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2 010 s h e s ay s s u r v e y




               Will she
               say yes to your
               brand?
               in partnership
                        with




                                Conventional wisdom says you should spend
                                two months’ salary on an engagement ring.
                                That pales in comparison with the nearly $5
                                billion healthcare marketers spent last year in
                                direct-to-consumer communications. So were
                                they able to woo consumers? Not always.
                                When it comes to healthcare, what women are
                                looking for to make a long-term commitment
                                is changing dramatically. As a result, the
                                expected ROI can often disappoint rather
                                than dazzle.




                                By Gretchen Goffe-waGner

sponsored by                                                  will she say yes?   white paper   1
How do you market healthcare
brands when 56% of women feel
pharma advertising does more
harm than good?
                                                  boomers, known for their willingness to challenge and change the
                                                  system, are uber-consumers for healthcare: a population aging into
                                                  high healthcare-consumption years who are more confident, self-
                                                  reliant decision makers for themselves and their families. Faced with
                                                  an explosion of conditions, choices, and health communications, they
                                                  are consuming more but challenging more too. enter the Ka-boomer,
                                                  the woman who is blowing up the model of the past, questioning the
                                                  trustworthiness and even the need for direct-to-consumer marketing,
                                                  and relying more on composite decision making than solely on her
                                                  doctor. this white paper explores who the uber-consumer is, how
                                                  she makes healthcare decisions, and what makes a proposal more
                                                  appealing to her. it is based on a quantitative study, conducted
                                                  december 11-22, 2009, of 1,354 women 18 and older, with an average
                                                  age of 53, randomly selected from Meredith’s Better Homes and
                                                  Gardens reader panel.

Respondent Demographic Profile



                                                      56%                $66,480
                                        83%          Employed           Median Household
                                    Any College                              Income
                                     or More


                            53.1                                      78%              32%
                                                   100%
                                                                                   Children Under 18
                          Median Age                                  Married
                                                                                     in Household
                           (in years)
                                                   Female




Published april 2, 2010

sponsored by                                                                                           will she say yes?   white paper   2
Ka-Boomer Women
                                                      up-front and Personal
                                                      For boomer women, health issues have become very personal. half reported they
                                                      are beginning to feel the signs of aging, and the number of health issues they are
                                                      at risk for increases dramatically around menopause.


Opinion of Current Health

                            What, me worry?
                   (I’m healthy and expect to be)                                        18%

                     Forecast: Partly cloudy.
                     (Can feel the signs of aging)                                                                       52%
                The answer is in my genes.
                            (What will be, will be)                    14%

                                     On high alert.
                       (Health issues are lurking)                    13%

                            Playing the lottery
            (Hoping my number wont’ come up)             2%




                                                      consuming More than ever
Satisfaction With Current                             the vast majority of women surveyed have health insurance, with ppo plans
Health Insurance                                      hMo, and Medicare accounting for most of the coverage. 88% of all insured
                                                      women are satisfied with their coverage. according to the CdC, boomers are
                                                      consuming more —41% of women 45 and older are taking 3 or more scripts, up
                                                      from 25% just 10 years ago.
                    very satisfied



                                                        Percentage using at least                             Percentage using at least
                                                        one prescription drug                                 three prescription drugs
               somewhat
                satisfied                                                                                                          1988-1994       2003-2006
                                                                             1988-1994   2003-2006

                                                              18-44 years                                            18-44 years        7.6          14.3
                                                                               40.7       46.6
88%                                                                                                                 45-64 years
Satisfied
                                                              45-64 years       62         71.6                                        24.7         40.6

                                                        65 years and older                                    65 years and older       38.2         64.8
                                                                               78.3       90.3


                                                                                            source: the cDc/nchs national health and nutrition examination survey.




sponsored by                                                                                                                   will she say yes?               white paper   3
Good Information Is hard to find
                                     Finding useful health information to answer their questions is a challenge for
                                     Ka-boomers who are more closely scrutinizing their decisions. a whopping 67%
                                     believe the media focuses too much on the negative aspects of healthcare; half
                                     feel there is too much illness-specific information and not enough wellness/
                                     preventive medicine. half of women can't tell if the info they find is reputable, and
                                     respondents are equally likely to feel there is too much information available (41%)
                                     or not as much depth to the information they find (37%).

Agree* With Statements About
Health Information—General
                                                          "I think the media focuses too much on the
                                               67%         negative aspects of healthcare."

