece to the “52 Weeks 4 Women’s Health” blog. This “front page” of the app features the name of the app and shows the highlighted health topic/focus of the week. The health topic (Allergies) is clickable and takes the user to the information page dedicated to that health topic. This screen also contains icons for the main functions contained within the app: Calendar; A – Z listing of all 52 topics; user health information; user journal; user favorites (selected from the A – Z listing); and user health goals. The app is being developed using the HTML5 programming language. HTML5 will allow the app to be used on multiple platforms such as iPhone, iPad, Android phones and tablets, and Blackberry.