How to change the behavior of a nation

Nudge Podcast
7 May 202017:39

Summary

TLDRThis video explores the psychological strategies behind effective public health messaging during the COVID-19 pandemic. It discusses how collective appeals rather than individualistic messages can better influence behavior, as seen in the UK government's shift from 'wash your hands' to 'stay home, protect the NHS, save lives.' The script delves into the importance of design, authority bias, and social proof in behavior change, offering insights from experts like John Jerry and practical examples from various countries. It also addresses the negative impact of emphasizing non-compliance and suggests focusing on positive social proof to encourage adherence to guidelines.

Takeaways

  • 🏠 Countries like Italy enforce strict lockdowns with signed documents for essential outings, while Greece requires citizens to text for permission to leave home.
  • 🇸🇪 Sweden has taken a lenient approach, keeping shops open and relying on social pressure for compliance, unlike Belarus, which has not implemented significant restrictions.
  • 🧬 The core scientific question is determining the response that will cause the least damage to human life, but the implementation of such decisions involves more nuanced questions.
  • 📢 Behavioral science can help identify effective messaging and slogans during the coronavirus pandemic, which is crucial for influencing public behavior.
  • 🤝 John Jerry's research suggests that appeals to collective action, rather than individual interests, are more effective in emergencies, as people are more likely to coordinate and support each other.
  • 👶 Save the Children's innovative approach to handwashing involves soap bars with toys inside, encouraging children to wash regularly to reveal the toy.
  • 🌈 The UK government's messaging has evolved to be less personalized and more collectivized, emphasizing the impact of individual actions on the community.
  • 👨‍⚕️ The authority bias suggests that people are more likely to follow health advice from medical professionals rather than politicians, which is reflected in the government's communication strategy.
  • 🚪 The 'cootie effect' could be used to discourage touching high-touch surfaces like door handles by using graphic symbols that create revulsion.
  • 📊 Negative social proof, where common negative actions are highlighted, can lead to more people following those actions, which is a phenomenon to be avoided in messaging.
  • 📰 Media coverage that emphasizes non-compliance with government guidelines can inadvertently encourage negative social proof, leading to more people defying the rules.

Q & A

  • What is the main challenge that the UK and other countries are facing in response to the COVID-19 pandemic?

    -The main challenge is convincing a whole nation to stay at home to prevent the spread of the virus, which involves implementing effective measures and communication strategies.

  • How does Italy enforce its lockdown to control the spread of COVID-19?

    -In Italy, the lockdown is strictly enforced, requiring individuals to carry a signed sheet of paper declaring an official reason to go outside.

  • What method does Greece use to control its citizens' movements during the lockdown?

    -Greece requires citizens to text a number to get permission to leave their homes, a system that uses technology to enforce the lockdown.

  • What approach has Sweden taken in response to the COVID-19 pandemic?

    -Sweden has not implemented extreme measures and has kept many shops and public areas open, relying on social pressure to encourage people to stay home.

  • How does Belarus handle the COVID-19 situation differently from other countries?

    -Belarus has been lenient, refusing to shut down public spaces, including the Belarus Football League, which continues with matches and fans attending.

  • What is the key scientific question at the heart of each country's decision-making regarding COVID-19?

    -The key scientific question is what response will cause the least damage to human life while managing the spread of the virus.

  • What role does behavior science play in the messaging and slogans used during the COVID-19 pandemic?

    -Behavior science helps in understanding the psychology behind messages and slogans, identifying what works and what doesn't in persuading people to follow guidelines and stay home.

  • Why does John Jerry argue that the UK government's initial message to wash hands more often was the wrong approach?

    -John Jerry argues that the initial message was too individualistic and did not create a sense of shared social identity, which is crucial for collective action and support during a crisis.

  • How has the UK government's messaging evolved to be more effective in encouraging collective action?

    -The UK government's messaging has evolved to be less personalized and more focused on helping others, with slogans like 'Stay home, protect the NHS, save lives' and 'Stay in this Easter, don't put your friends and family in danger.'

  • What is the von Restorff effect and how has it influenced the design of public health messages during the COVID-19 pandemic?

    -The von Restorff effect suggests that people are more likely to be drawn towards distinctive words, letters, or colors. This has influenced the design of public health messages to use distinctive colors and clear, concise language to catch viewers' attention.

