Increasing access to effective anti-tobacco media campaigns
Effective mass media campaigns are a key part of any tobacco control strategy because they can help prevent young people from starting to smoke, encourage smokers to stop, or not to smoke around non-smokers, and change the social context of tobacco use 1 .
Background
Many experts also believe that mass media campaigns are critical
because they can create population-wide changes in knowledge about
tobacco, attitudes toward tobacco use, and behaviour change amongst
users and non-users alike 1 .
In recent years, the practice of sharing and adapting
anti-tobacco mass media campaigns has increased both in Australia
and internationally. Depending on the level of tobacco control
activities in a country, cultural similarities and message
dissemination, effective campaign television commercials can be
adapted at various levels such as changing some of the visuals and
voiceovers, to reproduction of the concept in its entirety or with
new creative. Adapting existing campaign commercials is cost
effective, time efficient and can be implemented with more
confidence if the commercial has been effective in its original
market.
Purpose
To demonstrate, using examples, successful adaptations of
anti-tobacco television commercials in Australia and
internationally and key learnings in relation to successful
adaptations.
Method
Campaign commercials can be effectively adapted at different
levels depending on the tobacco control environment in the region
that they would be aired in. Adaptations of the television
commercial of the campaign range from high-level adaptation such as
using the campaign concept and reproducing the commercial to better
represent the population it is targeting, to low-level adaptations
where only the end-frame of the commercial is changed to represent
local sponsors.
Campaign television commercials can be adapted at a low-level
by:
- changing the voiceover to suit local accents
- translating the script into the local language
- changing/ adding to the script to suit local tobacco cessation
issues and smoking rates
- Amending the end frame
A television commercial can be adapted at a moderate-level
by:
- reducing the television commercial length to suit media
strategies
- adding/ deleting or replacing visual elements of the campaign
to address local issues, saving costs on talent
- replacing music in the television commercial to suit local
tastes or reduce costs on music rights
A television commercial can be adapted at a high-level by:
- using the campaign concept and reshooting the entire
commercial.
Some practical examples of different levels of adaptation are
presented:
Low-level adaptation
The Sponge campaign television commercial was adapted
for use in China by the Beijing Municipal Health Bureau. The
television commercial was re-voiced in Chinese and the script at
the end was changed to address the Chinese custom of gifting
cigarettes.

Moderate-level adaptation
The Stairway to Emphysema campaign was effectively
adapted by the New York State Department of Health. The television
commercial was shortened from 45-seconds down to 30-seconds in
order to adapt the campaign to suit the media planning
strategy.

High-level adaptation
The Cancer Institute NSW adapted the Excuses campaign
originally produced by the California Department of Health
Services. The adaptation of the television commercial involved the
complete reshoot of the commercial by only using the creative
concept. This high-level of adaptation was carried out with an aim
to customise the advertisement to suit local talent, accents and
local terms of reference. It also enabled the Institute to address
tobacco control issues in New South Wales such as excuses that
smokers made to stop smoking.

Results
The examples provided demonstrate the different levels
adaptation of anti-tobacco television commercials. A key area of
focus when adapting a commercial at any level is to ensure that key
messages and objectives of the adapted commercial reflect those of
the original campaign.
The Cancer Institute NSW owns intellectual property rights to
several anti-tobacco campaigns that have gained popularity,
nationally and internationally. These campaigns have been licensed
to interested organisations for broadcast, print, educational or
research purposes. Several of these licensed campaigns have been
adapted at different levels with prior consent from the Institute.
The Sponge campaign has universal appeal and has been
licensed to various states in Australia and globally.
Countries that have licensed and used the Sponge campaign
for broadcast or educational purposes
| Country |
States |
| Australia |
Victoria
South Australia
Tasmania
Western Australia |
| United States of America |
New York City
Florida |
| Canada |
Northwest Territories
Manitoba |
| Romania |
|
| China |
|
| Russia |
|
| Brunei |
|
| India |
|
The key learnings to ensure that a campaign's television
material is adapted successfully include:
- Conducting pre-testing with the target audience before
adaptation. This ensures that the campaign concept and messages
have the desired impact on the target audience. This step also
addresses areas of the commercial material that may require
adaptation.
- Consideration of budgets available to determine level of
adaptation. Budget availability would determine if the entire
television commercial can be re-shot locally or if only some parts
of the commercial would need to be changed, such as the end frame
or voiceover.
- Addressing licensing issues that protect campaign talent,
copyrights and creative integrity. Organisations looking to license
and adapt campaigns would need to consider costs relating to
talent, music and license fees. These costs would also have an
impact on the levels of adaptation possible and sometimes may
result in the organisation having to abandon use of the campaign
due to very high costs involved.
- Retaining the key messages and objectives of the adapted
campaign is a key factor to a successful campaign. The distortion
of the key messages of the original campaign's television
commercial may result in the adapted campaign not having the same
impact that it had in its country of origin.
Conclusion
Campaign commercials that have been successfully launched in
their country of origin can be effectively adapted in other
countries to address common issues in tobacco control. This
strategy is an economical way to ensure the impact of effective
anti-smoking campaign commercials are made not just in Australia
but across the globe. It is also an opportunity for developing
countries to access and use proven campaign commercials to reduce
smoking rates in their country.
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