Step 5: Set communication objectives

About the four levels
Working at the four levels
Sample objectives at the four levels
Criteria for good communication objectives
THCU resources

In Step 5, we set communication objectives that will support your overall health promotion strategy (as clarified in Step 2).

About the four levels

We encourage all of our clients to think about four levels of objectives.  Consider, for a moment, the following:

  • Do you believe that an individual can change his/her behaviour?
  • Do you believe that an individual’s behaviours are influenced by the social, workplace, and community networks to which they belong?
  • Do you believe that the environments in which people eat, play, work and worship influence their behaviour?
  • Do you believe that the laws and regulations of a society/community influence individual behaviour?

If you believe these to be true, then you agree that there are multiple levels which influence health, all of which are important:

  • Individuals
  • Networks
  • Organizations
  • Communities/Societies

Of course, the levels interact:

  • As individuals become concerned about an issue, they will likely discuss it in their social networks (e.g,. friends and family), which may eventually lead to changes in organizations such as worksites, and then to changes in public opinion and laws at the societal level
  • Laws and the physical environment of communities and societies can also influence individual, network, and organization actions

Working at the four levels

Level Bottom Line Target for Change Relevant Theories Factors Affecting Bottom Line Principle Audiences
Individual Maintaining a personal behaviour change Stages of change

Health belief model

An individual's knowledge, beliefs, attitudes, skills, self-efficacy Segments most in need of change (based on demographics, psychographics, etc.) Such as: men, children, low income groups, smokers, homeless people.
Network State of the social environment Diffusion of innovations View of network opinion leaders

Frequency and content of conversations about a health issue within a network

Opinion leaders of networks such as: families, groups of friends, colleagues, team mates.
Organization Policies Organizational theory Cost/benefit to industry

General industry trends

Decision-makers, employees, unions, customers of organizations such as schools, worksites, places of worship, primary health care settings.
Society Formal laws Social change theory Actions of special interest groups

Media coverage

Public opinion

Elected officials; the public, special interest groups, media of a town, region, province or country.

Sample objectives at the four levels

Individual Network Organizational Societal
To increase awareness of risk factors, personal susceptibility, solutions, or health problems

To increase knowledge (or recall, comprehension, analysis, synthesis) of ideas and/or practices

To increase knowledge of local services, organizations, etc.

To change (increase positive, decrease negative, or maintain) attitudes

To increase motivation for making and sustaining change

To increase information-seeking behaviour

To increase perceived social support

To increase confidence about making behaviour changes (self-efficacy)

To increase thinking, social and/or behaviour skills

To change behaviour

To increase favourable knowledge and attitudes held by opinion leaders/champions

To increase supportive activity (# of health conversations, discussions of health issues) by opinion leaders (champions)

To increase number and kinds of health-related interactions within networks

To increase favourable social influences/norms within networks

To increase social support for positive changes by network members

To increase the number of gatekeepers, decision makers and/or other influential people in organization considering policy changes or adopting specific programs

To increase the number of gatekeepers, decision makers, other influential people and/or organizational members (or students, employees, etc.) who feel that the issue is important and change is necessary (building an agenda)

To increase the quantity and quality of information regarding the issue and the policy change required

To increase organizational confidence and competence in making health-related policy changes

To change/implement  policy and/or adopt/change program

To increase the importance communities and society attach to an issue, by increasing media coverage

To increase societal/public values and norms (attitudes and opinions) which are supportive of the policy change you are recommending

To increase activity directed to producing policy change, such as collaboration among community groups

To increase the number of politicians who support the policy change you are recommending

To change/implement a policy

Criteria for good communication objectives

  1. Relates to an important program objective that is appropriately addressed by communication
  2. Describes an outcome that is realistic for communication, and for which you will be held accountable
  3. Describes an outcome that is realistic for communication, and for which you will be held accountable
  4. Describes a change (e.g., uses words like increase, decrease) rather than an action step
  5. Identifies a specific audience (target group)
  6. Is a significant change, worthy of being an objective, that requires selection of vehicles and channels and careful sequencing, rather than simply being an action step; for example, distributing information does not describe a significant change among a target audience
  7. Is located with the right level of change (hint: be guided by the ultimate change it addresses and the ultimate target audience, not necessarily by the immediate audience), for example,
    • If if addresses personal change, it affects individuals
    • If it addresses social influence, it works on informal social networks
    • If it addresses policies and procedures, it guides organizations
    • If it addresses laws and regulations, it influences governments of communities/societies of varying size
  8. Is a strategic priority (i.e., a good fit between needs, capacities and your mandate)
  9. Is a SMART objective (specific, measurable, attainable, realistic, time-limited)

 

THCU resources

Don't forget to visit the main page for our 12-step process and review the step 5 information in our overview of health communication campaigns workbook and slideshow.

Setting Communication Objectives Lecturette
This excerpt from our Overview of Health Communication Campaigns workshop slides provides guidelines for how to set good health communication objectives. Information on setting realistic objectives for mass media activities is also included. (PDF, 183 kb) Added October 9, 2003.

Menu of Outcome Objectives
This supplementary resource suggests objectives for all four levels -- individual, network, organization, and social. (PDF, 37K) New June 8, 2004

Interactive Campaign Planner
This application will guide you through steps 5 to 7 of THCU's 12 step process to developing health communication campaigns: setting communication objectives, selecting channels and vehicles, and combining and sequencing events. This handy tool will allow you to create, save, and print a full text summary of your campaign, as well as an attractive visual. These can then be shared and modified at any time, from any computer!
Added
September 22, 2003

Effective campaign design checklists
No time to read the manual?  Use these checklists to make sure that you've covered the basic principles of an effective health communication campaign before using your precious resources: Effective campaign design checklist for steps 1–4 (Word 64kb, September 2003), Effective campaign design checklist for steps 5–7 (Word 74kb, October 9, 2003), and checklist of criteria for developing effective, persuasive health communication materials in step 8.

Don't forget that there is more information about this step in our workbook and workshop slide show.  Click here to access these. 

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