Book Review: The Tipping Point

Yesterday I finished reading Malcolm Gladwell’s The Tipping Point: How Little Things Can Make a Big Difference.

I enthusiastically recommend this interesting look at how epidemics reach epidemic proportions, and how it sometimes just takes a little nudge at the right point to immensely change the results. The book is full of real-life case studies that illustrate what Gladwell calls the three rules of epidemics: the Law of the Few, the Stickiness Factor and the Power of Context.

The Tipping Point

The Law of the Few: Certain kinds of people — Connectors, Mavens and Salesmen — play an immensely disproportionate role in spreading a social “virus.” Mavens identify what’s hot or cool, and are the ones who are “in the know.” As Gladwell puts it, they’re not just the kind of people read Consumer Reports; they’re the ones who write to Consumer Reports to correct what they see as errors in product evaluation. Connectors just know more people than the rest of us, often several times more than average, and so when they adopt an idea they will communicate it much more rapidly than others. Salesmen “persuade us when we are unconvinced of what we are hearing, and they are as critical to the tipping of word-of-mouth epidemics as the other two groups.”

The Stickiness Factor: Is the message memorable? Does it engage people? The classic example is the Gold Box in Columbia Record Club’s print advertising, which enabled new members to get any record of their choice free. This simple addition to the membership form in Parade and TV Guide increased sales by four times as much as a simultaneous test that used traditional prime time “awareness” advertising. The Gold Box team won in a rout, even though they spent a quarter of the amount on broadcast ad time as the team using traditional methods.

The Power of Context: The classic example of this is the precipitous decline in crime rates in New York City, which was far more rapid than could be attributed to demographics, crime rates or any other trends that would have pointed to a gradual decline. The key that “tipped” the positive epidemic, and ended the negative one, was zero-tolerance of fare beating or graffiti in the subway system.

The Tipping Point is, in essence, an epidemic that has already tipped; it’s been a #1 national bestseller. I know I’m not an early adopter, but if this post helps to play a Salesman role for you, encouraging you to check it out, I will consider it “mission accomplished.” You also may want to check out and subscribe to his blog.

The book gives a thought-provoking framework for people interested in starting word-of-mouth epidemics or attacking harmful epidemics. It’s interesting, though, that Gladwell doesn’t seem to think the context creation approach used in making subways safe is applicable to drug abuse or teen smoking. For instance, he notes a Baltimore needle exchange program for heroin addicts and apparently doesn’t see that as creating a more permissive/lawless environment similar to the fare-beating or graffiti. Likewise, smoking bans in restaurants and bars create contexts in which smoking is not socially acceptable, and the research on that seems to indicate it significantly reduces smoking. But maybe Gladwell sees drug addictions as just too “sticky” for context to matter as much.

For more on this book, you can check out Gladwell’s overview. I know that because of The Tipping Point, I’m going to be checking out his other book, Blink.

Blink

Blog Marketing Tips

Sean Johnson has an interesting post on how to get a successful blog up and running in six weeks. I don’t know whether the six-week timeframe is realistic; Technorati’s most recent state-of-the-blogosphere report outlined some differences between what it classifies as blogs with low, middle and high authority:

The Low Authority Group (3-9 blogs linking in the last 6 months)

The average blog age (the number of days that the blog has been in existence) is about 228 days, which shows a real commitment to blogging. However, bloggers of this type average only 12 posts per month, meaning that their posting habits are generally dedicated but infrequent.

The Middle Authority Group (10-99 blogs linking in the last 6 months)

This contrasts somewhat with the second group, which enjoys an average age not much older than the first at 260 days and which posts 50% more frequently than the first. There is a clear correlation between posting volume and Technorati authority ranking.

The High Authority Group (100-499 blogs linking in the last 6 months)

The third group represents a decided shift in blog age while not blogging much more frequently than the last. In keeping with the theme of the maturation of the blogosphere, it seems evident that many of these bloggers were previously in category two and have grown in authority organically over time. In other words, sheer dedication pays off over time.

Beyond that is the elite group with the highest authority. Interestingly 42 days, or six weeks, doesn’t seem to be a long enough time to even get to the “middle authority” group. I agree you can get a good start at six weeks, but as the Technorati report says, sheer dedication over time is what makes the difference between the middle and high authority blogs.

I’m not sure what Sean would define as “successful” but he does have a good list of potential blogging benefits. I guess you could be successful in achieving some of those goals without reaching a higher authority level, and within a relatively short time, but I see the six-week figure as helpful mainly because it’s long enough to create a blogging habit which, if continued, can lead to longer-term success. Steve Rubel’s list of tips says much the same; keep at it and bank on the Long Tail to get results over time.

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Dr. Brent Bauer on Complementary Medicine

Brent Bauer, M.D. is Director of the Complementary and Integrative Medicine progam at Mayo Clinic, and is an expert at sorting out what has been scientifically established about various herbal supplements, vitamins and other complementary medicine alternatives.