  • How does the authority bias affect the way people respond to health messages, and how has this been applied in the UK's COVID-19 response?

    -The authority bias is the tendency to follow the lead of perceived independent authorities. In the UK's COVID-19 response, this has been applied by having the chief medical officer or chief scientific officer deliver key messages instead of politicians, as people are more likely to follow the advice of medical experts.

  • What innovative approach did Save the Children use to encourage children to wash their hands more regularly?

    -Save the Children designed soap bars with a colorful toy in the center, requiring children to wash their hands regularly to reveal the toy, thus encouraging frequent hand washing.

  • How does the 'cootie effect' suggest changing behavior to prevent the spread of germs?

    -The 'cootie effect' associates touching with the transfer of negative characteristics. To prevent the spread of germs, Roger Dooley suggests using graphic biohazard symbols on high-touch items to create an immediate revulsion and impact behavior without the need for extensive messaging.

  • What is negative social proof and how can it unintentionally encourage undesirable behavior?

    -Negative social proof occurs when a message indicates that an action is commonplace, leading people to follow it even if it's against the rules. This can unintentionally encourage undesirable behavior by making it seem normal.

Outlines

00:00

🌍 Global Responses to COVID-19

The video script discusses the various strategies employed by different countries to manage the COVID-19 pandemic. It starts with the UK's struggle to keep its citizens at home, contrasting it with Italy's strict lockdown measures and Greece's requirement for citizens to text for permission to leave their homes. The script then compares these with Sweden's and Belarus's more lenient approaches, highlighting the scientific question at the core of these decisions: minimizing harm to human life. It also touches on the psychological aspects of messaging during a crisis, such as the importance of collective action over individual interests, and the evolution of the UK's public health messaging to emphasize community responsibility.

05:00

📢 The Evolution of Public Health Messaging

This paragraph delves into the evolution of the UK government's messaging during the pandemic. It discusses how initial messages focused on individual behavior, such as washing hands for 20 seconds, which were later critiqued for not fostering a collective response. The script introduces John Jerry, an expert in crowd psychology, who argues for messages that build a sense of shared social identity to encourage collective action. The narrative then shows how the UK's messaging shifted to be more collective, with slogans like 'Stay Home, Protect the NHS, Save Lives,' and the importance of using authoritative figures like the chief medical officer to deliver messages for better public compliance.

10:01

🎨 Designing Effective Public Health Messages

The script explores the design elements of public health messages, emphasizing the importance of distinctiveness to capture attention. It references the von Restorff effect, which suggests that people are more likely to notice and remember distinctive elements. The paragraph discusses how the UK government updated its messaging design to use bright colors and concise language to make the messages more noticeable. Additionally, it covers the application of nudge theory in communication, highlighting the authority bias, where people are more likely to follow advice from perceived experts, and how this is utilized in the government's messaging strategy.

15:01

🚪 Behavioral Strategies to Combat COVID-19 Spread

This section of the script focuses on behavioral strategies to prevent the spread of COVID-19, such as increasing hand washing and avoiding touching high-touch surfaces like door handles. It discusses the 'cootie effect' and suggests using graphic symbols as a visual deterrent. The paragraph also addresses the issue of negative social proof, where highlighting non-compliant behavior can inadvertently increase its occurrence. It provides examples of how messaging can influence behavior, both positively and negatively, and stresses the importance of emphasizing the majority's adherence to guidelines to encourage compliance.

Mindmap

Keywords

💡Lockdown

Lockdown refers to a strict restriction on movement and activities, implemented by governments to control the spread of infectious diseases like COVID-19. In the video, it's mentioned that Italy enforces a strict lockdown, requiring individuals to have a signed document to leave their homes, illustrating the concept's application in real-world scenarios.

💡Social Pressure

Social pressure is the influence exerted by social norms and the opinions of others, compelling individuals to conform to certain behaviors. Sweden is highlighted in the script as relying on social pressure to keep people at home, rather than imposing strict legal measures, showcasing the role of societal influence in public health responses.

💡Behavioral Science

Behavioral science is an interdisciplinary field that studies human behavior and the processes underlying it, often applied to influence and predict actions. The video discusses how behavioral science can help in crafting effective public health messages during a pandemic, emphasizing its relevance in understanding and shaping collective responses.

