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An example of a HSE Twitter advert HSE/Twitter

Anti-Covid ads: HSE says fear factor advertising may provoke 'defensive' response from viewers

Heading into a period of reduced restrictions next month, Fine Gael TD Emer Higgins said Covid adverts need to become hard hitting.

THE HSE HAS said it isn’t adopting hard-hitting, emotive messages for its Covid-19 advertisements as it may result in “defensive avoidance”, where people deny the importance of the message it’s putting across.

It comes after calls from a Fine Gael TD to replicate the kind of effective messages used in road safety and quit smoking adverts. 

Speaking to TheJournal.ie, Dublin Mid West TD Emer Higgins said that advertisements around Covid-19 should be more forceful in driving home the effect that getting and spreading this disease to others could have, and use hard-hitting messages to achieve this goal. 

A recent example of an advertisement that could be described in this manner is this advert released in late September by the Scottish government.

However, the HSE has said that it has instead focused in on a different strategy which centres on encouraging a shared sense of purpose, promoting preventative behaviours as a social norm and highlighting that we all benefit from each other’s actions to prevent the spread of Covid-19.

Since the start of the pandemic, a key part of the strategy in fighting the virus from the government’s perspective has been to try to communicate effectively to the public around the public health measures. 

Heading into the Christmas period where it is likely restrictions will be eased, compliance and adherence to whatever fresh restrictions are in place will be vital in preventing cases of the disease rising further again. 

‘Patience being tested’

NPHET’s Communications and Behavioural Advisory Group is a subgroup of the wider NPHET membership that focuses in on the best practices for communicating messages around Covid-19 and examining how people’s behaviour is changing during the periods of restrictions. 

A recent meeting, the group heard that for young people “their patience for more restrictions is being tested” and that it should aim to “simplify” its messaging in the future. 

It said that “young adults are already very vulnerable emotionally” and that it would be important in future to “simplify the guidelines in targeted communication”. 

The group also pointed to a new study which found that people consistently say the threat of fines and arrest is the least persuasive factor when it comes to convincing them to adhere to public health rules.

They noted: “Penalties may have unintended consequences of damaging social cohesion and collective willingness to engage with the restrictions.

Current compliance with mask-wearing is 96%+ according to the latest Amarach tracker survey. Introducing fines for behaviours with high compliance might backfire by 1) over-penalising those who unintentionally break the rule (e.g. forgetting your mask) and 2) by further agitating the very small minority who aren’t complying.

Heading into the Christmas period, Higgins said it’s vitally important that decisions are made to reach out to young people particularly through the mediums they use – such as Instagram, Snapchat and TikTok – to try to convey the importance of adhering to the public health guidance. 

“We need to start reaching them with advertising directly through the channels they use with the kind of emotive, hard-hitting adverts we see elsewhere.”

There’s an advert from the RSA with a group of young lads and the fear one of them has about asking his friend to wear a seat belt. We need to instill that sense of ‘it’s okay to say no to go to this big gathering a friend is organising’, and query why they’re having it in the first place.

She pointed to advertising spend from the HSE of €150,000 to date on social media Covid messaging, and says this needs to be ramped up to target the younger generation. 

When it comes to posting, however, the HSE has published more posts on Twitter than Facebook, Instagram and TikTok combined.

Road safety and smoking cessation

In information released to Higgins via parliamentary question, both the Road Safety Authority and HSE explained how they focus in on strong, often emotional, messaging in their campaigns. 

In the case of the RSA, it said it aims to “strike a strong emotional chord so that the message will resonate long after the moment”.

Well-known adverts include the 1 in 2 campaign – “I wish I was an actor” for smoking cessation – or the anatomy of a split-second road safety campaign.

When it comes to road safety and smoking adverts, there is a great deal amount of research done into the kinds of messaging it’s important to get across in advertisements to the public.

In a reply to Higgins’ PQ requesting data on how effective its advertisements are in achieving their aims, the Road Safety Authority (RSA) said: “We focus on communicating single, actionable behaviours to be adopted or changed, that are easily understood and feel both simple and necessary to address.

