Professional Documents
Culture Documents
Table of Contents
Acknowledgements 1
Needs Assessment 2
Research Design 3
Focusing on Major Influences (Path Modelling) 6
Overview of All Segments 6
Prioritising Segments 9
Related Reports from this Study 10
Executive Summary: Others Oriented 10
Executive Summary: Support Seekers 15
Appendix I – ACNielsen Quality Assurance 18
Appendix II – Margins of Error 19
Appendix III – References 20
2 Obstacles to Action
Acknowledgements
SPARC, the Cancer Society of New Zealand and the
ACNielsen research team are indebted to Dr Ed Maibach,
formerly Porter Novelli International and now National
Cancer Institute, USA, for allowing the use of the
intellectual framework and questionnaire that provided
the basis for this study.
A large, multi-disciplinary team of people and organisations
throughout New Zealand worked closely together on this project.
The research project was contracted to ACNielsen (Antoinette
Hastings, Judy Oakden, Jane Young and Hugh Butcher) in
collaboration with Dr Charles Sullivan of Capital Research.
Professor Rob Lawson, from the Marketing Department at
the University of Otago, undertook the path modelling.
The research team worked closely throughout the course of
the study with the SPARC team; Deb Hurdle, Grant McLean
and Christine Parry and the Reference Group. We wish to
thank them for their exceptional contribution over many
months to a project demanding real partnership.
The Reference Group members are thanked for their valued
input: Sally Logan-Milne (Milanz) for conceiving the key
conceptual basis for Obstacles to Action in collaboration
with her colleague Dr Ed Maibach, Dr Kate Scott (Wellington
School of Medicine) for expert advice from a health research
perspective, and Carolyn Watts (Cancer Society of New Zealand)
for co-ordinating the Cancer Society’s input and support.
Additional input to the Reference Group in the later
stages of the project came from Rhonda Pritchard (clinical
psychologist), Nick Farland (McBean Associates), Dennis
Carroll and Jason Wells (Young & Rubicam Advertising),
and Glen McGahan (Nativeworks).
The assistance of Dr Harriette Carr (Ministry of Health), Dr
Tony Reeder (Otago University), Dr Deanne Weber (Porter
Novelli, Washington), Colleen Doyle (American Cancer
Society) and Glenda Hughes (Collingwood Promotions) is
also acknowledged.
And most importantly a huge thank you to those New
Zealanders (over 8,000 of you) who took the time to tell us
about your experiences and perspectives of physical activity
and nutrition. You have provided us with valuable insights
that will help SPARC and the Cancer Society to support
physical activity and healthy eating in New Zealand now and
into the future.
3
Needs Assessment
Background Objectives
SPARC is the main government agency responsible for SPARC’s underlying campaign objective is to increase
promoting physical activity in New Zealand. the percentage of the population who:
Awareness of the importance of physical activity is already • Do at least 30 minutes a day on five or more days per week
high. The Push Play media campaign has been successful (i.e. are regularly physically active), or
by international standards in raising awareness of the
• Undertake a total minimum of 2.5 hours per week
“30 minutes a day” message. A four-year evaluation has
moderate intensity physical activity.
demonstrated that awareness of this message increased
significantly in the adult population, rising from 13% to 52% It is intended that the campaign that develops from this
from 1999 to 2002 (Bauman et al., 2003). There were also research project will target segments of the following groups
significant increases in intention to do more (thought, talked as defined through SPARC Facts results (SPARC, 2003):
about doing more).
• The 30% of the population who are active 2.5 hours per
Separately reported in the Sport and Physical Activity Survey week but not 30 minutes per day for the minimum of five
(SPARC, 2003), 84% of adults agreed that 30 minutes a day days (i.e. not regularly active)
of physical activity is enough to benefit health. Prevalence
• The 20% of the population who are insufficiently active (do
data from the Sport and Physical Activity Surveys shows that
some activity, but less than 2.5 hours of physical activity per
the proportion of adults who are physically active1 increased
week—note that this excludes the 10% who do no activity)
from 67% to 70% between 1997 and 2001 (a 3% increase
= 150,000 more active). However, this means 30% of adults And/Or
(900,000 adults) are still insufficiently active as measured by • The 15% of the population who either talked about getting
the 2.5 hour threshold. In addition, when SPARC measures more active as a result of the Push Play programme (4%)
the proportion of adults who are active at the higher or thought about getting more active (11%), but did not
threshold of regular activity (30 minutes a day five times do so. Note that this 15% may include active people who
per week), only 40% are regularly active meaning that the thought about getting more active.
majority (60%) of adults are insufficiently active.
