外文翻译在社会营销环境下的整合营销传播IMC在酗酒和吸毒治疗服务中的实践运用.docx
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外文翻译在社会营销环境下的整合营销传播IMC在酗酒和吸毒治疗服务中的实践运用
标题:
IntegratedMarketingCommunications(IMC)InASocialMarketingContext:
AnApplicationToPractice-DrugAndAlcoholTreatmentServices.
原文:
Background
Drugandalcoholuseishighlyprevalentandrepresentsmajorareasofsocialandeconomicconcernforthecommunityatlarge(Makkai&McAllister,1998).InAustralia,ithasbeenestimatedthatin1998approximately22,500personsdieddirectlyorindirectlyasaresultofalcoholandotherdruguse.Additionally,therewere175,000admissionstohospitalasaresultofharmfulalcoholorotherdruguse(A1HW,1999).Theeconomicconsequencesofdrugandalcoholuseareintheorderof$18billiondollarsayear(Collins&Lapsley,1996).Substantialpublichealth,socialandeconomicbenefitswillthereforelogicallyflowfromimprovementsinaccessibility,quantity,andqualityofdrugandalcoholinterventionsprovidedtocommunities.
GPsarenowbeingrecognized,withinthemedicalfield,asprovidersofdrugandalcoholinterventionsbeyondjustscreeningandenquiring.ThisrecognitionwasdeclaredintheNationalDrugStrategicFramework1998/1999to2002/03(MinisterialCouncilonDrugStrategy,1998)andinotherrecentreviews(Webster,1995;CommonwealthDepartmentofHumanServicesandHealth,1995).ThereareclearreasonswhyGPsareappropriateprovidersofdrugandalcoholinterventions.GPsareoftenwithapatientata"teachablemomentwheretheyhavethefirstandimpactopportunitytolinkaninterventiontoanidentified(forthefirsttime)drugandalcoholrelatedpathology(Anderson,1993).GPsprovidecontinuityofcareovertime(Girgis&Sanson-Fisher,1996).GPsareaccessibleduetotheirgeographicalspreadandnumbersacrossthecommunity(Bridges-Webb,1987)andseeapproximately80%ofthepopulationthroughouttheyear(Deeble,1991).
DespitetheextentofliteratureontheissuesrelevanttoGPs,detectingandtreatingdrugandalcoholrelatedconditionsintheirsurgeries,littleattentionhasbeendirectedtotheattitudeofthepublictoGPsasprovidersofdrugandalcoholservices,norgeneralpracticeasasettinginwhichtoassessalcoholandotherdruguseandtreatrelatedproblems.TheexpectedbenefitsofenhancedGPinvolvementinthedrugandalcoholrelatedproblemsoftheirpatientsrelyheavilyonthepatients'preparednesstoacceptandseekdrugandalcoholassistancefromtheirGR
AninitialstudywasconductedwiththeAlcoholandOtherDrugService(AODS)oftheCentralCoastAreaHealthService,NSWtoinvestigatetheattitudesandbeliefsofthepublictowardsGPsasbeingtheinitialprovidersofdrugandalcoholservices.ThisstudywaspartofalongitudinalprojectthatisattemptingtowidentheavailabilityofdrugandalcoholtreatmenttoincludeGPs.Theaimsoftheinitialstudyweretodeterminethepublics'attitudeabouttheacceptabilityofGPsasprovidersofdrugandalcoholinterventions,identifythereasonssupporting,orotherwisethenotionofGPsasprovidersofdrugandalcoholinterventions.
Arandomsampleof1022personsinNSWwasinterviewedbytelephoneusingtheCATIsystem.Thesamplewassplittoinclude510fromtheCentralCoastregionand512fromtheremainderofNSW.ThefindingsshowedthatthereisnotaveryhighlevelofacceptancewithinthecommunitytowardstheprovisionofdrugandalcoholservicesbyGPs.Overallonly29%ofpeoplewereinfavorofseeingaGPfortheseservices,23%perceiveGPstobecapableofprovidingtheseservicesand43%werepersonallywillingtoseeaGPforthispurpose.GPsarethefourthmostcommonlythoughtofplacetogotoforassistancewithadrugandalcoholproblemisinthecontextofgenerallylowawarenessofplacestoseekassistance.
Additionally,femalesbetweentheagesof35-54hadmorefavorableattitudestowardsGPsasprovidersofalcoholandotherdrugtreatment.Theresearchalsoshowedthatpeopleaged24andunder,withdrugandalcoholproblemsaremorelikelytoseekassistancefromfriendsandfamily.The1998NationalDrugStrategy
HouseholdSurvey(A1HW1999)showsthattheproportionofthepopulationthatconsumealcoholanduseillicitdrugsishighintheagegroup14-19andhighestintheagegroup20-29.Thereappearstobeanopportunitytotargetfamilyandfriendswiththeaimofusingthe"trickledown"influence.Consequently,theprimarytargetmarketforstrategicdevelopmentiswomenaged35-54withasecondarytargetmarketofpeopleintheagegroupof14-29.
MarketingstrategieshavenowbeendevelopedandwillbeimplementedontheCentralCoastonly,inanattemptre-inforcementtheattitudesoftheprimarymarketandchangethoseofthesecondarymarket.