💡Shared Social Identity

Shared social identity is a psychological concept where individuals identify with a group and perceive themselves as part of it, leading to collective action. The script cites research by John, showing that a sense of shared social identity can motivate people to coordinate and support each other during crises, which is crucial for the collective response to the pandemic.

💡Collectivized Messaging

Collectivized messaging is a communication strategy that emphasizes the collective good or group interests over individual interests. The video points out that the UK government shifted from individual-focused to collectivized messaging, such as 'stay home, protect the NHS, save lives,' to encourage social solidarity and compliance with public health guidelines.

💡Von Restorff Effect

The Von Restorff Effect, named after Hedwig von Restorff, is a cognitive phenomenon where distinctive items are more likely to be remembered. The script discusses how the UK government's messaging design evolved to use distinctive colors and fewer words to capture attention and enhance memorability, applying this effect to public health communication.

💡Nudge Theory

Nudge theory is an idea from behavioral economics that suggests positive reinforcement and indirect suggestions can influence people's behavior in a predictable way. The video mentions how the UK government and other organizations use nudge theory to encourage behaviors like handwashing and social distancing, without强制 enforcement.

💡Authority Bias

Authority bias is the tendency to trust and follow the advice of perceived experts or authorities over non-experts. The script explains that messages from healthcare professionals, like the chief medical officer, are more effective than those from politicians, due to this bias, highlighting the importance of credible sources in public health campaigns.

💡Cootie Effect

The cootie effect is a psychological concept suggesting that people associate touching with the transfer of negative characteristics or germs. The video discusses Roger Dooley's suggestion to use this effect by placing biohazard symbols on high-touch surfaces to deter people from touching them, illustrating a novel approach to change behavior related to hygiene.

💡Negative Social Proof

Negative social proof is a social psychology concept where people are more likely to follow a behavior if they perceive it as common, even if it's undesirable. The script warns against media coverage that suggests widespread non-compliance with stay-at-home orders, as it may lead to negative social proof and increased rule-breaking behavior.

💡Habit Change

Habit change refers to the process of modifying established behaviors to adopt new ones. The video concludes by emphasizing that nationwide habit changes are possible, as evidenced by the collective actions taken during the pandemic, and that positive reinforcement and social norms can play a significant role in achieving such changes.

Highlights

Different countries have adopted various strategies to enforce lockdowns, with Italy using strict enforcement and Greece requiring citizens to text for permission to leave their homes.

Sweden and Belarus have taken a more lenient approach, keeping public areas open and not implementing extreme measures.

The effectiveness of lockdown measures is tied to scientific questions about minimizing damage to human life.

Behavioral science can provide insights into how to persuade people to follow guidelines like staying indoors during a pandemic.

John Jerry's research suggests that appeals to individual interests may not be as effective as those that foster a sense of shared social identity.

Messages that frame a threat in group terms can lead to a more robust and effective public response.

The UK government has shifted its messaging to be less personalized and more focused on collective action, such as 'stay home, protect the NHS, save lives'.

The design of public health messages has evolved to be more distinctive and memorable, leveraging the von Restorff effect.

Nudge theory has been applied to behavior change communication, with messages being more effective when delivered by authoritative figures like doctors.

Hand washing rates can be increased by making the risks of not washing more salient, as demonstrated by the use of harmless food dye in a factory.

Save the Children has created soap bars with toys inside to encourage children to wash their hands regularly.

Door handles are a prime way to spread viruses due to their interactive nature, and efforts to discourage touching them have had limited success.

The cootie effect, which associates touching with the transfer of negative characteristics, could be used to discourage touching high-touch surfaces.

Negative social proof, where common negative actions are highlighted, can actually increase the likelihood of those actions being followed.

Media coverage that emphasizes non-compliance with government guidelines can inadvertently lead to more people following the negative behavior.

Highlighting the majority of people following the rules and adhering to social distancing can help cement the right behavior.

Behavioral science shows that messages are more likely to be remembered and followed when they are delivered by authoritative figures and when they emphasize collective rather than individual action.