On stepping back from the data, it was clear that SPARC
had a lot of information about physical activity behaviour in
terms of what activity levels are and who is, or is not active,
and about awareness (knowledge of messages). However, an
important piece of the puzzle was missing – the “why” and
“why not” behind physical activity behaviour.
The current study is the first time SPARC has analysed
a comprehensive range of determinants based on a
combination of behaviour, demographic and psychological
variables, rather than just asking a group about barriers and
motivation that are not clearly linked to behaviour.
1
“Active” adults were those taking part in at least 2.5 hours of sport/leisure-time physical activity in the seven days before the interview.
4 Obstacles to Action
Research Design
Methodology Overview Response Rate
Full details of the methodology are described in the The final response rate of completed, usable questionnaires
separate Technical Report, available via the SPARC is 61%. Details are provided in the separate Technical Report.
website www.sparc.org.nz. The Technical Report also includes comparisons of the
changing composition of responses (e.g. ethnicity) over the
Questionnaire Development two-month survey period. The comparisons of response rates
The starting point for the SPARC questionnaire was the over the two-month period are unusually enlightening because
questionnaire used in the American Cancer Society study. of the large sample size.
The questionnaire has over 300 questions within these Weighting
major sections: Attitudes and opinions, Your health, Health
behaviour, Physical activity, Nutrition, Getting health and The final results are weighted by age, gender, and ethnicity
physical activity information, and About yourself. Changes to the New Zealand population. Details are contained in the
were made by adapting the American questionnaire to suit separate Technical Report.
the New Zealand audience. Analysis
The questionnaire was pre-tested with 22 respondents and The segmentation process was an iterative mixture of
the feedback from the pre-testing was incorporated into a judgement and statistical analysis. Key processes included:
final draft version for piloting. One hundred respondents selecting the Target Group; preliminary clustering and
were recruited in Auckland and Rotorua to pilot the survey prioritising key variables to drive clustering; and splitting the
independently. Around half the pilot questionnaires were Target Group into the final segments (details of clustering
received in time to improve the final questionnaire; 67 were analysis are in the separate Technical Report).
returned in total.
The Target Group is a “middle” group including around 45%
Sampling of respondents. It excludes those already regularly active for at
The random selection of 14,000 households was drawn least six months (45% of respondents) and those determinedly
from the electoral roll. Those of Màori descent identified inactive (only active zero or one days and not even thinking
in the electoral roll and addresses of those aged under 25 about becoming regularly active; 9% of respondents).
years were oversampled to try to counter the typically lower The analysis process is summarised overleaf.
response from these groups.
Extra analysis to help identify main influences on behaviour
Mailout (29 May – 31 July 2003) was completed (using “path modelling”). In particular, this
The mailout process involved a number of contacts with the was done to check the relevance to New Zealand of two
selected households: possibilities suggested by the American Cancer Society
research (Porter Novelli, 2002): that “intrinsic” types of
• A prenotification letter was sent out prior to the main motivation might be more important than “extrinsic” types;
questionnaire to inform the household of the pending and that improvements in physical activity behaviour may
survey tend to come at the expense of improvements with respect to
• The questionnaire was then sent with a token incentive diet (or vice versa).
(pen) and a freepost envelope to send the completed Margins of Error
questionnaire back
The margin of error is around 2.3% for results about the
• Approximately a week later, a ‘thank you’ postcard was full Target Group, and 5% to 7% for the six segments (of
sent to all households to thank those who had completed different sizes) into which it is split. Details are in Appendix II.
the survey and to remind those who had not yet completed
and returned their questionnaire
• A replacement questionnaire was sent three weeks later for
those who had not returned the questionnaire
• Three weeks later again, a final replacement questionnaire
was couriered to households that had not yet returned
a questionnaire.
5
Prioritising Segments
The Process of Elimination POTENTIAL SEGMENTS
This leaves three segments: Others Oriented, Busy & Stressed
The process of selecting the two priority segments
and Support Seekers, which have the highest proportions of
(from the six segments generated) involved the wider
obesity (27%, 26% and 27% respectively).
project team, including input from an independent
advertising consultant and an applied psychologist. Others Oriented is the first obvious segment to target. They
are motivated extrinsically, more discouraged by others and
SEGMENTS INITIALLY SCREENED OUT have a lot of barriers, particularly environmental barriers.
