What surrounds us shapes us: Making the case for environmental change
Friday, May 01, 2009Creating healthy environments starts with knowing what you want to change. Then you have to find the right language to talk about it effectively. Language is important because how an issue is described, or framed, can affect whether it has popular or political support. Linguists say that framing is how our minds recognize patterns of ideas, categorize them, and derive meaning from them. Framing is the translation process between incoming information things we see, read, or hear and the ideas already in our heads. Frames are important to advocates because they influence how people react to ideas.1 Consider one example from Kraft Foods. When Kraft reframed recipes as "solutions" rather than as"cooking," more people requested the company's recipes. Mary Beth West, Kraft's Chief Marketing Officer, explained that communicating this idea in the recipe's title could bump it to the top of Kraft's request list: "'Learn to cook stir-fry' is fast to the bottom; 'Easy stir-fry in 15 minutes' is at the top. Framing it more as a food solution and an idea of getting dinner on the table is what it's all about."2 Language can create a "frame of mind" that makes some ideas attractive and others not. Whether promoting recipes or promoting policy, the frame matters. This framing brief suggests how to create frames that can help people see that environments affect health. When people understand that idea, they are more likely to support policies that improve those environments.Shifting from portrait to landscape
Research shows that in the U.S., most of the time most people think that individuals are masters of their own destiny. People believe that hard work, discipline, and self-determination will outweigh other factors such as the conditions in which they live. These values extend to people's perceptions about health as well: their gut-level assumption what we call the default frame is that individuals can control their own health outcomes if they make the right choices. The problem with the default frame is that it hides the influence of the places where people live, work,and play. The default frame is like a portrait,focused narrowly on the details of a single person. Advocates need to evoke frames that are more like landscapes frames that include people, but also the context that surrounds them. Advocates slip into the default frame when they encourage people to eat more fruits and vegetables and fewer fatty foods, without mentioning the need for all neighborhoods to have stores that sell healthy foods at affordable prices; or when they tell parents to make sure their children get enough exercise, but don't make the case for neighborhoods and schools that offer safe places for children to play, free of violence and crime. Advocates need to broaden the default frame from its exclusive focus on the individual or portrait to a landscape perspective that makes visible the external factors in the environment. By painting a broader picture, advocates can help people see that neighborhoods, schools, and workplaces influence health. Only then will policies that improve places make sense to people. To do this, advocates need to think about what they say and ask themselves: What assumptions does our language trigger? What pictures are we bringing to mind? Do they lead to support for our policy and reinforce our values? Advocates have to start with a frame that brings to mind place. Then they can talk about the people in those places.Triggering an environmental frame
How can advocates trigger the idea that contexts affect individuals? Research from the FrameWorks Institute suggests reminding people that where we live, work, or play (including homes, schools, offices, businesses, stores, parks, and any other physical spaces), affects our daily lives, including our health. When we improve and maintain these environments, the health of the people who live and work there improves as well. Advocates can trigger an environmental frame by starting their communications with a vivid description of the environment that contributes to poor health, as well as the kind of place that supports health. Then, advocates can state the value that motivates them to make the change they seek. To that they can add a clear, simple description of their policy. The task is to create an image of the world that, linked to the advocates' values, accommodates their policy solutions and creates the desired place-based frame. Below is an equation that incorporates each of the variables needed to create the desired frame: For example, community members advocating for the city to work with businesses to promote corner stores that sell healthier food could combine their policy goal with the value of fairness and say something like this: "Children are healthier when their communities provide healthy food. But when neighborhood stores don't have a selection of healthy food, people simply can't feed their families the way they want to, and their health suffers. It's not fair that the people in our neighborhood have plenty of access to liquor stores and junk food, but have to take two buses to get to a grocery store that sells fresh produce. That's why we need the city council to work with us to attract a new market to our community." The order of the statement matters because audiences will be able to understand the relevance of the policy only if they understand that environments matter when it comes to health. You may arrive at different ways to trigger that idea but the important thing is that you do it first. Usually there's more to say about the environment than time to say it; emphasize those parts of the environment that link logically to the policy solutions you seek.Incorporating values
FrameWorks research tested three commonly shared values fairness, ingenuity, and prevention with good results. Linking any of the three values to environmental triggers inspired positive responses to public policy among different audiences. Here are some ways to use these values to create environmental frames:- Use fairness to show that certain communities do not have a fair chance to live healthy lives, and that policy change will help even the playing field so all communities have access to health.
- Ingenuity, or "can-do spirit" the idea that communities can and do work together to create lasting and meaningful change can help people see that it is possible to establish policies that benefit the common good, even though it might be difficult.
- If you begin with statements that trigger context, you can talk about our responsibility as a community to prevent health problems by creating the environments in which all people can enjoy long-term good health.
- An environmental trigger with the fairness value: Children are healthier when they have safe places to play with well-maintained playgrounds. It's not fair that some children in our city have this while others don't. If we keep schoolyards open after hours, all children can have safe places to play.
- An environmental trigger with the ingenuity value: Children are healthier when they have safe places to play. Fortunately, we already have those places: schoolyards. The smart solution is to keep schoolyards open after hours so all children can be more active.
- An environmental trigger with the prevention value: Children are healthier when they have safe places to play. When schoolyards are closed after hours, some children can't play outdoors, which means they don't get the exercise they need to be healthy. We can prevent poor health now and in the future if we keep schoolyards open after hours.
The downfall of "choice" a common trap
Advocates want to expand the conversation about health from a narrow focus on personal responsibility to include the environmental landscape. Reporters and policy makers, however, will often draw the conversation back to individuals by talking about "choice." The danger is that the more you talk about choice even when you're talking about the absence of choice the more you reinforce the dominant frame of individualism. Choice is important, but the idea itself triggers an individualistic understanding of the world that distracts from the environment in which the choices are made. So, when reporters or others ask about choice, use it as an opportunity to move the conversation toward the environment, to the policy solution you seek, and the values you hold. Here are some examples of statements you could use to pivot away from choice to an environmental frame using our commonly held values.- Fairness: "Sure, parents want to make good nutrition choices for their children, but parents don't choose what is stocked in grocery stores or whether a grocery store with healthy food is even located in their neighborhood. It's simply not fair that some families have easy access to healthy food and others don't. That's why we need to [add your policy action here]."
- Ingenuity or "can-do" spirit: "Choice is important, but good choices are not possible in our environment.This is a big problem since we know that environments can determine whether people will be healthy. But we've tackled big problems before, and we can tackle this one. Let's find the innovative ways companies and business owners can do the most good for the communities they serve. We can start by [add your policy action here]."
- Prevention: "All parents want to make the best choices for their families. But everyone's decisions are made in a context and right now our situation doesn't promote health. People are healthy when their communities provide healthy food and safe places to play.We can prevent future problems by creating environments that foster health for everyone.That's why we are asking for [add your policy action here]."