Transcripts

play00:00

[Music]

play00:03

how'd you convince a whole nation to

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stay at home this is the problem the UK

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in most other countries around the world

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are grappling with at the moment looking

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at the UK's neighbours in Europe a lot

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of options are available in Italy the

play00:19

lockdown is strictly enforced

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individuals and the northern provinces

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can only leave their homes for a signed

play00:25

sheet of paper declaring an official

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reason to go outside in Greece citizens

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must text a number to get permission to

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leave their homes before doing so these

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strict measures are harder to enforce

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but potentially more effective other

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countries have taken a very different

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approach

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Sweden hasn't attempted to implement

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extreme measures and has even kept many

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shops and public areas open instead the

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Swedes rely on social pressure to keep

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people inside Belarus is even more

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lenient refusing to shut anything down

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even the Belarus Football League is

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still going ahead with thousands of fans

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descending on their teams stadiums each

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weekend at the heart of each of these

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decisions is a very clear scientific

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question what response will cause the

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least damage to human life but

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implementing these decisions creates

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more nuanced questions things like who

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should deliver the message how can we

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get people to wash their hands and what

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language will persuade people to stay

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indoors finding answers to those

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questions isn't easy the behavior

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science can help today I'll talk through

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some of the psychology behind the

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messages and slogans we've seen around

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coronavirus and identify what appears to

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be working and what doesn't resonate

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[Music]

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in preparation for this episode I

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chatted to John Jerry John is the

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director of research and knowledge

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exchange in the School of Psychology at

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Sussex University he specializes in the

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psychology of crowds and collective

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action John has worked with government

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agencies in the past advising them on

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best practices around managing the

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movements of large groups of people in a

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piece for the psychologist which is

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linked to in the show notes below

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John challenges the message the

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government used to keep people in doors

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one of the first messages used by the UK

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government tried to appeal to individual

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interests this message seen on posters

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bus stops TV ads and elsewhere simply

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stated wash your hands more often for 20

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seconds this type of message targets and

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individuals needs

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telling them explicitly to change their

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behavior it appeals just on an

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individual level suggesting you should

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change your behavior for your own sake

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but John argues that this is the wrong

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approach

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he states that at a practical level

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those at the least risk may feel it

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isn't really worthwhile to make changes

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only based on their own personal

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interests many may think they're not

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worried about getting the virus so don't

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really need to wash their hands more

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John's own research published last year

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looked at messages sent out during an

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emergency

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he and his team discovered that when

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individuals stopped thinking in terms of

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themselves and instead start thinking of

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a group of people or more technically

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when they develop a sense of shared

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social identity that's when they start

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to coordinate support each other and

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ensure that the neediest get the

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greatest help similar research from

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Carter in 2013 suggests that when a

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threat is framed in a group rather than

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individual terms the public response is

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more robust and more effective perhaps

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this shouldn't come as a surprise we

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know from other studies that our

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behavior changes when we consider other

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people's health instead of our own for

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example you are far less likely to crash

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your car if you're driving with an

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elderly relative or a young child so

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looking again at the coronavirus

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response it's clear that the

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government's messages shouldn't be

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personalized instead that should be

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collectivized it should highlight

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explicitly that one person's actions

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will seriously influence other people

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interestingly in recent weeks the UK

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government has started to change their

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messaging in line with this thinking the

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slogan brought in around mid-march was

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stay home protect the NHS save lives

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this is less personalised and a bit more

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focused on helping others but the most

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recent slogan around the bank holiday

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weekend goes even further it states

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stay in this Easter don't put your

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friends and family in danger I've

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included a link to it in the show notes

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if you want to take a look and this

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message clearly emphasizes that it's a

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collective issue not personal a viewer

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can't read this and think oh I won't

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bother going out because it won't hurt

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me instead they are forced to think of

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their parents grandparents or friends

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that might be at risk if Jones research

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is anything to go by it should have a

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much better impact it's not just the

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government's message that has evolved

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over time the font the color and the

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design of the message has changed to the

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first design which stated catch-it been

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a killer was a simple black font on a

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white background the message was clear

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but the image wasn't particularly

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distinctive and potentially wouldn't

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catch a viewers eye you can take a look

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at this first image and the more recent

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designs by clicking the link in the show

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notes now we know this design won't be

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effective if we look at research done

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way back in 1933 by Hedwig von restorff

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her study revealed what's now known as

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the von restorff

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effect which shows that were more likely

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to be drawn towards distinctive words

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letters or colors work done by Richard

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Kimble oh and Louis brink from the

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Damien College discovered that the von

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restorff effect

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is impacted by the viewers age in the

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study 72 students and pensioners

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memorized a list in which one item was

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distinctive

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both groups recalled the distinctive

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item more that it was significantly more

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pronounced amongst the a younger age