Other Priorities is not an early priority Target Group because Of particular interest, this segment also has the highest
their motivations and (non) beliefs in the benefits of physical proportion of Pacific and Asian ethnicities.
activity indicate that they would be very difficult to change.
The key distinguishing characteristic of Support Seekers is
Another group, OK For Now is also not a priority, because that they say they do not get enough encouragement (99%).
they perceive that they are reasonably healthy and they Support Seekers are also more likely to have health problems
appear to be so (e.g. less overweight, fewer smokers, fewer and are less physically active.
health problems reported). So they are a lower priority in
The possibility of combining Others Oriented and Support
terms of health risks. They have very few barriers but see few
Seekers was briefly discussed, as these two segments are
benefits in physical activity. Thus, this group might also be a
similar on many of the other attributes. However, on closer
difficult group to change.
investigation, these two segments differ enough to warrant/
Almost There is the group most similar to the Active Group. require quite different campaigns. Thus, Support Seekers are
That is, they believe in all the benefits, they are motivated, have the second segment to profile and target.
high self-efficacy, have few barriers, and are doing some physical
Detailed reports have been completed for these two priority
activity but not the recommended 30 minutes a day, five days a
segments and the Executive Summaries are also included in
week. This group, although ripe for the picking, is almost there.
this Overview Report.
It is considered that a specialist campaign is not a priority.
Although Busy & Stressed rate perceived lack of time (due
to family and due to work) highest and appear the most
stressed, they have a lower immediate priority and will be a
target in a following year.
10 Obstacles to Action
Demographic Differences
The Others Oriented segment contains a higher FIG.1 ETHNICITY
proportion of Asian and Pacific peoples than all
other segments (Fig.1). Hence both the activities and
communication methods of any initiatives directed at
this segment need to be culturally appropriate to these
ethnic groups.
2
Where 1 = Doesn’t influence me at all and 7 = Influences me a lot
11
Sensitivity to Others
A defining issue for this segment is that nearly all FIG.4 WHEN I AM PHYSICALLY ACTIVE,
IT IS BECAUSE
(97%) report some influence of discouragement from
others (Fig.2).
However, Others Oriented are not much more likely to report
a lack of encouragement. In a separate question about overall
encouragement 3, 42% of Others Oriented rated the overall
amount of encouragement they get as about right (compared
with 39% of the Target Group) (Fig.3).
Significantly more people in Others Oriented (13%) rate
the overall amount of encouragement they get as more
than about right than in the Target Group overall (7%).
This suggests that, rather than simply receiving more
discouragement and less encouragement, this segment
is more sensitive to support from others (whether A third set of questions on ‘extrinsic’ motivations (e.g.
discouragement or encouragement). wanting to be approved of by others) confirms Others
Oriented’s greater sensitivity to others relative to the Target
FIG.2 INFLUENCE OF DISCOURAGEMENT Group overall, as the above chart shows (Fig.4).
FROM OTHERS
Perceived Barriers
Others Oriented have many perceived barriers to
physical activity. (These were rated on a 7-point scale
where 1 means doesn’t influence me at all and 7 means
influences me a lot.) The perceived barriers can be loosely
combined into three groups: commitment barriers,
community barriers and physical barriers. Figure 5
overleaf shows that Others Oriented rate many of these
barriers more highly (as an influence keeping them from
being physically active) than any other segment.
Three in ten Others Oriented find physical activity
FIG.3 AMOUNT OF ENCOURAGEMENT OVERALL uncomfortable. Arthritis and other health problems are more
commonly a clear barrier (34%) for this segment. Also, almost
three in ten do not like to feel out of breath, don’t like other
people seeing them active, and think physical activity takes
too much effort. These are especially issues for the obese in
this segment. Few will choose to walk 1.5km (in favourable
conditions) quite often or almost always (31% compared with
62% of the Active Group).
3
Two separate questions were included in the questionnaire – Discouragement: The following is a list of possible things that keep some
people from being physically active. For each one, please indicate how much each influences your own activity level. (1=Doesn’t influence me
at all, 7=Influences me a lot.) Encouragement: Overall, would you say the amount of encouragement you get is... (1=Not enough, 4=About
right, 7=Too much.)