                                                          "There's too much information about illness and not enough
                          41%                  53%         information about wellness."
               "There's too much
                health information             51%        "I find it difficult to judge the quality of the health information
                                                           I come across."
                to choose from"

                                               37%        "I cannot find health information in as much depth
                                                           as I would like."

                                               35%        "I lose patience while trying to seek out information about health."


                                               22%        "I’m often at a loss as to where to start looking
                                                           for health information."

                                                                                                                           *Net agree a lot/a little.




                                     It takes the Bionic woman or Judge Judy to Get the 411
                                     Ka-boomer women are determined to get their health questions answered. of 5
                                     personality types, women felt most like the bionic woman (i never stop until i get
                                     all the answers i need) and Judge Judy (i'm a cynic until i get all the facts) when it
                                     comes to getting their health questions answered.
Personality When It Comes
to Getting Health Answers


                                                                                                            I trust tradition and my
                                                                                                            "mom sense"; I'm hesitant
                                       32%                        15%                                       to try something new.
                 28%                The Bionic                    June                      7%              I'm a solo-flying pioneer,
               Judge Judy            Woman                       Cleaver                  Amelia            relying only on myself.
                                                                                          Earhart
                 I'm a cynic        I never stop until
                until I get all   I get all the answers                      18%                            I want to know about the
                                                                                                            latest things, and I'm not
                  the facts.              I need.                           Madonna                         afraid to be the first to try
                                                                                                            something new.




sponsored by                                                                                           will she say yes?                 white paper    4
Less Doctor reliance
                                                         while women still report a great deal of trust in their doctors, half of women feel
                                                         increasingly empowered to rely on themselves rather than on doctors. 83% of
                                                         women reported they also are confident making health decisions for themselves.
                                                         the current economic environment has impacted healthcare treatment as well.
                                                         50% of respondents have altered their medical treatment in the last year either by
                                                         postponing doctor visits (33%) or opting for otC products and home remedies
                                                         (33%). so how are these women making decisions, and where are they turning
                                                         instead?
Changes in Past Year Due
to Economic Conditions
                                          Any (Net)                                                          50%
                 Relied on home remedies or over-
                the-counter drugs instead of going                                          33%
                                    to see a doctor

                     Put off or postponed a regular
                                   medical checkup
                                                                                      26%

                    Put off or postponed a doctor's
                              appointment when ill
                                                                                21%

                  Skipped a recommended medical
                                 test or treatment                          18%

                        Didn't fill a prescription for
                                           a medicine                     16%




                                                     she Is a Media network
                2 in 5
                                                     Very few women want to do it alone, relying only on themselves. in the same
  women can be described                             way that moms create a network of shared parenting information, boomer
    as "health mentors,"                             women are creating a similar and powerful network of healthcare information
 to others about healthcare                          that is challenging the traditional role of the doctor as the initiator and as the
      and medications.                               final say. nearly three-quarters of all women forward health information or
                                                     articles to others; 3 in 10 do so on a monthly or more frequent basis. half share
                                                     through discussions, a third share via e-mail, and 41% provide healthcare and
                                                     medication advice.
Actions Taken Seeing/
Hearing Interesting Health News
                                                                                            at least once
               Ever forward health info/articles         72%              29%               a month

                    Bring it up in conversations
                                     with others
                                                         50%

                    Send/forward an e-mail list          29%
                       E-mail it to all women on                          34%                       e-mail
                                                                                                    (net)
                                  your e-mail list       10%

                         Post it to your Facebook
                                                          4%                      social networking
               (or other social networking) page
                                                                          4%      (net)
                                   Tweet about it         1%



sponsored by                                                                                                   will she say yes?   white paper   5
How She Makes Health Decisions
                                                 composite Decision Making
                                                 how is she filling the gap as doctor and brand authority declines? women
                                                 are composite decision makers who assemble information from multiple and
                                                 varied sources—her doctor, articles, what her friends say, blogs, and web sites
                                                 —for a complete picture before making a long-term commitment to a brand.
                                                 increasingly, these are sources of information where brands have less direct
                                                 control over the dialogue.


                                                 conversation starters
                                                 Most women have asked their doctors about a new prescription—59% often
                                                 discuss new rx—and women report their doctors are receptive. when it comes to
                                                 persuading women to speak with their doctors about a new illness or treatment,
                                                 the internet is increasingly their source. Medical web sites like webMd and online
                                                 articles from well-known, respected periodicals drive doctor discussion for 71%
Influential* Internet                            of women. nearly 60% of women are influenced by online reviews from other
                                                 women/patients.
Sources Driving Doctor
Discussions



  80%                    71%                57%              37%              26%



                  Articles posted online    Online                        Pharmaceutical
Medical           from known and            reviews from    A blog        company
Web sites like    respected magazines       other women     by someone    Web sites/Web sites
WebMD             and newspapers            or patients     they trust    listed in an ad


                                                                                                            *Net very and somewhat influential.