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groups if the government wants younger

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age groups who are more likely to go out

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to be aware of this message than it

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needs to make the message distinct the

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two designs released in march and then

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in april heed that advice they now use

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distinctive neon or yellow colors with

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fewer words and a clearer message it's

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not the only way the government has

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applied a nudge theory to their work

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richard Chataway vice president at the

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BBA used to work for the government

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energy unit back in 2010 in his latest

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blog he explains the best practice

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training they created for behavior

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change communication used at times like

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these by looking at the previous year's

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swine flu pandemic back in 2009 they

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found that information on desired

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behaviors was much more likely to be

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adhered to

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when communicated by the chief medical

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officer rather than by politicians in

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other words we follow the advice of

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doctors more than Prime Minister's this

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shouldn't come as a surprise studies

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cited in joseph marks book messengers

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shows that patients are considerably

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more likely to remember health

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beneficial messages from a doctor

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wearing a stethoscope even if they know

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the doctor is really an actor this is

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all down to something called the

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authority bias

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it's our tendency to follow the lead of

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perceived independent authorities

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particularly white-coated scientists as

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the infamous Milgram experiments

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demonstrated participants were willing

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to administer 450 volts of electricity

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to a complete stranger simply because a

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Yale scientist told them to do so the UK

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government possibly under advice from

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the nudge unit seems to be following

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this approach in briefings ministers are

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flanked usually by the chief scientific

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officer or the chief medical officer and

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in the UK's nationwide TV ad campaign

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became at 19 the chief medical officer

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professor

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Chris Witte shares the vital information

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rather than the prime minister or

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another politician Richard chat aways

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BVA unit also had advice for increasing

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hand washing their research found that

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simply asking people to wash their hands

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is not particularly effective a better

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approach is to make the risks of not

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washing your hands much more salient the

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team increased the rates of hand washing

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by over sixty percent in a food

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processing plant simply by stamping

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people's hands with a harmless food dye

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when entering the factory on the stamp

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while icon - reminding them of relevant

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illnesses they could pick up for example

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ecoli and this constant reminder

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dramatically increased hand washing

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that's great for adults but what about

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for kids

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well Save the Children realise that kids

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will struggle to fully comprehend the

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need to wash their hands more regularly

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so they came up with a genius idea

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they designed soap bars that contain a

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colorful toy in the center to get to the

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toy the kids must wash their hands

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regularly to slowly erode the soap over

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time

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this smart approach could make a big

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difference especially in countries where

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hand washing is less common but that

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alone won't solve the problem door

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handles are a prime way to spread

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viruses simply because they are designed

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to be interactive with we usually use

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our hands to push pull or rotate these

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handles the current pandemic makes these

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actions particularly problematic as it

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appears that the virus can survive on

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surfaces for hours or even days

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Roger Dooley writes in his blog that

play10:00

cruise lines have been coping with virus

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outbreaks typically norovirus for years

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and they've actually started to create

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messages to try and encourage guests not

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to touch doorknobs directly for example

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a cruise ship has created hundreds of

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signs saying please use a paper towel

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for unlocking and opening the toilet

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door but Roger isn't confident this is

play10:22

the right solution first these signs are

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almost always seen in bathrooms and not

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seen in the entry doors ship cabins

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hotel doors or anywhere else second and

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probably much more important they are

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still ignored by many restroom use

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pree coronavirus CDC data showed that

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just 31% of men

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wash their hands after using the

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restroom and if you're wondering it's

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65% for women and it's a good bet that

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non hand washes don't stop for @issue

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before touching the door handle either

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and thirdly we know that wordly messages

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like these aren't particularly good at

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changing behavior in fact even simple

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psychology based messages don't work

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very well as well

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one robust study examined 200,000 people

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using the bathroom the researchers

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tested a variety of different nudges to

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try and increase hand-washing but they

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found they had minimal impact the most

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effective message for men used social

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proof placing a sign that stated is the

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person next to you washing their hands

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with soap actually increased

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hand-washing from 31% to 35.5 percent

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that's a 14% increase and it's better

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than nothing but overall compliance

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remained really low Rodgers suggested

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using something called the cootie effect

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to change behavior the effect suggests

play11:45

that our brains associate touching with

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a transfer of negative characteristics a

play11:50

great example of this comes from the

play11:52

Duke School of Business and they found

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that touching a disgusting product like