IntegratedMarketingCommunications
Broadly,incommercialmarketing,communicationinthemarketingenvironmentischanging.Thesechangesincluderisingcosts,increasedoptionsinthemedia,fragmentationoftheaudienceandadecreaseintheimpactandcredibilityofadvertising.Nowaketal(1997)arguethatthesechangeshavecausedmanymarketerstoshiftmoneyandresourcesfromadvertisingtoothercommunicationsactivities,suchaspublicrelations,tradeandconsumersalespromotion,anddirectandinterpersonalcommunicationbasedontheworkofDuncan&Caywood(1996)andRustandOliver(1994).
Thesocialmarketingenvironmenthassimilarlychangedinthelast10years.Forexample,mediaoutletsandmediabasedactivitiesareincreasinglybecomingexpensiveandaredifficulttouse.Theconsequencesofthisshiftincludebothanincreaseinthechoiceofcommunicationtoolsusedtoinfluenceconsumerbehaviorand,moreimportantly,pavedthewayfortheadvocacyofintegratedapproachestomarketingcommunicationplanningandmanagement(Gingell,1997;NowakandPhelps,1994).
Again,inbroadcommercialmarketing,Schultz&Kitchen(1997)arguethattheIMCapproachtoattitudeandbehaviorchangeisfastreplacingthetraditionalapproachofdependenceonadvertisinginthecommercialmarketing.Traditionalapproachesinvolveshiftingatargetaudiencethroughaseriesofcommunicationsteps,forexample,awareness,knowledge,preferenceandconvictionusingmessagesthataredisseminatedthroughpurchasedmediatimeand/orspace(SchultzandWang,1994).IMCistherecognitionthat,inordertohaveanimpactontheattitudeorbehaviorofatargetmarket,itisnecessarytohavecommunicationsplansthatexamineandcoordinatestrategically,variouselementsofcommunicationdisciplines.Additionally,themessagehastobeclear,consistentanddrivenbytheaudience(Caywood1997;Smith1995).
Inthesocialmarketingsphere,Nowaketal(1997)statethatalthoughtheapplicationofIMCisrelativelynewandunexplored,theliteraturesuggeststhattheintegratedcommunicationapproachhasgreatpotentialinhealthcommunicationefforts.
Socialmarketers,likecommercialmarketers,haveawiderangeofcommunicationdisciplinesandactivitiestheycanusetoinfluenceattitudesorbehavior.Theyincludesocialadvertising,publicrelations,mediarelations,mediaadvocacy,massmedia-basedinformation/educationcampaigns,riskcommunications,partnershipwithcommercialand/ornonprofitorganizationandcommunity,targetpopulationoutreachandeducationprogram(Cleft1995;Proceedingsfrominnovationsinsocialmarketingconference,1997).Theauthorsarguethatthestrategiesoflargerhealthpromotionanddiseasepreventionorganizationssuchasmediarelations,healthpromotion,socialadvertisingandinterpersonalcommunicationtendtooperateasseparatefunctionswiththeirownobjectives,targetaudiences,messagesandmessagedeliverychannels,similartocommercialentities.Consequently,aneffectiveIMCneedsanorganizationtohavestrong,centralizedcommunicationplanningandmanagement.(Caywood,1997)
Therehasbeenmuchevidencetoshowthatthosehealthcommunicationcampaignsthatusemultiplechannelstospreadtheirmessagesaremoreeffectiveinchangestoattitudeandbehaviorthanthosethatprimarilyuseonlyonetool(Flora,Saphir,Schooler&Rimal1997;Rice&Atkin1994).Acombinationofchannelsallowsforanincreaseintheeffectivenessofanotherchannel.(Schooler,ChaffeFlora,Roser1998).LazarsfeldandMertong(1969)saythatacombinationofmassmediaandface-to-facediscussioncanreinforceeachother.Additionally,manyauthorshavearguedthatalthoughthemassmediaiseffectiveatdisseminatinginformation,interpersonalcommunicationisnecessaryforchangesinattitudeand/orbehavior.(Chaffee1982;Hornik,1989;Valente,1993;Valente,Poppe,&Merritt,1996).Valente&Saba(1998)arguethatthisbeliefhasdirectedmanymarketingstrategiestousethemassmediatoadvertisenewideasandproducts,andthentorelyonoutreachandpeereducationprogramsforadoption.
Theselectionofthechannelhasasignificantimpact,intermofmaximizingtheeffectivenessoftheproblems,giventhelimitedresources.Hornik(l989)supportsthisargumentwhenhestatesthattheoutcomeofhealthcampaignsisstronglyinfluencedbythechoiceofchannelsthatareaffordable,feasibleandsustainableovertime.
InastudyconductedbyLefbvre,Olander&Levine(1999)theimpactofmultiplechanneldeliveryofnutritionmessagesonstudentknowledge,motivationandbehaviorwasanalyzed.TheMultifacetedNutritioneducationwasdeliveredinschools,homeandthroughthemedia.Theprimaryobjectivewastoprovideaconsistentandclearmessagethroughmultiplechannelstomotivatethechildrentoeatnutritionally(Bandura,1986;Lefebvre&Flora,1988).Threedifferentmultivariatemodelsofthemultiplechannelsonnutritionbehaviorwereexamined.Allthemodelssupportedthegeneraloverallfindingthate