                                                 P.s. I'll think It over
General Reaction to a New                        Ka-boomers are challenging the traditional role of the doctor as the initiator and as
Prescription Medication                          the final say in decisions on health brands and rejecting brand authority. the “point
                                                 of sale,” long considered to start and end with the doctor appointment, is now
                                                 more fluid, extending before and after the appointment. 40% of women continue
                                                 their evaluation before deciding if they will fill a new prescription after leaving the
                     44%                         doctor‘s office, giving a new significance to the post-script conversation. some
                will investigate                 want to check the cost, but for the majority, it means checking out side effects.
               before filling (net)

            32%         10%       2%
          research    look at ask friends
           online       cost   or family




sponsored by                                                                                             will she say yes?          white paper   6
A More Appealing Proposal
                                          women have a high standard for information and claims for prescription brands—
                                          and a high level of cynicism. accordingly, the information she needs and wants in
                                          a proposal is changing in ways that have important implications for marketers on
                                          messages, branded and unbranded approach, and creative.

                                          Give her the Missing Pieces
                                          a critical and often missing piece of information women want before making a
  “… give all the facts                   long-term commitment to a brand is side effects. 80% of women pay attention to
                                          the side effects in tV ads, and 64% read the small print in magazine/newspaper
during the advertising.                   ads if they are interested in the brand. by emphasizing the benefits of brands and
Not just the little speed                 relegating the risks to fair balance, brands have created the belief among many
   version at the end.”                   women that they are more interested in profit. women also want to understand
                                          how the drug works in their body, including videos or visuals. 41% of women
                                          would like to see stories from real patients or women like them.

                                          boniva, ambien, Gardasil, and nuvaring were all seen by 40% or more women
                                          as doing a good job of communicating with them about their health. they were
                                          praised for straightforward, clear, and realistic messaging, as well as explaining
                                          the product benefits and side effects.



 Brand/Company Does a Good Job of
 Communicating With Women About Health

                                Boniva                                                            68%

                          Ambien CR                                                      54%

                               Gardasil                                          47%

                              NuvaRing                                        43%

                              VESIcare                            29%

                                Pristiq        10%




                boniva                     ambien Cr                        Gardasil                                 nuvaring
     “The commercials             “Explains the problem,           “This is the one ad that            “They give straight-
   help explain how it will        how it’s used, and the         persuaded me to talk to my           forward information
  help me as a woman and              side effects.”                    pediatrician.”               about the product; they
    what it will do to help                                                                        identify potential problems
         my health.”                                               “They explain the risks            that could occur using
                                                                  and benefits and also that         the product; and they're
                                                                   boys can take it, as well       up-front about the product
                                                                          as girls.”                    not being suitable
                                                                                                          for everyone.”




 sponsored by                                                                                    will she say yes?              white paper   7
Less selling and More serving
                                                        what makes a proposl more appealing? For Ka-boomers, a brand's actions
  "Become trustworthy…                                  speak louder than words. Credibility and trust are improved when brands focus
patient before pocketbook                               less on themselves and selling and more on promoting health and serving the
              as they say."                             community. women would like to see marketing focused on education about
                                                        health conditions, not just brands. brands who give back to the community
                                                        by donating or helping a cause gain credibility and trust.



   Ways to Improve Credibility and Trust
   in Pharmaceuticals

              Emphasize how a drug works in my                                                           61%
                body, including videos or visuals.

              Focus on education about women's                                                        59%
                              health conditions.

                  Include stories from real patients.                                  41%
                    Give back to the community by                                37%
                       donating or helping a cause.

                        Show more women like me.                        21%
                   Include emotions I can relate to.             14%
                                                              10%
                                                                                                       "Stop trying to push drugs
                                              Other.
                                                                                                       on people, and encourage a
                                                                                                       healthy lifestyle."



                                                        try adding a Little wellness
                                                        all of this is driving women to consider non-rx solutions and wellness as ways to
                                                        meet health and wellness goals. 83% of women agree that consuming foods with
                                                        health benefits (such as yogurt with probiotics) can help improve one's health.
                                                        Cheerios, weight watchers, tylenol, and activia are seen as doing a particularly
                                                        good job of communicating the health benefits of their brands.