Our strategy also recognises that social change does not occur absolutely at the time of communication. It happens when someone makes the decision in a moment of time, usually way outside of the advertising arena. This means that we must make sure our advertising is as “immersive” as possible; leaving a profound emotional imprint for it to work. And we do so in a way that strikes a strong emotional chord so that the message will resonate long after the moment.

For its specific purposes, the RSA said it focused in on “killer behaviours” in its advertising, such as excessive speed, intoxication and driver fatigue as it seeks to warn people of the dangers of such behaviours.

When it runs campaigns, it aims to evaluate the effectiveness of them by conducting national surveys of 1,000 adults every 14 days to see how aware people are of the messaging and if they’ve taken it onboard.

This method is one that has been used frequently during the pandemic by the Department of Health with its surveys.

The RSA said its research indicated that these messages resonated with people, with the number of people reporting changing their behaviours afterwards as high as 90% for some campaigns.

Similarly with smoking adverts, the HSE said that its inclusion of the “negative health effects of smoking” are most effective in changing attitudes and behaviour in a way that promotes quitting.

It said: “It is important that mass media campaigns are refreshed regularly (every two to three years) in order to be effective in maintaining audience engagement. There is natural campaign ‘burnout’ that occurs over time with all campaigns.”

Way forward

Emer Higgins said that the example set by these adverts is something that should be replicated in how messages around Covid-19 are communicated to the public, particularly young people. 

“My concern would be that the message hasn’t changed dramatically over the course of the pandemic,” she said. “If you haven’t learn to wash your hands at this stage, and downloaded the Covid tracker app, I don’t think any amount of adverts will make you do it now.

We need our messaging to evolve. And it’s these kind of hard-hitting adverts that capture people’s attention. I think even of the Supervalu ad this week – that got people to notice and think about their behaviour. 

After there was a spike in young people developing the disease over the summer into the autumn, Higgins said it was important to emphasise how fit and healthy people could spread Covid-19 to more vulnerable people heading into the Christmas period. 

In further statistics provided by the HSE, it said while it had posted on Twitter 1,316 times as part of its Covid-19 campaign, this dropped to 471 for Instagram, 265 for Facebook and just 10 for TikTok. 

“People in their late teens and early 20s are less likely to be watching the 9 o’clock news,” Higgins added. “We need to make sure we reach the right audience in the right way on this.”

In response to a query from Higgins, the HSE said acknowledged that there was strong evidence that smoking and road safety adverts were effective in changing behaviour. 

It said: “When it comes to the style of messaging used to encourage people to stop smoking, the inclusion of messages about the negative health effects of smoking have been shown to be effective in changing smoking knowledge, attitude and behaviour in a way that promotes quitting. However, exposure to campaigns with positive messages has also been shown to be effective at prompting people to seek help.

Although ‘hard hitting’ or negative emotive messages have been shown to be effective at encouraging people to stop smoking and improving road safety, this approach does not work for all behaviours. While targeting fears can be useful in some situations, its effectiveness is limited. Strong fear based messaging can change behaviour but can also result in defensive avoidance where people deny the importance of a danger or the importance of them taking action.

The HSE added that it’s working with a newly formed-group who advocate for and represent young people to create new advertising and messaging targeting young people in the coming months.

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31 Comments
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    Mute LD
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    Nov 16th 2020, 12:23 AM

    She just be having withdrawals from those heady days of summer and RTE’s fear overdrive. What deputy Higgins should do now is go throw herself into a ditch, and hide away until Leo tells her it’s safe to come out.

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    Mute Carol Cunningham
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    Nov 16th 2020, 2:20 AM

    @LD: I would prefer if she skipped the ditch and retired from politics: the country does not need politicians like her: we are not a group of children and for those who ignore the warnings, hard hitting ads or not, the same people will ignore the warning. The rest of us are intelligent responsible human beings, which she obviously does not give us credit for.

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    Mute Brendan Gordon
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    Nov 16th 2020, 2:31 AM

    @Carol Cunningham: If you are an intelligent responsible human being then stop taking offence and whining at an ad that obviously isn’t aimed at you. Our shower of spanner politicians are only there because of our overly fickle, easily pleased electorate, people like yourself who care more about the sentiment of feeling like you might be talked down to than any actual meaningful political action that actually undermines your well being and quality of life.

