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	<title>Tropes &#187; research</title>
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	<link>http://www.blog.builddialogue.com</link>
	<description>Steve Krizman&#039;s blog</description>
	<lastBuildDate>Tue, 31 Jan 2012 03:32:18 +0000</lastBuildDate>
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		<title>Social networks: From campfires to Facebook</title>
		<link>http://www.blog.builddialogue.com/2011/09/11/social-networks-from-campfires-to-facebook/</link>
		<comments>http://www.blog.builddialogue.com/2011/09/11/social-networks-from-campfires-to-facebook/#comments</comments>
		<pubDate>Mon, 12 Sep 2011 03:53:22 +0000</pubDate>
		<dc:creator>Steve</dc:creator>
				<category><![CDATA[Book reviews]]></category>
		<category><![CDATA[Health movement]]></category>
		<category><![CDATA[Life]]></category>
		<category><![CDATA[books]]></category>
		<category><![CDATA[change]]></category>
		<category><![CDATA[communication]]></category>
		<category><![CDATA[culture]]></category>
		<category><![CDATA[diversity]]></category>
		<category><![CDATA[health care]]></category>
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		<category><![CDATA[racism]]></category>
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		<category><![CDATA[social media]]></category>
		<category><![CDATA[social networks]]></category>
		<category><![CDATA[transparency]]></category>

		<guid isPermaLink="false">http://www.blog.builddialogue.com/?p=441</guid>
		<description><![CDATA[It’s alchemy: A group of people is greater than the sum of its parts. A hunting party keeps the tribe fed. A bucket brigade douses the barn fire. Thirteen colonies become mightier when they unite. An assembly line mass produces autos. A tech firm creates dazzling innovation. A Twitter community brings a despot down. What’s [...]]]></description>
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<p>It’s alchemy: A group of people is greater than the sum of its parts. A hunting party keeps the tribe fed. A bucket brigade douses the barn fire. Thirteen colonies become mightier when they unite. An assembly line mass produces autos. A tech firm creates dazzling innovation. A Twitter community brings a despot down.</p>
<p>What’s the magic?</p>
<p>The connections, according to Nicholas Christakis and James Fowler, authors of <em>Connected: The Surprising Power of Our Social Networks and How They Shape Our Lives.  </em>Study the ties between individuals and between networks, and you learn what makes them tick and how you might influence the individuals within.</p>
<p>The authors say social media technology renders the makeup and transactions within networks more transparent. This is good news if you&#8217;re working for a better world. Intractable problems such as obesity, poverty and social injustice may be better understood and addressed from a network connection framework, rather than a &#8220;fix the individual&#8221; framework.</p>
<p>The authors posit a Three Degrees of Separation Rule:</p>
<blockquote><p>“Everything we do or say tends to ripple through our network, having an impact on our friends (one degree), our friends’ friends (two degrees), and even our friends’ friends’ friends (three degrees). Our influence gradually dissipates and ceases to have a noticeable effect on people beyond the social frontier that lies at three degrees of separation.”</p></blockquote>
<p>Among the interesting implications:  It may be more effective to influence individuals through their connections two or three degrees removed. Smoking cessation efforts could be targeted at people centrally located in a network, whether or not they smoke. They are more influential on the individual smoker than his/her doctor.</p>
<p>Where you do not have a good picture of the network, you may be more effective randomly targeting people within a network. For example, rather than immunize the weaker people in a network (who may be on the fringes and have less influence), you might ask random people in the network to name acquaintances, then immunize the acquaintances. The people who were identified are likely to be the better connected individuals in the group who would be the most susceptible and most likely to spread contagion.</p>
<p>One study proved that weight loss was 33 percent greater and also more durable when people were part of a group<em>.</em><em> </em>The <em>Connected</em> construct further suggests an unusual strategy: bind friends of friends in a weight loss effort, rather than the more typical cluster of friends losing weight together.  Not only would the network of second-degree connections spread the weight loss “contagion” more broadly, it would encourage long-term success because the participants will not be a small cluster of friends surrounded by a network of large people.</p>