12 Obstacles to Action
Others Oriented appear to have more limited options for Perceived Benefits and Motivations
increasing physical activity, because they are:
Others Oriented believe in the importance of health
• lacking others to exercise with,and have a heightened benefits and other benefits of physical activity, and also
sensitivity to others (which is apparent by the influence of that many of these benefits are likely to result from
discouragement from others) physical activity. These rating levels are similar to the
• lacking knowledge – half rate “I don’t know how to be Target Group overall and even to the Active Group.
physically active” as an influence (rating 3 or more on a Their level of intrinsic motivation (e.g. enjoying physical
7-point scale) compared with only one in five for the Target activity) is also similar to that for the Target Group overall.
Group overall
Tangible rewards/interventions: Others Oriented report that
• likely to believe their environment is threatening. They are they would be more physically active for tangible rewards.
more likely to identify things in their neighbourhood that In particular, the following tangible rewards are most
put them off being physically active. Specifically, around attractive to Others Oriented and received the highest
a third say that they are put off being physically active by ratings of all segments:
dog nuisance, traffic that is too heavy, and not enough
street lighting • If they could get a free or low-cost gym membership, three
in five claim they are likely to be more active
• financially constrained
• Between a quarter and a third claim they are likely to be
• consider facilities are hard to get to. This could be because of more active if:
lack of awareness (e.g. language barriers) or access problems.
−they thought it would get their children more active
−they could get a free pamphlet on how to be
physically active
−they could call a toll free number to get advice from
an expert
−they could get someone to watch their children.
13
Confidence/Self-efficacy Nutrition
Only one in six Others Oriented are highly confident Fruit consumption for Others Oriented is similar to the
(rating 9 or 10 on a 10-point scale) that they can become levels noted among the Target Group overall. However,
physically active five days per week for at least 30 minutes those in the Others Oriented segment have the lowest
a day (in the next month). However, 55% are at least consumption of vegetables, with 13% eating none or
moderately confident (ratings of 6–10 on a 10-point scale) one serving a day. Only 43% eat the recommended
that they can achieve this target. three or more servings of vegetables daily (cf. 61% of
the Target Group).
Further there is a subgroup of two in five Others Oriented
who are moderately confident they can achieve the target Others Oriented have the highest percentage ratings
level 4 of physical activity and also report that they enjoy on almost all the perceived barriers to eating fruit and
physical activity. vegetables. They are easily discouraged and are put off by
problems related to availability, cost, and convenience.
Health
Summary Diagram
Fewer Others Oriented than other groups rate their own
health as excellent or very good (26% compared with 40% The diagram overleaf (Fig.6) summarises particularly
of the Target Group overall). Overall, those in the Others distinctive features of the Others Oriented segment,
Oriented segment are the least likely to have visited a doctor together with a few important related characteristics.
or nurse in the last 12 months. This may be more a reflection
At the centre of the diagram (labelled as the Core Value)
of lower socio-economic status than good health.
is Sensitivity to Others. This is the common link between
Others Oriented contains a relatively high proportion of several of the highly distinctive characteristics of this segment
people who are obese (27%) or overweight (24%). in the Feelings and Beliefs layer such as: are influenced by
discouragement from others, want approval from others,
Health Information perceive pressure from others, and want others to see that
they can do physical activity.
As a source of health information, over three quarters
of Others Oriented trust their doctor, and around half The Feelings and Beliefs layer also highlights some of the large
trust their doctor’s nurse, dietitian, their local hospital number of perceived barriers that affect this segment more than
and well established health organisations (such as the others in the Target Group. In particular, more Others Oriented
Heart Foundation, 64%; Cancer Society, 52%; Diabetes admit to not knowing how to be physically active.
New Zealand, 51%). The observable Physical layer also highlights some interesting
In general, women are more trusting of these well-established characteristics of Others Oriented, such as the fact that many
health organisations than men. Trust was lower in SPARC are obese or overweight, and that one in three are Asian or
(37%) or Regional Sports Trusts (28%). Pacific peoples.
4
Target level is five days physical activity per week for at least 30 minutes a day.
14 Obstacles to Action
Fortunately, this segment also accepts that several other Mental Health
benefits are likely to result from regular physical activity.