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    Mute Carol Cunningham
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    Nov 16th 2020, 2:54 AM

    @Brendan Gordon: Well actually, what I do not like is being talked down to and you for example, think you can talk down like you are above intelligence, but I think not, given your over reaction response to my comments.

    73
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    Mute Marcus Massey
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    Nov 16th 2020, 5:27 AM

    @Brendan Gordon: a bit unnecessary, no?

    41
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    Mute Mickety Dee
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    Nov 16th 2020, 7:22 AM

    @Brendan Gordon: Hopefully you, as our intellectual overlord can help us to all vote the “right” way in the next election

    44
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    Mute Brendan Gordon
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    Nov 16th 2020, 9:48 AM

    @Marcus Massey: No pretty much proves my point. These people would get thick with a stop sign at a busy junction because “They didn’t need to be told, and they don’t appreciate the condescension”.
    Then they double down by getting even more wound up at the notion that someone might think they’re stupid for feeling talked down to by an ad not aimed at them.
    People need to learn the difference between somebody directly, specifically undermining the intelligence of a person or group, and generalised criticism of flawed thinking, so they can understand when they’re being targeted and when they’re just self victimising.
    Harsh : yes
    Unnecessary : No

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    Mute Brendan Gordon
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    Nov 16th 2020, 10:00 AM

    @Mickety Dee: Sure Mickey, vote for someone you’ve actually researched, whose personal and party outlook aligns with your values, and most importantly doesn’t have a track record of corruption, failure and dishonesty, either personally or within their party.
    Then think critically about the rest of the candidates and arrange your preference suitably

    That’s the right way to vote.

    And before you scoff because you think that’s obvious, you only need to look at how many people still vote “local” or for their parents fella or yer man who “fixed the road” even though they’re a crooked bigot.
    If you don’t, that’s great, this criticism isn’t aimed at you and you have no reason to get all butthurt about the mean smarty pants on the internet who said people were silly.

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    Mute Michael Flynn
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    Nov 16th 2020, 12:57 AM

    This is all turgid, navel gazing waffle. NPHET should just be honest, open and transparent. It’s what WHO recommends. Stop the psychobabble BS, the PR, the behavioural science baloney.
    NPHET should just publish all decision making information, all the science behind the decisions, all models, all assumptions because Irish people are fair and smart and appreciate honesty and openness more than PR and psychological manipulation. The strange thing is that Micheal Martin, an experienced politician and decent person doesn’t get this… yet.

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    Mute Giovanni Giusti
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    Nov 16th 2020, 11:27 AM

    @Michael Flynn: most people would not understand it tho

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    Mute Rebekah Corbett
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    Nov 16th 2020, 2:09 AM

    Close family member is a front line health care worker. Young, fit, mother of 2, non-smoker, rarely drinks. She had a stroke in June. Swabbed twice for the virus. Negative each time. When they tested for antibodies it was found she had had the virus but had been asymptomatic. She’s still not back in work although she wants to be. That’s the reality of this virus. Even if you don’t know you’ve had it it can still cause problems

    93
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    Mute Neil Ryan
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    Nov 16th 2020, 6:37 AM

    @Rebekah Corbett: isnt a stroke a blood clot in the brain? I’m sorry but I don’t get the connection.

    87
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    Mute Ed Quinlan
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    Nov 16th 2020, 6:40 AM

    @Neil Ryan: Covid is a prothrombotic state. Stroke is a recognised complication of Covid infection.

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    Mute Neil Ryan
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    Nov 16th 2020, 6:43 AM

    @Ed Quinlan: thanks

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    Mute Machiavellian
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    Nov 16th 2020, 7:42 AM

    @Ed Quinlan: so we can expect thousands to have strokes in the near future because they had covid. Thanks for clearing that up!

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    Mute Teresa O'Halloran
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    Nov 16th 2020, 8:16 AM

    @Neil Ryan: Covid-19 can cause blood clotting.

    15
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    Mute Bountyop
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    Nov 16th 2020, 9:28 AM

    @Machiavellian: That’s not what he said

    10
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    Mute Neil Ryan
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    Nov 16th 2020, 6:36 AM

    My patience is being tested by politicians practicing bad science..

