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Talk to the 5th guy
Friday December 21st 2007, 4:23 pm by Steve Portigal

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The 5th guy is a public health awareness campaign from the Florida Department of Health. It

illustrates a simple point – most people respect certain hygienic norms. They stay home when they are sick. They cover their cough with their arm or a tissue. And they wash their hands, especially after using the restroom. There is observational data on that: The American Society for Microbiology sent researchers into public rest rooms to watch what people do. They found that four out of five people wash their hands after using the restroom. Thus was born the campaign’s central character: the “Fifth Guy.” In the ads, this fifth guy — played by a wonderful comic actor named Ben Spring — keeps making the wrong choices and suffering the social consequences as a result. The take-away message is: Unless you are staying home when sick, covering your cough with an arm or a tissue, and washing your hands often, you’re a fifth guy, an outlier. That’s the motivation. No one wants to be a fifth guy — to be that one person everyone whispers about.

It’s interesting to think about the line between playing on social norms and shame-based advertising. Advertising is often about encouraging you to take some action, telling you that you should take action, telling you that everyone else is doing it are basic forms of persuasion.

Florida is trying to encourage what they claim is a dominant behavior, as opposed to trying to create a new behavior, so pointing to the majority makes sense.

Many years ago I worked on a project for Unilever. They were considering the challenge of “on-the-go cleansing” — people away from the place (the bathroom at home) where they normally use Unilever products. I think the timing was just before “germophobia” went mainstream. The people we observed and interviewed were experiencing a serious tension between the need to protect themselves from germs and the need to behave normally.

You were expected to shake hands with someone in a social setting, but you were also made aware of the fact that that person’s hands were covered in germs. You were expected to share food with colleagues and friends, but you may not know if someone else put their hands in the candy bowl without washing them. And you weren’t allowed to pay too much attention to your own cleanliness, lest you be seen as having a mental illness (i.e., OCD).

We identified several strategies for Unilever to use. One of them, like the 5th guy campaign, involved making things normal by making them common. The box of office tissue that everyone takes from, or the skin lotion pump that is used by colleagues at work are both examples. Everyone uses them, therefore it’s normal, therefore it’s okay.

Another strategy involved creating hidden usage opportunities, where new cleaning behaviors could take surreptitiously, in a pocket, or in the pages of a book.

And a strategy that lived between those two was to mask new behaviors as existing normal activities. For example, makers of insulin pens have begun to make their devices to look more like pens than syringes.

I hope there’s good data with this Florida initiative, but I suspect some of the biggest change has already taken place, within the organization itself. I remember that our clients at Unilever worked hard to grasp the depth of the struggles we shared with them; indeed, they kept referring to the “people with OCD” as we reiterated that most people had these very concerns over germs but did not want to be assumed to have OCD. Our clients were participants in the culture they were seeking to understand and getting to that new perspective took a lot of work on both sides. The (what I presume to be) new thinking exhibited by the Floridians is encouraging.



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8 Responses to “Talk to the 5th guy”

    links from Technoratitheir hands, especially after using the restroom. There is observational data on that: The American Society for Microbiology sent researchers into public rest rooms to watch what people do. They found that four out of five people w Original post byAll This ChittahChattah : Blog

    Pingback by Insulin Pump News 12.21.07 @ 11:23 pm

    Reply


    There’s an even greater distinction – the design of the insulin pen has gone from funky and stylish (much like a Rotring technical pen) to something more design-neutral and contemporary.

    Comment by Colin McKay 12.24.07 @ 9:25 am

    Reply


    Good point, Colin. So the pen’s evolution is from “needle” to “stylish pen” to “contemporary pen.” Once they figured out that it could and should be an actual pen, it was presumably a shorter step to bring the pen design up to speed.

    Comment by Steve Portigal 12.24.07 @ 9:29 am

    Reply


    Part of me thinks the change to traditional design may be a reflection of the increasing number of Type 2 diabetics, people who may not like to carry around technology that obviously indicates they are dependent upon a device.

    Comment by Colin McKay 12.24.07 @ 9:39 am

    Reply


    Agreed. Definitely a lot of design effort is going into “front stage” or “mid stage” medical technologies. And I would guess that diabetics are a big enough market that they’re “worth” companies spending money. I find the insulin pump a fascinating example since it’s more of a permanent attachment. Do you wear it outside like a pager/cellphone or do you conceal it in a pocket?

    I remember some user research interviews with diabetics that had to deal with people thinking they were drug addicts because they carried a syringe…what impressions does a pump user have to correct?

    Comment by Steve Portigal 12.24.07 @ 9:54 am

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    you wear it like a pager or cell – and since a lot of people wear those sorts of things nowadays, I think the stigma is gone.

    Here’s an idea of the money: four week’s worth of test strips – $100. A month’s worth of insulin, maybe $100.

    that’s $200 a month, for life.

    Comment by Colin McKay 12.24.07 @ 9:57 am

    Reply


    Kramer auto Pingback[...] As we’ve written before, one strategy to lower barriers to adoption is to disguise one behavior to look like another one that is more normal. It’s interesting that the Bluetooth earpiece is presented as normal enough to be desirable over the hearing aid. I guess it’s better to be a young douche than an old fart? [...]

    Pingback by Look at what the hip kids are wearing, oh with their bluetooth technologies and such 02.08.08 @ 8:03 pm

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    [...] As we’ve written before, one strategy to lower barriers to adoption is to disguise one behavior to look like another one that is more normal. It’s interesting that the Bluetooth earpiece is presented as normal enough to be desirable over the hearing aid. I guess it’s better to be a young douche than an old fart? [...]

    Pingback by All This ChittahChattah » Improve your hearing and enhance your image! 04.08.08 @ 1:06 pm

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