PMID- 27432914 OWN - NLM STAT- MEDLINE DCOM- 20180330 LR - 20180621 IS - 1468-3318 (Electronic) IS - 0964-4563 (Linking) VI - 26 IP - 4 DP - 2017 Jul TI - Raw and real: an innovative communication approach to smokeless tobacco control messaging in low and middle-income countries. PG - 476-481 LID - 10.1136/tobaccocontrol-2016-052968 [doi] AB - The evidence on the efficacy of tobacco control messages in low and middle-income country (LMIC) settings is limited but growing. Low message salience and disengagement, in the face of tobacco control messages, are possible barriers to self-efficacy and cessation-related behaviours of tobacco users. Although adaptations of existing pretested graphic and emotional appeals have been found to impact on behaviours, more personalised, culturally relevant and compelling appeals may more fully engage message receivers to elicit optimal behavioural responses. The objective of these case studies is to use lessons learnt from high-income country tobacco control communication programmes, and adapt practical approaches to provide cost-effective, culturally nuanced, graphic and personalised messages from tobacco victims to achieve the optimal behavioural impact for population-level communication campaigns in the resource-constrained settings of LMICs. The 'raw and real' messaging approach, which emanated from message pretesting in India, outlines creative and production processes for the production of tobacco victim testimonials, given the need to source patients, facing life-threatening conditions. This cost-efficient approach uses real tobacco victims, doctors and family members in a cinema verite style approach to achieve more personalised and culturally resonant messages. The methodological approach, used for the development of a number of patient testimonial messages initially in India, and later adapted for tobacco cessation, smoke-free and graphic health warning communication campaigns in other countries, is outlined. Findings from campaigns evaluated to date are encouraging as a result of the simple fact that true stories of local people's suffering are simply too difficult to ignore. CI - Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/. FAU - Turk, Tahir AU - Turk T AD - Vital Strategies, New York, New York, USA. FAU - Chaturvedi, Pankaj AU - Chaturvedi P AD - Tata Memorial Hospital, Head and Neck Cancer Ward, Mumbai, Maharashtra, India. FAU - Murukutla, Nandita AU - Murukutla N AD - Vital Strategies, New York, New York, USA. FAU - Mallik, Vaishakhi AU - Mallik V AD - Vital Strategies, New York, New York, USA. FAU - Sinha, Praveen AU - Sinha P AD - National Tobacco Control Programme, Ministry of Health and Family Welfare, Delhi, India. FAU - Mullin, Sandra AU - Mullin S AD - Vital Strategies, New York, New York, USA. LA - eng PT - Journal Article DEP - 20160718 PL - England TA - Tob Control JT - Tobacco control JID - 9209612 SB - IM MH - *Communication MH - *Developing Countries MH - *Health Promotion MH - Humans MH - Smoking Cessation/*psychology MH - Smoking Prevention/*methods MH - *Tobacco, Smokeless OTO - NOTNLM OT - Advertising and Promotion OT - Advocacy OT - Low/Middle income country OT - Media OT - Social marketing EDAT- 2016/07/20 06:00 MHDA- 2018/03/31 06:00 CRDT- 2016/07/20 06:00 PHST- 2016/02/10 00:00 [received] PHST- 2016/05/09 00:00 [revised] PHST- 2016/05/31 00:00 [accepted] PHST- 2016/07/20 06:00 [pubmed] PHST- 2018/03/31 06:00 [medline] PHST- 2016/07/20 06:00 [entrez] AID - tobaccocontrol-2016-052968 [pii] AID - 10.1136/tobaccocontrol-2016-052968 [doi] PST - ppublish SO - Tob Control. 2017 Jul;26(4):476-481. doi: 10.1136/tobaccocontrol-2016-052968. Epub 2016 Jul 18.