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lard or a hygiene product before eating

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something like a cookie actually made

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the cookies seem less tasty so why not

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apply the same theory to door handles

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Roger suggests sticking a small but

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graphic biohazard symbol on high touched

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items these stickers should create an

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immediate revulsion that impacts

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behavior without the need to read a

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wordy sentence or to fully comprehend

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the risks applying this approach at

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supermarkets or on public transport

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could have a significant impact with

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very little cost okay on to something

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slightly different in 2003 Arizona's

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Petrified Forest had a problem too many

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people were stealing petrified wood now

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petrified wood if you don't know is a

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for crystallized wood which takes

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millions of years to form and sells for

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thousands of dollars to stop the thieves

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Park Rangers erected signs stating that

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14 tons of wood was stolen each year

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from the park something interesting

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happened after placing those signs the

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amount of wood being stolen actually

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increased saying that people were

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stealing 14 tons of woods each year

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increased the amount of people who

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actually stole this is due to something

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called negative social proof when a

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message says that an action is

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commonplace people are more likely to

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follow it even if it's against the rules

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the same phenomenon has been found at

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dentists who state that hundreds of

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patients don't turn up on time that type

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of message increases the amount of

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patients who don't turn up or even on

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Wikipedia's page at the top they'll

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often claim that only 2% of their

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readers donate this makes that action

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commonplace and makes people less likely

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to donate by stating that negative

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action is the norm more people are

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likely to follow that negative action

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unfortunately a lot of the UK media

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coverage appears to be falling foul of

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the same problem last week Google

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released a study stating that more

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people were using parks than in previous

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years now this headline suggests that

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people were defying the government

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advice and going out more than they

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usually would the problem is it wasn't

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true Google's data might have shown that

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more people were using parks more but it

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also revealed that far fewer people were

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leaving their homes overall compared to

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similar periods in previous years of

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course days that did leave their house

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were far more likely to use the parks as

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almost all other facilities are closed

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but that didn't mean that people were

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defying the government advice sites like

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the BBC Times and Guardian in the UK all

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published similar articles stating that

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parks in London were packed with people

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all that seaside towns or thousands of

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walkers according to the content

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analysis platform buzzsumo

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in April so far 9,000 articles have been

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written online stating that citizens

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around the globe are not following

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government guy

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clients while only 500 articles mention

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citizens that are following the advice

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this type of messaging will only lead to

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negative social proof this ultimately

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makes people more likely to feel like

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that behavior is okay just like in the

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example of the Amazon forest people will

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be more likely to follow the negative

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action simply because they think it's

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commonplace instead the UK's media

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outlets should emphasize that 99% of

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people are following the rules staying

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indoors and not using parks to actually

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influence behavior and keep us all at

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home changing the behavior of a whole

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nation isn't easy but it can be done the

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events of the last year mums have shown

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that nationwide habit changes are

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possible even without some of the harder

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approaches implemented by Greece China

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or it there's always more to do

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behavior science shows that messages can

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be messages are more likely to be

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remembered when delivered by doctors or

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industry experts rather than politicians

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hand-washing can be increased by

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highlighting the risks of not doing so

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while we could halt the spread of germs

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with cootie inspired stickers finally we

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should praise the majority for following

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the advice and adhering to social

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distancing rules rather than

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highlighting the few that date

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doing so will cement the right behavior

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rather than making the wrong behavior

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seem commonplace I want to give a huge

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thank you to John jury who inspired this

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episode you can read his piece and all

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the other articles referenced in the

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show notes also in the show notes you'll

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find a link to the mailing list if you

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sign up to the mailing list you get an

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email from me every time a new episode

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goes live you'll also get my personal

play17:03

email address if you want to get in

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touch and ask me a question you can do

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so there

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and finally the nudge podcast is just

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over one year old this month it's been

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really great to see how the podcast has

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grown right now there are 20,000 of you

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that have listened in and that number

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continues to grow week one week two help

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me out and to get even more people

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listening I would love for you to leave

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a review on a lot of concerts it really

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does make a difference and only takes a

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few seconds to do anyway thank you very

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much for listening to this episode

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الوسوم ذات الصلة
Behavioral SciencePandemic ResponsePublic MessagingSocial IdentityCollective ActionHealth PsychologyAuthority BiasHand HygieneSocial ProofNudge TheoryCOVID-19
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