<p>The authors see a direct linkage between the ancestral campfire and Facebook. Even before social media, behaviorists had determined the average individual had about four close connections and a list of 150 people whom they counted as friends (the so-called Dunbar’s Number). Interestingly, the typical Facebook user has six or seven close connections and 110 people on their “friends” list. In non-technical life, networks have three key roles: cooperators, free-riders and punishers – people who contribute to the “work” of the group, others who benefit from it and another set who keep the rules. The same roles are found in the Wikipedia ecosystem: people who post content, those who consume it and the committed band of editors who question statements and erase vandalism.</p>
<blockquote><p>“We do not cooperate with one another because a state or a central authority forces us to. Instead, our ability to get along emerges spontaneously from the decentralized actions of people who form groups with connected fates and a common purpose. “</p></blockquote>
<p>&nbsp;</p>
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		<title>Imagine all the people: Living life in health</title>
		<link>http://www.blog.builddialogue.com/2010/10/16/imagine-all-the-people-living-life-in-health/</link>
		<comments>http://www.blog.builddialogue.com/2010/10/16/imagine-all-the-people-living-life-in-health/#comments</comments>
		<pubDate>Sun, 17 Oct 2010 05:08:04 +0000</pubDate>
		<dc:creator>Steve</dc:creator>
				<category><![CDATA[Health movement]]></category>
		<category><![CDATA[Marketing and PR]]></category>
		<category><![CDATA[Visual storytelling]]></category>
		<category><![CDATA[change]]></category>
		<category><![CDATA[communication]]></category>
		<category><![CDATA[culture]]></category>
		<category><![CDATA[health care]]></category>
		<category><![CDATA[marketing]]></category>
		<category><![CDATA[PR]]></category>
		<category><![CDATA[public opinion]]></category>
		<category><![CDATA[research]]></category>
		<category><![CDATA[storytellimg]]></category>
		<category><![CDATA[video]]></category>
		<category><![CDATA[visual]]></category>

		<guid isPermaLink="false">http://www.blog.builddialogue.com/?p=390</guid>
		<description><![CDATA[Four conferences over two weeks &#8230; there&#8217;s so much swirling in my head that I could write a post for each of eight different topics. But tonight I landed on a central theme after watching the video of Regina Holliday describe the painting she created during the Health 2.0 conference in San Francisco. She captures [...]]]></description>
			<content:encoded><![CDATA[<p>Four conferences over two weeks &#8230; there&#8217;s so much swirling in my head that I could write a post for each of eight different topics. But tonight I landed on a central theme after watching the <a title="Video on The Health Care Blog" href="http://" target="_blank">video of Regina Holliday</a> describe the painting she created during the Health 2.0 conference in San Francisco. She captures the most important takeaway from my two weeks of travel: I have joined a movement and I enjoy the company I am keeping.</p>
<p>Regina speaks and draws eloquently about the movement: The growing number of us who are taking charge of our health, our family&#8217;s health, our community&#8217;s health, and ultimately our country&#8217;s health. At the <a title="Conference blog" href="http://www.health2blog.com/" target="_blank">Health 2.0 conference</a>, I met an engineer who also is an MD, an MD who is a geek, a geek who is a healer, and a healer who is a patient.</p>
<p><a title="Bio" href="http://www.elizacorporation.com/bios/drane_a.php" target="_blank">Alexandra Drane</a> proclaimed: &#8220;We signed up to help people be healthy,&#8221; which I found remarkable coming from the founder of Eliza, which I thought of only as a robo-call company but now appreciate as a company committed to using technology to promote healthy behavior.</p>
<p>Michel Nadeau confided that his years as a telecomm engineer were nowhere near as fulfilling his new gig as head of a startup that makes an obesity app. &#8220;A teenager sent me an email. She was writing at midnight on a Sunday, asking for help because she couldn&#8217;t bear to go to school the next morning and face the teasing because of her weight. How can that not affect you? I know what we&#8217;re doing has real impact on people.&#8221;</p>
<p>Ob/gyn Jeff Livingston is motivating teen girls to take care of themselves by engaging them on FaceBook. Chris Cartter is trying to make health challenges go viral through his <a title="MeYouHealth website" href="http://www.meyouhealth.com/" target="_blank">Change Reaction</a> program. Physician Richard Wexler was talking to video game designers for insights on patient/doctor communication.</p>
