Direct-to-Consumer Pharmaceutical Advertising

Robinson, Andrew; Hohmann, Kirsten B.; Rifkin, Julie I.; Topp, Daniel; Gilroy, Christine; Pickard, Jeffrey; Anderson, Robert J.

doi:10.1001/archinte.164.4.427

Cited by 116 publications

(42 citation statements)

References 9 publications

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“…It is possible that efforts to raise awareness for MDD (Paykel et al, 1998) have been effective and have educated the population about the distress and suffering caused by MDD across the spectrum of distress. While it appears that under-recognition of MDD symptoms was not a problem in the current study, the consistent overrating across severity levels may be related to other complications, such as unnecessary prescriptions of psychotropic medications (Bell, et al, 1999; Robinson et al, 2004). …”

Section: Discussionmentioning

confidence: 64%

Mental health literacy for anxiety disorders: how perceptions of symptom severity might relate to recognition of psychological distress

Paulus

Wadsworth

Hayes‐Skelton

2015

Journal of Public Mental Health

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Purpose Improving mental health literacy is an important consideration when promoting expedient and effective treatment seeking for psychological disorders. Low recognition serves as a barrier to treatment (Coles and Coleman, 2010), and this article examines recognition by lay individuals of severity for three psychological disorders: social anxiety, generalized anxiety, and major depression using a dimensional approach. Design Vignettes of mild/subclinical, moderate, and severe cases of each disorder were rated for severity by a team of expert assessors and 270 participants (mean age = 26.8; 76.7% women). Findings Difference ratings were calculated comparing participants’ responses to scores from the assessors. A within-groups factorial ANOVA with LSD follow-up was performed to examine the effects of Diagnosis and Severity on difference ratings. Both main effects [Diagnosis, F(2, 536)=35.26, Mse=1.24; Severity, F(2, 536)=9.44, Mse=1.93] and the interaction were significant [F(4, 1072)=13.70, Mse=1.13] all p’s < 0.001. Social anxiety cases were underrated in the mild/subclinical and moderate cases, generalized anxiety cases were underrated at all three severities, and major depression cases were overrated at all three severities. Social implications Judgments of severity may underlie the low recognition rates for social anxiety disorder and generalized anxiety disorder. Future efforts should focus on improved recognition and education regarding anxiety disorders in the population, particularly before they become severe. Value This project demonstrates the importance of considering judgments of symptom severity on a continuum, and in a range of cases, rather than just the ability to correctly label symptoms, when determining whether or not people recognize psychological disorders.

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Section: Discussionmentioning

confidence: 64%

Mental health literacy for anxiety disorders: how perceptions of symptom severity might relate to recognition of psychological distress

Paulus

Wadsworth

Hayes‐Skelton

2015

Journal of Public Mental Health

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“…Parents may spend more time being exposed to advertisements for consumer products than they do discussing their children's asthma care with their provider. 5 As a result, parents may need guidance in placing such marketing information in proper clinical context.…”

Section: Discussionmentioning

confidence: 99%

Parental management of asthma triggers within a child's environment

Cabana

Slish

Lewis

et al. 2004

Journal of Allergy and Clinical Immunology

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“…Previous research on DTCA of hospital services has shown that most physicians believe DTCA motivates patients to seek specific treatments and also changes their expectations of their doctors (Robinson, Hohmann et al 2004). However, the same research also demonstrates that few patients believe DTCA motivates them to seek a specific type of care or changes their expectations vis-a-vis their doctors.…”

Section: Introductionmentioning

confidence: 99%

Direct to consumer advertising of robotic heart bypass surgery

Kiani

Kurian

Henkin

et al. 2016

IJPHM

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Purpose Robotic coronary artery bypass (rCABG) is a relatively novel and less invasive form of surgery. A yearlong direct-to-consumer advertising (DTCA) campaign was initiated to provide the community with information regarding rCABG, increase awareness and recruit patients. To optimize information content and ensure appropriate messaging for future campaigns, this study aims to analyze the campaign effectiveness and compared service quality perceptions and clinical outcomes, following surgery across DTCA-responder and control groups. Design/methodology/approach The institution initiated an rCABG program and one-year DTCA campaign. The authors prospectively documented all rCABG referrals prompted by these ads (DTCA-responder group) and concurrent referrals from medical providers (controls). Groups were compared according to baseline characteristics, perioperative outcomes, patient satisfaction (HCAHPS survey) and functional capacity at three weeks (Duke Activity Status Index). At six months, both groups were surveyed for patient satisfaction and unmet expectations. Findings There were 103 DTCA responders and 77 controls. The subset of responders that underwent rCABG (n = 54) had similar characteristics to controls, except they were younger, less likely to have lung disease or to be scheduled as an urgent case. Both groups had similar 30-day clinical outcomes, functional capacity recovery and overall satisfaction at three weeks. Follow-up interviews at six months and four years revealed that the DTCA group reported more unmet expectations regarding the “size of the skin incisions” and “recovery time” but no concern about “expertise of their surgeon”. Practical implications The DTCA campaign was effective at recruiting patients. The specific focus of the ads and narrow timeframe for decision-making about CABG lends confidence that the incremental cases seen during the campaign were prompted primarily by DTCA. However, differences in unmet expectations underscore the need to better understand the impact of message content on patients recruited via DTCA campaigns. Originality/value This is one of the first studies to provide real-world direct empirical evidence of patients’ clinical and attitudinal outcomes for DTCA campaigns. Furthermore, the findings contradict prevailing beliefs that DTCA is ineffective for prompting surgical referrals.

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Direct-to-Consumer Pharmaceutical Advertising

Cited by 116 publications

References 9 publications

Mental health literacy for anxiety disorders: how perceptions of symptom severity might relate to recognition of psychological distress

Mental health literacy for anxiety disorders: how perceptions of symptom severity might relate to recognition of psychological distress

Parental management of asthma triggers within a child's environment

Direct to consumer advertising of robotic heart bypass surgery

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