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258                           The Handbook of Persuasion and Social Marketing

            more a person is exposed to an issue, the more important that person will
            think the issue is. While the media may not tell us specifically what to think
            about an issue, they do tell us what to think about in general; this is the
            power of first-level agenda setting. The media’s role in first-level agenda
            setting is supported by numerous case studies (Wallack et al., 1993;
            Wallack & Dorfman, 1996). In addition, there are numerous studies in the
            agenda-setting literature, using a variety of methods (Carroll & McCombs,
            2006; McCombs et al., 1997), that find correlations between the level of
            media and public attention. The “truth” campaign is a clear example of the
            power of message determination on public awareness (Farrelly et al., 2002).
              In addition to reporting the link between communications to the public
            (either from the media or coalitions), the public health literature is replete
            with best practices. Paralleling the recommendations for how to attract
            media attention are recommendations for how to capture the public’s at-
            tention. Some of the recommended actions for gaining exposure are to
            conduct an advertising campaign, provide speakers for events, host public
            and private events, and hand out leaflets. A lengthy discussion of specific
            strategies and tactics for effective message dissemination can be found in
            Siegel and Lotenberg (2007); not surprisingly, their discussion includes
            many of the basic communication precepts that can be found in the mar-
            keting literature.
              Of course, exposure to media is not enough. For communication to be
            effective, people must pay attention. The public health literature contains
            extensive sets of recommendations regarding how a communication
            should be designed to achieve this end (Siegel & Lotenberg, 2007; Wallack
            et al., 1993; Wallack & Dorfman, 1996). The suggestions overlay the “me-
            dia  hooks”  noted  above  and  also  draw  on  the  conventional  marketing
            communications literature.


              Communicating to Legislators by Media

              Within the public health literature, there is a strong belief (supported
            by case studies) that if legislators know that the public is interested in an
            issue, they are more likely to take action. Of course, in these studies, the
            public’s interest is accompanied by beliefs that support action. The media
            and stimulated public interest communicate to policymakers that they
            should consider upstream remedies as solutions to piqued public con-
            cerns. In the mass communication literature, the findings are more mixed.
            Tan and Weaver (2007) have argued that based on time series analysis, lit-
            tle evidence exists to support the contention that, taken in isolation, the
            degree of importance the public gives to an issue influences policy (as
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