<p>A few days later I was with my brethren at Kaiser Permanente for our annual gathering of communicators and marketers. We saw research that shows the marketplace is ripe for a health movement. Americans know that the health care system is broken, and they don&#8217;t trust the industry or the government to fix it. They know that ultimately the solution starts with them.</p>
<p>They just need a nudge.</p>
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		<title>Story of the week: How to defeat willpower</title>
		<link>http://www.blog.builddialogue.com/2010/01/28/story-of-the-week-how-to-defeat-willpower/</link>
		<comments>http://www.blog.builddialogue.com/2010/01/28/story-of-the-week-how-to-defeat-willpower/#comments</comments>
		<pubDate>Fri, 29 Jan 2010 05:24:49 +0000</pubDate>
		<dc:creator>Steve</dc:creator>
				<category><![CDATA[Excellent stories]]></category>
		<category><![CDATA[media]]></category>
		<category><![CDATA[story of the week]]></category>
		<category><![CDATA[Visual storytelling]]></category>
		<category><![CDATA[culture]]></category>
		<category><![CDATA[npr]]></category>
		<category><![CDATA[research]]></category>
		<category><![CDATA[storytellimg]]></category>
		<category><![CDATA[storytelling]]></category>
		<category><![CDATA[storytelling tips]]></category>
		<category><![CDATA[writing]]></category>

		<guid isPermaLink="false">http://www.blog.builddialogue.com/?p=312</guid>
		<description><![CDATA[WNYC&#8217;s Radiolab created the most intriguing audio science story I&#8217;ve ever heard. Aired this week on NPR&#8217;s Morning Edition, two narrators play off each other to lure you through the back story that sets up the report on an astonishing experiment. A marketing professor had a set of subjects memorize a 2-digit number and another [...]]]></description>
			<content:encoded><![CDATA[<p>WNYC&#8217;s Radiolab created the <a href="http://www.npr.org/templates/story/story.php?storyId=122781981" target="_blank">most intriguing audio science story</a> I&#8217;ve ever heard. Aired this week on NPR&#8217;s Morning Edition, two narrators play off each other to lure you through the back story that sets up the report on an astonishing experiment.</p>
<p>A marketing professor had a set of subjects memorize a 2-digit number and another set memorize a 7-digit number. All were told to go down the hall to the next room and recite the number. Along the way, though, they are offered a choice between chocolate cake or fruit.</p>
<p><img class="aligncenter size-medium wp-image-314" title="cake vs fruit" src="http://www.blog.builddialogue.com/wp-content/uploads/2010/01/cake-vs-fruit1-300x173.png" alt="cake vs fruit" width="300" height="173" /></p>
<p>Amazingly, the 7-digit memorizers overwhelmingly chose cake while the 2-digits chose fruit. The theory: two parts of the prefrontal cortex &#8212; a rational and an emotional &#8212; are in a tug of war. Occupy the rational one with a job like remembering a 7-digit number and the emotional part gets a free shot at calling the shots. The theory explains why when we&#8217;re tired, at the end of the day at work, we are more prone to yield to temptation of a snack or an extra martini.</p>
<p>You have to hear the Radiolab creators dramatize the war of the cortexes to appreciate this excellent example of news storytelling. I also like NPR&#8217;s rewriting of audio stories so that they are appropriate for the online reader. In this case, the Web account retains the humor but executes in a completely different way.</p>
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		<title>Health care reformer ahead of his time</title>
		<link>http://www.blog.builddialogue.com/2009/11/22/health-reform-takes-decades-it-already-has/</link>
		<comments>http://www.blog.builddialogue.com/2009/11/22/health-reform-takes-decades-it-already-has/#comments</comments>
		<pubDate>Mon, 23 Nov 2009 04:59:39 +0000</pubDate>
		<dc:creator>Steve</dc:creator>
				<category><![CDATA[Book reviews]]></category>
		<category><![CDATA[Leadership]]></category>
		<category><![CDATA[books]]></category>
		<category><![CDATA[health care]]></category>
		<category><![CDATA[leadership]]></category>
		<category><![CDATA[organization]]></category>
		<category><![CDATA[public opinion]]></category>
		<category><![CDATA[research]]></category>
		<category><![CDATA[rhetoric]]></category>

		<guid isPermaLink="false">http://www.blog.builddialogue.com/?p=230</guid>
