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Everyone's talking about...: The medical message
Is ‘exercise is medicine’ an appealing message for the general public, or is it more geared towards doctors? Do we need to change our tone in order to engage with the masses?
By Kath Hudson | Published in Health Club Management 2014 issue 2
Over the past few years, the health and fitness industry has been courting the medical profession, focusing heavily on the many health benefits of exercise in a bid to establish the credibility of ‘exercise is medicine’.
But although it’s undeniably important to shout about these benefits, is this actually a compelling message for the general public to hear on a day-to-day basis? Will the possibility of lengthening their lives by five years, or avoiding potential heart disease in 20 years’ time, be enough to make people commit to regular gym visits today? Or does it just add ‘getting fit’ to the list of things they have to do at some point, once they’ve finished a big work project, had a baby, or got past whatever life challenge is currently consuming them?
For those who just can’t quit smoking, or who reach for a bottle of wine and a bag of crisps before their trainers, is the incessant health message making them bury their head further in the sand? Do we need a two-pronged approach, with a medical focus for the medics and a less prescriptive tone for the public?
As Michelle Segar of the University of Michigan says, modern life is hectic and many decisions we make are automatic, led by emotions rather than logic. So how do we make exercise an automatic decision? For someone who’s exhausted after a stressful day, how can we make them choose to go to the gym rather than flopping on the sofa?
Do we need to focus on more tangible, instant benefits rather than long-term health – for example, being able to cope better with tomorrow’s stresses if they go to the gym today?
Are our messages too long-term? Too medicalised? What should we be saying, and how can we run two campaigns concurrently so we appeal both to the medics and those motivated by ‘exercise is medicine’, as well as those who just want to lose a few pounds? We ask the experts....
Michelle Segar,
Associate director,
University of Michigan
Michelle Segar
“Long-term health benefits are motivating to one population, and we don’t want to alienate them, but they’ve already bought in to exercise. The vast majority are not motivated by this, so we should move away from prescribing exercise as medicine to showing how exercise can help them better fulfil their daily roles.
The public health message is very paternalistic: do this because it’s good for you. Telling children to eat vegetables because they’re good for them doesn’t work, so why haven’t we learned to change the message?
The fitness industry needs to look at great marketeers – Apple, for example – and see how they are speaking to people. Rather than giving everyone the same message, your audience must be segmented. For example, you might be able to sell exercise to a mother by explaining how it will make her a more energetic, patient and engaged mum.
Although future outcomes might be a key motivator to embark on a regime, they can’t keep exercise a priority on a day-to-day basis. Disease prevention might be too logical as a motivator – not emotional enough. We need to tap into feelings and move from long-term outcomes to smaller goals, such as being less stressed and feeling proud of yourself after exercise.”
Dave stalker,
CEO,
ukactive
Dave stalker
“Shifting the focus onto the dangers of inactivity is important both for our sector and the UK as a whole. GPs are at the frontline of care and, as such, are trusted by the general public, so we need to work with them and share our expertise.
The tone of our messaging is shifting away from just pushing the health benefits of physical activity to explaining the dangers of inactivity. Inactivity is the fourth leading risk factor in mortality on a global basis, and this offers an easy marketing opportunity because the statistics and facts are there: 37,000 people in England die each year because they don’t do any exercise.
I would like to see the whole sector focusing on the medical aspect a little more in their marketing campaigns, and drawing attention to the fact that exercise has benefits for everyone.
But of course fun, as well as fear, has an impact on the way people engage with physical activity. ukactive is currently working with Judy Murray, Britain’s most successful ever tennis coach, to promote the role of the family in forming positive feelings towards activity. Teaching children different ways of engaging with activity and making it enjoyable will create memories and habits that will still have resonance in later life and, as such, hopefully help them avoid the dangers of a sedentary lifestyle.”
Arron Williams,
EMEA special projects,
Life Fitness
Arron Williams
“The central message of ‘exercise as medicine’ was designed for clinicians and healthcare providers, as it fits in neatly within the health promotion framework. However, the general public tends to see it as too paternalistic.
The industry has been pushing the same message for years, but we’re not breaking the 12 per cent barrier, so we need to change. We have great products, facilities and people – it’s our marketing and service experience that’s letting us down.
We need to emphasise the more immediate returns on the exercise investment: you feel better, you have more energy, you’re less stressed, more relaxed and focused. We’ve been pushing the message of moderate exercise for 30 minutes a day, but why not focus on how that 30 minutes fits into the bigger picture and will enhance the rest of the day? Telling people exercise will lengthen their lives or ward off heart disease might draw them in, but it doesn’t sustain behaviour.
Traditionally the industry has focused on the physical benefits of exercise, but has overlooked the mental, emotional, social and spiritual benefits. Letting people know exercise can make them feel better on many levels and enhance the quality of their everyday life could be a message that resonates.”
Jay Brewer,
Head of physiology,
Nuffield Health
Jay Brewer
“When promoting exercise, we need to start focusing on the positives. As a healthcare system, we are too focused on negative health outcomes.
At Nuffield Health, we now work to a bio / psycho / social model, focusing on good outcomes rather than bad. So instead of saying ‘if you don’t exercise, you will get high cholesterol, leading to heart disease, then death’, we say ‘exercising will give you a better quality of life, greater happiness (which is something the government wants to measure) and more energy’. We’re moving away from the message of exercise just to stop something bad happening, towards exercise to increase the chances of something good happening.
People are easily influenced by their spouses and line managers, so Nuffield Health is working to get line management to buy in to exercise. We’re using research we’ve undertaken with Ashridge Business School and the London School of Economics to show how exercise increases energy, output and productivity, and how those who exercise outperform those who are inactive.
Children are an easy audience to engage with. Although adults control their social time, children do have a large influence in this and are receptive to the idea of exercise.”
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Professor Fenton has over 20 years’ experience in public health medicine
Turning the tide of physical inactivity must be a “central platform of public health efforts”, with partnerships at the heart of driving this agenda / © shutterstock.com
In future, could gyms take on responsibility for physical activity programming in local parks? / © shutterstock.com
Exercise can help promote a healthy old age and ease the burden on the NHS / © shutterstock.com
Fenton says gyms should aim to redress the gender balance in
their facilities / © shutterstock.com
https://www.leisureopportunities.co.uk/images/HCM2014_2everyone.gif
Is 'exercise is medicine' an appealing message for the public, or is it too geared towards doctors?
MICHELLE SEGAR, University of Michigan, Associate director, Dave stalker, ukactive, CEO, Arron Williams, Life Fitness, EMEA special projects, JAY BREWER, Nuffield Health, Head of physiology, ‘Exercise is medicine’, messaging, communication, GPs, doctors, medical
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