    71
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    Mute D'oh
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    Nov 16th 2020, 6:23 AM

    Let’s increase the fear mongering for the plebs!!!!

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    Mute Pete Gilmartin
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    Nov 16th 2020, 1:49 AM

    Our road safety ads are the butt of jokes in the wider world due to how extreme they are. If you do the same with Covid you’ll end up with the same diminishing returns.

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    Mute Marie Agnew
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    Nov 16th 2020, 6:42 AM

    @Pete Gilmartin: Tell me, why are our hard hitting road safety ads the butt of many jokes in the wider world? That’s a new one on me? Unless you’re a fire fighter and you nit pick on small detail, I think they are good. The average joe soap would look at the bigger picture!!

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    Mute Mark Fitzmaurice
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    Nov 16th 2020, 7:17 AM

    @Pete Gilmartin: I’d love to hear some of these joke.

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    Mute Teresa O'Halloran
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    Nov 16th 2020, 8:19 AM

    @Pete Gilmartin: you must mix with a pretty disturbed crowd if they find hard hitting road safety ads funny.

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    Mute Mirabelle Stonegate
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    Nov 16th 2020, 9:08 AM

    @Marie Agnew: I personally find them ott. I tend to just roll my eyes when one comes on, and then ignore it.

    I get what they’re saying, but they’re also not aimed at the type of driver I am, which is why I find them a bit much.

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    Mute Sirius
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    Nov 16th 2020, 11:05 AM

    @Mirabelle Stonegate: while you may think that the ads are not aimed at you, they are aimed at all road users, the drivers you share the road with, and it will serve you to be aware of the driving behaviours that you need to be vigilant of.

    7
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    Mute Seneca
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    Nov 16th 2020, 11:07 AM

    Dear Sir,

    Is anybody buying the COVID narrative anymore?

    I know the first lockdown and the emergence of the initial pandemic there was genuine reason for worry.

    Now, to be spouting the same lines and taking our Constitutional rights away one by one… with no end in sight.. a clearly debunked NPHET leading the charge with FALSE Positive PCR tests that are creating a FAKEDEMIC.

    Is everybody asleep at the wheel here?

    Should there not be 100′s of thousands marching down O’ Connell St. at this stage demanding Freedom and an end to tyranny…

    I’m baffled ??

    Is mise….

    14
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    Mute LD
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    Nov 16th 2020, 11:51 AM

    @Seneca: The reality is that life for many before all this was not exactly something worth fighting for. People work all the hours of the day in boring offices, wearing boring suits, with jobs who’s primary output is big profits for the top brass and a little pittance for you generating it all. And the reward, you get to bring your pittance to the shops and restaurants buying things you have no real need for, that is if you can even afford any of that after you’ve had to supply the banks/landlords with their weekly legalised embezzlement of your salary just for the privilege of having a shelter to call home. There is a better world possible but unless people believe that, there will be no fight in them.

    7
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    Mute Kitty
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    Nov 16th 2020, 8:52 AM

    The woman is a liability

    20
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    Mute The world outside the M50
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    Nov 16th 2020, 11:29 AM

    I don’t watch TV or vote for FFFGLAB – what ever will I do to find out about a worldwide pandemic

    2
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    Mute Peter Dunwoody
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    Nov 16th 2020, 12:38 PM

    Actually we have been living with the flu for more than a hundred years, many of us go out and buy all these flu/cold remedies, maye take to the bottle, go to bed for a week, or so, and we get over it, but the really big issue now is, how much harm, is it doing to your body later in years, is it ever really out of our system, and just gets reiginited every year, we are basicaly talking about germ warfare here, how many suffered from in the first World War, from germ warwafe, how many countries still use it. Certain countries signed treaties against using germs in wars, doesn’t mean that what was used then, still has an effect, on the generations, brought in to the world since.

    1
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    Mute Laz Mahon
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    Nov 19th 2020, 1:43 AM

    HSE needs to take into consideration before any ad campaign, of informing the public of the make up of the vaccine..We need to know, before we would take any Covid-19 vaccine, which vaccines were developed with Fetal Cell Lines derived from Aborted Babies.

    1
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