		<description><![CDATA[Book review: The Story of Dr. Sidney R. Garfield by Tom Debley and Jon Stewart Sid Garfield&#8217;s plan for health care reform was so far ahead of its time that the organization he founded &#8212; Kaiser Permanente &#8212; still drives toward the vision, years after his death. (Disclosure: I am senior director of communications and [...]]]></description>
			<content:encoded><![CDATA[<p>Book review: <a href="http://www.amazon.com/Story-Dr-Sidney-Garfield-Visionary/dp/097704632X/ref=sr_1_1?ie=UTF8&amp;s=books&amp;qid=1258945204&amp;sr=8-1" target="_blank">The Story of Dr. Sidney R. Garfield </a>by Tom Debley and Jon Stewart</p>
<p>Sid Garfield&#8217;s plan for health care reform was so far ahead of its time that the organization he founded &#8212; Kaiser Permanente &#8212; still drives toward the vision, years after his death. (Disclosure: I am senior director of communications and brand management for Kaiser Permanente&#8217;s Colorado region).<img class="alignright size-thumbnail wp-image-233" title="Sid Garfield book cover" src="http://www.blog.builddialogue.com/wp-content/uploads/2009/11/Sid-Garfield-book-cover-131x150.jpg" alt="Sid Garfield book cover" width="131" height="150" /></p>
<p>This biography puts today&#8217;s health care discussion into historical context. As early as the 1930s, reform proposals that threatened the status quo were called &#8220;socialized medicine.&#8221; Garfield and uber-capitalist Henry Kaiser were &#8220;socialists&#8221; because they came up with a financing system that brought quality health care to working Americans. Workers and their employers &#8220;pre-paid&#8221; a few cents a day for full coverage. Garfield and his doctors and nurses were thus assured of a predictable revenue stream that enabled them to open clinics and hospitals close to work sites, such as the Grand Coulee Dam in Washington, the California Aqueduct in the Mojavi Desert and the WW II shipyards in Oakland.</p>
<p>The financing mechanism also encouraged Garfield&#8217;s team to reduce injuries and prevent illness. Workplace safety and the country&#8217;s earliest screening and vaccination programs blossomed under the arrangement. The smoking cessation, stress reduction and nutrition classes offered by Kaiser Permanente today have their roots in this core emphasis on what Garfield called &#8220;Total Health.&#8221;</p>
<p>Garfield&#8217;s approach brought doctors of all specialties together under one roof.  This &#8220;group practice&#8221; model is the environment in which doctors train, and it only made sense to continue it in day-to-day practice. Today, 60 percent of J.D. Power&#8217;s top 20 health care systems are group practice models, such as Kaiser Permanente, Mayo and Harvard Pilgrim.</p>
<p>I was surprised to learn that Garfield created hospital designs. His put the medical team closer to patients and segregated sterile hallways from public ones. He installed pneumatic tubes so that &#8220;medical records will get to the doctor before the patient does.&#8221;</p>
<p>Garfield championed computer-assisted medicine in the 1960s, recognizing that information is the currency of health care. With medical information collected and analyzed, doctors get granular about each patient&#8217;s needs and they get the big picture about diseases and effectiveness of treatments.</p>
<p>Garfield&#8217;s vision still unfolds today, as Kaiser Permanente recently completed an electronic medical records system that serves more than 8 million patients. But implementation of an EMR is only the first step toward Garfield&#8217;s vision of a coordinated system of health care rather than sick care. In the next steps, patients use the online access to their records to become more engaged in their health care, physicians and their teams use the information to tailor care precisely to the patient need, and researchers compare the effectiveness of treatment protocols.</p>
<p>Ironically, Garfield, who believed his health care model would &#8220;keep medicine out of the hands of government bureaucrats,&#8221; was called a socialist. President Obama, who has said the Kaiser Permanente model is one the nation should emulate, also is called a socialist. Perhaps we need to change the definition of socialist to: One who threatens the status quo.</p>
<p><strong>Favorite Garfield quotes:</strong></p>
<blockquote><p>National health insurance, an attractive idea to many Americans, can only make things worse. Medicare and Medicaid — equivalents of national health insurance for segments of our population — have largely failed because the surge of demand they created only dramatized and exacerbated the inadequacies of the existing delivery system and its painful shortages of manpower and facilities.</p>
