Health campaigns have a direct address problem. The more sensitive the topic, the more defences go up — cultural, psychological, conversational. Mention breast cancer in a broadcast ad, and a portion of the audience tunes out. Put the instruction inside a bread recipe, a gaming controller, a bathhouse glove, or a bar of soap, and the same audience receives it without resistance. The object is already in their hands. The behaviour is already happening. The campaign doesn't need to fight for attention because it's inside something the audience never ignores.
Here are five creative tactics from the Change Behaviour Engine that leverage a tangible proxy: an object, context, or cultural norm to get the unsayable said.
- Borrow the Gesture
- Hijack the Ritual
- Recruit the Object
- Use the Moment of Maximum Relevance
- Repurpose the Device
1. Borrow the Gesture
Find a movement the audience already makes — and map the health behaviour onto it.
Bread Check — Spinneys Flour, Lebanon, 2021

In Lebanon, discussing women's bodies is culturally restricted — linguistic taboos make direct health communication about breast self-examination almost impossible. Spinneys Flour found the answer in the kitchen. A breadmaking tutorial published on YouTube demonstrated a traditional recipe while the kneading motions taught, exactly and wordlessly, the correct hand movements for a breast self-exam. The campaign was publicly praised by the Lebanese president and widely shared — not as a health campaign, but as a recipe.
Joystick Test (Liga Contra el Cáncer, DDB Colombia) mapped common gaming controller movements to breast and testicular self-examination techniques. Top streamers demonstrated both simultaneously on Twitch, YouTube, and TikTok, reaching young audiences who would never have engaged with conventional cancer awareness content. The audience's hands already knew the movements — they just needed to know where else those movements mattered.