title: Changing health behaviors with social marketing.
abstract: Social marketing uses marketing techniques to promote healthy attitudes and behaviors. As in traditional marketing, the development and implementation of social marketing programs is based on the four P's: product, price, place, and promotion, but it also incorporates the partnership and participation of stakeholders to enhance public health and engage policy makers.
  
  
  BACKGROUND
  The "product" in social marketing is generally a behavior, such as a change in lifestyle (e.g., diet) or an increase in a desired health practice (e.g., screening). In order for people to desire this product, it must offer a solution to a problem that is weighed with respect to the price to pay. The price is not just monetary, and it often involves giving something up, such as time (e.g., exercising) or a wanted, satisfying behavior (e.g., smoking).
  
  
  METHODS
  In its development phase, social marketing incorporates qualitative methods to create messages that are powerful and potentially effective. The implementation of the programs commonly involves mass campaigns with advertisement in various media.
  
  
  RESULTS
  There have been a few social media campaigns targeting bone health that have been disseminated with substantial outreach. However, these have not been systematically evaluated, specifically with respect to change in behavior and health outcomes.
  
  
  CONCLUSIONS
  Future campaigns should identify target behaviors that are amenable to change such as bone mass measurement screening or exercise. Audience segmentation will be crucial, since a message for young women to increase peak bone mass would be very different from a message for older individuals who have just experienced a fracture. Campaigns should involve key stakeholders, including policy makers, health providers, and the public. Finally, success must be carefully evaluated, not just by the outreach of the campaign, but also by a change in relevant behaviors and a decrease in deleterious health outcomes.
authors.affiliation: Department of General Internal Medicine, University of Texas MD Anderson Cancer Center, Houston, TX, USA. msalmazor@mdanderson.org
authors.forename: M E
authors.initials: ME
authors.lastname: Suarez-Almazor
mesh_terms: D005260:Female; D015438:Health Behavior; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008019:Life Style; D010024:Osteoporosis / Q000517:prevention & control*; D058866:Osteoporotic Fractures / Q000517:prevention & control*; D011787:Quality of Health Care; D040241:Social Marketing