<p>It’s really time for us to revitalize our plan. I suggest a radical new idea — that we stop building hospitals and clinics for sick people. Let’s concentrate on a brand new type of facility — a new first in the world. Let us conceive a building for health — designed, streamlined, and geared to serve our healthy members.</p>
<p>This change from episodic crisis sick care to programmed total health care forces a new look at the recording and processing of medical information … Continuing total health care requires a continuing life record for each individual … The content of that life record, now made possible by computer information technology, will chart the course to be taken by each individual for optimal health.”</p>
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		<title>Bioscience vs. PETA: The told story</title>
		<link>http://www.blog.builddialogue.com/2009/04/29/bioscience-vs-peta-the-told-story/</link>
		<comments>http://www.blog.builddialogue.com/2009/04/29/bioscience-vs-peta-the-told-story/#comments</comments>
		<pubDate>Thu, 30 Apr 2009 01:26:12 +0000</pubDate>
		<dc:creator>Steve</dc:creator>
				<category><![CDATA[Applied stories]]></category>
		<category><![CDATA[Marketing and PR]]></category>
		<category><![CDATA[Opinion]]></category>
		<category><![CDATA[emotion]]></category>
		<category><![CDATA[peta]]></category>
		<category><![CDATA[public opinion]]></category>
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		<category><![CDATA[video]]></category>

		<guid isPermaLink="false">http://www.blog.builddialogue.com/?p=118</guid>
		<description><![CDATA[A researcher once called me to his lab, spitting mad at PETA. His inbox was filled with nasty-grams, spurred on by a PETA campaign against his research, which involved killing small animals. He wanted me to help him publish an op-ed in which he methodically laid out the reasons for using animals in research that [...]]]></description>
			<content:encoded><![CDATA[<p>A researcher once called me to his lab, spitting mad at PETA. His inbox was filled with nasty-grams, spurred on by a PETA campaign against his research, which involved killing small animals. He wanted me to help him publish an op-ed in which he methodically laid out the reasons for using animals in research that has led to relief of human suffering: that he had no other means of obtaining the information he needed, that his research had been reviewed by a panel to ensure humane treatment, that numerous scientific studies backed him up. He included literature citations in his four-page missive.</p>
<p>I had to tell him that this is not an issue settled by facts and logic. Yes, facts are important, but in the end people will make up their minds based on how they feel.</p>
<p>How do you impact emotions? Story, of course.</p>
<p>That is why I believe the Foundation for Biomedical Research is on the right track with a new advertising campaign. In the <a title="FBR YouTube site" href="http://www.youtube.com/user/fbresearch" target="_blank">TV spots</a>, you hear about animal research from the people whose lives depend on it: Jen, a scientist and breast cancer survivor, and Gail, whose husband&#8217;s life was extended by 13 years so he could raise his children before succumbing to colon cancer.</p>
<p><object width="425" height="344" data="http://www.youtube.com/v/NT4lLIDsjGA&amp;hl=en&amp;fs=1" type="application/x-shockwave-flash"><param name="allowFullScreen" value="true" /><param name="allowscriptaccess" value="always" /><param name="src" value="http://www.youtube.com/v/NT4lLIDsjGA&amp;hl=en&amp;fs=1" /><param name="allowfullscreen" value="true" /></object></p>
<p><object width="560" height="340" data="http://www.youtube.com/v/oqzhH7DfKsY&amp;hl=en&amp;fs=1" type="application/x-shockwave-flash"><param name="allowFullScreen" value="true" /><param name="allowscriptaccess" value="always" /><param name="src" value="http://www.youtube.com/v/oqzhH7DfKsY&amp;hl=en&amp;fs=1" /><param name="allowfullscreen" value="true" /></object></p>
<p>Weekly, PETA issues e-mails that are centered on a story. They urge action &#8212; usually a form e-mail to a list of scientists and bureaucrats, and sometimes a plea for financial contribution to their cause. In recent years, surveys have shown dwindling public support for using animals in research. I think the PETA stories have had an impact.</p>
<p>So does the Foundation for Biomedical Research. Their new ad campaign is fighting story with story, putting the argument for animal research in emotional terms. I think a moral issue properly resides in the realm of emotion, feeling and subjective judgment. But if you also need or want facts, you&#8217;ll find them at the <a href="http://www.fbresearch.org/Home/tabid/330/Default.aspx" target="_blank">Foundation for Biomedical Research </a>site.</p>
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