Dr. Bauer is the medical editor for a new Mayo Clinic book on this topic, which will be coming out soon. Below is a sample news story we did for our content task force earlier this year, to show what kind of stories we might be able to produce on a quick turnaround with a miniDV camera. Dr. Bauer is an excellent resource for news stories about complementary medicine, and the book will be a good resource for consumers who want to know which supplements have scientifically proven benefits, and which ones may have interactions with medications.

[youtube=http://www.youtube.com/watch?v=UmDvp_-3zJo]

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Melting Icebergs in the Northland

Pioneer Press

More evidence of continued economic difficulty for traditional media due to declining circulation and resulting loss of ad sales. This morning’s Minneapolis Star Tribune, reporting (registration required) on crosstown rival Pioneer Press, says the St. Paul paper has had a land rush for the buyouts offered to senior newsroom staffers.

Twenty-one senior members of the St. Paul Pioneer Press newsroom have been offered buyouts as part of the company’s decision to downsize in the wake of slumping ad sales, editor Thom Fladung said Thursday.
The number was higher than the 10 originally called for in the paper’s cost-cutting moves, because more staffers sought the buyouts, Fladung said.

“When you have a lot of veteran journalists come forward and they sincerely want [a buyout], then it’s incumbent on me to try really hard to give them that. I felt I owed them,” he said.

The 21 employees could rescind their buyout requests, but most are expected to be gone by today.

The Pioneer Press says the cutbacks amount to 30 in total, including the 21 newsroom staff. The newsroom will be reduced by 10 percent.

The people taking buyouts “have been peers, coaches and friends to us,” he said in an e-mail to the newsroom. Today is the last day at the paper for the people taking buyouts. The package amounts to two weeks worth of pay for every year of service at the paper, up to 52 weeks.

Early next week Fladung said he’ll pass on more information about how the buyouts will affect the workers who remain. The changes will put a higher premium on communication in the newsroom and identifying the best stories, he said.

“This was so fast,” said Don Effenberger, 57, an editor at the paper with 28 years of experience. Employees had about three weeks to decide whether to take the buyout. Effenberger says he’s not retiring, though, and will look for another job.

In his short book/fable, Our Iceberg is Melting, which I reviewed here, John Kotter says complacency is the number one barrier to businesses making necessary changes in a rapidly changing environment. That point, and Kotter’s other 8 steps to successful transformation, are examined in more detail in his Leading Change, written in 1996. I picked up a used copy on Amazon and am reading it now. It is helpful background to his more recent book about the nomadic penguins, and I recommend it as well.

It seems the Pioneer Press (and senior newsroom staffers) are well beyond complacency. And earlier this week, Ford announced that 38,000 hourly employees had accepted buyouts, and in October NBC announced 700 job cuts. It seems a sense of urgency to find new ways of providing value to consumers, combined with reasonable means of getting paid for it, would behoove us all. As I’ve said before, whatever you think of the climatological phenomenon of global warning, from an economic perspective it’s here already. Icebergs are melting everywhere.

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See-Through Corporations

Chris Anderson is starting a writing project in Wired on the new trend in business away from the traditional mode of secrecy and limited disclosure, and toward what he calls “Radical Transparency.”

The default communications mode of companies has traditionally been top-down, with only executives and official spokespeople permitted to discuss company business in public. The standard rule, explicit or not, was “That which we choose not to announce is not to be spoken about.” Aside from some special exemptions, such as conferences where those employees trusted enough to go chatted guardedly with outsiders, employees were cautioned that what happened at work should stay at work. Loose lips sink ships, etc.

As Edelman has reported, “a person like me” is now the most trusted source of information, surpassing even doctors and academic experts. And thanks to the web it is now easier than ever to pick the brains of “people like me.”

I think this is one of those “it depends” situations, though. I agree that people generally trust the opinion of a rank-and-file employee more than a corporate spokesperson, but the credibility of a physician is still extremely high, especially a specialist speaking to an issue in which he or she has expertise.

In my work in media relations, we guard the credibility of both Mayo Clinic and our physicians by not putting them in a position to comment on something that isn’t in their area of special training. We also produce syndicated news content, which is reviewed not only by the subject expert being featured but also by a medical editor, so consumers aren’t just getting one person’s opinion, but a team consensus.

And, of course, we have federal patient privacy laws (which essentially codified what was our practice) that also limit what can be disclosed. Our policy always has been to protect patient privacy unless they choose to make their stories public. The real change now is the advent of blogging by patients and family members, with people telling the story of their health care experience directly to the world.

Word-of-mouth always has been an important way for people to learn about Mayo Clinic, either from patients or from physicians whose patients have come here. Patient blogs are, to borrow a phrase I found 659 times in a quick Google search:

Google search

“Word of Mouth on Steroids.”

And sites like CarePages and CaringBridge are specifically designed to make it easier for patients and their families to more efficiently stay in touch with concerned family and friends.

This is a trend that will only accelerate. Conversations that were formerly one-to-one will be taking place in a much more public arena, at least for some patients (or for businesses, customers) who choose to tell their stories. That makes it even more crucial for businesses and health care providers to at least be listening to what’s being said in blogs, and joining the conversation when appropriate.

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