These include feeling good about themselves (91%), having A further highly distinctive feature of this group is that
more energy (89%), and losing or maintaining weight (83%). fully 22% self-report depression or mood disorder and
In addition, at least four in five from this segment rate each of 11% report anxiety disorder. These rates are around
these perceived benefits as important to them. twice as high as for others in the Target Group overall
(Fig.9). Given the evidence about the value of physical
Given that intrinsic motivations such as having fun are activity in reducing depression and anxiety, it seems
probably an important driver of maintaining physical activity particularly important to help these people increase the
levels, it is good to know that two thirds rate themselves as activity level. In addition, for some, the improvements
likely to have fun as a result of regular physical activity, and in mood may be the type of success experiences that
nine in ten rate this benefit as important to them. will help build the confidence/self-efficacy required to
maintain regular physical activity.
Low Confidence/Self-efficacy
Also note that Support Seekers have relatively poor physical
Support Seekers are distinctly low in the confidence/ health (34% rate their health in general as Fair or Poor
self-efficacy to start regular physical activity in the compared with 18% in the Target Group overall).
next month (an average confidence rating of 5.0 out
of 10, compared with 6.1 for the Target Group overall Demographics
and 8.6 for the Active Group). Only one in eight are Support Seekers have some demographic differences
highly confident they can reach target levels of activity compared with the Target Group. The most distinctive
(ratings of 9 or 10). The results suggest the following demographic characteristics are:
might be useful to increase their confidence, by giving
them success experiences or perhaps by introducing • 65% women (cf. 59% in the Target Group overall)
them to practical skills and strategies for working • 63% aged 25–49 (cf. 54% in Target Group)
regular physical activity into their life:
• 16% Màori (cf. 12% in Target Group)
• Introduce them to ways that provide the social support and
encouragement they want. (Three in five rate themselves • 53% working full-time (cf. 48% in Target Group)
as likely to be more physically active if they had someone • 44% with a child under 18 years old living in their home
to go with or if someone agreed to sponsor them/check on (cf. 37% in Target Group)
their progress; both these results are around 20 percentage
• 53% in large cities (cf. 46% in Target Group)
points higher than for the Target Group overall.) Around
30% say they will use walking groups if they are available.
• skills for helping them keep to a routine (this is a major FIG.9 KEY FEATURES
commitment barrier for them) or to find time (two thirds
rate themselves as likely to be more physically active if
they had an extra hour free time). This indicates the need
to help them build new achievable routines which include
physical activity or to adapt existing routines (e.g. replacing
some regular short car trips by walking).
• encouraging appropriate activity types for the obese (27%
of Support Seekers are obese) or those with minor health
problems (28% report hayfever/seasonal allergies, 19% high
blood pressure, and 17% high cholesterol). This segment
shows relatively high interest in health information with over
60% indicating interest in health information on weight
control, physical activity/exercise, and nutrition/food choices.
17
Summary Diagram
The following summary diagram (Fig.10) highlights
particularly distinctive features of Support Seekers,
together with a few important related characteristics.
At the centre of the diagram is the Core Need: Support for
coping strategies. Support is central because insufficient
encouragement from others was reported by 99% of the
segment. We suggest that more support from others should be
particularly directed towards helping with coping strategies:
• “Coping” because these people are already under pressure
as shown by their more common reports of feeling stressed,
lacking time and energy, and the lack of time for physical
activity because of work (not to mention less common, but
comparatively higher, reports of depression and anxiety).
• “Strategies” because improvement for many in this group is
likely to relate more to mental skills/strategies such as time
management, prioritising, and careful goal-setting, rather
than physical skills.
The second layer of the diagram, Feelings and Beliefs, is
relatively crowded, reflecting the dominance of psychological
factors in the segmentation. Fewer major characteristics of
the segment are directly observable in the Physical layer.
ISO 9001
In terms of this project, all processes involved are covered by
our ISO 9001 procedures.
Code of Ethics
All research conducted by ACNielsen conforms with the Code
of Professional Behaviour of the Market Research Society of
New Zealand.
19
Estimate in report
50% 6.9% 6.0% 2.3%
40% or 60% 6.8% 5.9% 2.2%
30% or 70% 6.4% 5.5% 2.1%
20% or 80% 5.6% 4.8% 1.8%
10% or 90% 4.2% 3.6% 1.4%
5% or 95% 3.0% 2.6% 1.0%