                                                        Gretchen Goffe-wagner is sVp brand planner and manages the strategic consulting
                                                        business at pink tank, the marketing-to-women division of Gsw worldwide.
                                                        the follow-on to "will she say yes?" is pink tank's "direct to yes" presentation that
                                                        identifies ways your brand can create a long-term relationship with female patients
                                                        or caregivers. For more information, contact Gretchen at ggoffe@gsw-w.com.
                            knowher.com



   sponsored by                                                                                                will she say yes?   white paper   8

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Willshesayyes

  • 1. 2 010 s h e s ay s s u r v e y Will she say yes to your brand? in partnership with Conventional wisdom says you should spend two months’ salary on an engagement ring. That pales in comparison with the nearly $5 billion healthcare marketers spent last year in direct-to-consumer communications. So were they able to woo consumers? Not always. When it comes to healthcare, what women are looking for to make a long-term commitment is changing dramatically. As a result, the expected ROI can often disappoint rather than dazzle. By Gretchen Goffe-waGner sponsored by will she say yes? white paper 1
  • 2. How do you market healthcare brands when 56% of women feel pharma advertising does more harm than good? boomers, known for their willingness to challenge and change the system, are uber-consumers for healthcare: a population aging into high healthcare-consumption years who are more confident, self- reliant decision makers for themselves and their families. Faced with an explosion of conditions, choices, and health communications, they are consuming more but challenging more too. enter the Ka-boomer, the woman who is blowing up the model of the past, questioning the trustworthiness and even the need for direct-to-consumer marketing, and relying more on composite decision making than solely on her doctor. this white paper explores who the uber-consumer is, how she makes healthcare decisions, and what makes a proposal more appealing to her. it is based on a quantitative study, conducted december 11-22, 2009, of 1,354 women 18 and older, with an average age of 53, randomly selected from Meredith’s Better Homes and Gardens reader panel. Respondent Demographic Profile 56% $66,480 83% Employed Median Household Any College Income or More 53.1 78% 32% 100% Children Under 18 Median Age Married in Household (in years) Female Published april 2, 2010 sponsored by will she say yes? white paper 2
  • 3. Ka-Boomer Women up-front and Personal For boomer women, health issues have become very personal. half reported they are beginning to feel the signs of aging, and the number of health issues they are at risk for increases dramatically around menopause. Opinion of Current Health What, me worry? (I’m healthy and expect to be) 18% Forecast: Partly cloudy. (Can feel the signs of aging) 52% The answer is in my genes. (What will be, will be) 14% On high alert. (Health issues are lurking) 13% Playing the lottery (Hoping my number wont’ come up) 2% consuming More than ever Satisfaction With Current the vast majority of women surveyed have health insurance, with ppo plans Health Insurance hMo, and Medicare accounting for most of the coverage. 88% of all insured women are satisfied with their coverage. according to the CdC, boomers are consuming more —41% of women 45 and older are taking 3 or more scripts, up from 25% just 10 years ago. very satisfied Percentage using at least Percentage using at least one prescription drug three prescription drugs somewhat satisfied 1988-1994 2003-2006 1988-1994 2003-2006 18-44 years 18-44 years 7.6 14.3 40.7 46.6 88% 45-64 years Satisfied 45-64 years 62 71.6 24.7 40.6 65 years and older 65 years and older 38.2 64.8 78.3 90.3 source: the cDc/nchs national health and nutrition examination survey. sponsored by will she say yes? white paper 3
  • 4. Good Information Is hard to find Finding useful health information to answer their questions is a challenge for Ka-boomers who are more closely scrutinizing their decisions. a whopping 67% believe the media focuses too much on the negative aspects of healthcare; half feel there is too much illness-specific information and not enough wellness/ preventive medicine. half of women can't tell if the info they find is reputable, and respondents are equally likely to feel there is too much information available (41%) or not as much depth to the information they find (37%). Agree* With Statements About Health Information—General "I think the media focuses too much on the 67% negative aspects of healthcare." "There's too much information about illness and not enough 41% 53% information about wellness." "There's too much health information 51% "I find it difficult to judge the quality of the health information I come across." to choose from" 37% "I cannot find health information in as much depth as I would like." 35% "I lose patience while trying to seek out information about health." 22% "I’m often at a loss as to where to start looking for health information." *Net agree a lot/a little. It takes the Bionic woman or Judge Judy to Get the 411 Ka-boomer women are determined to get their health questions answered. of 5 personality types, women felt most like the bionic woman (i never stop until i get all the answers i need) and Judge Judy (i'm a cynic until i get all the facts) when it comes to getting their health questions answered. Personality When It Comes to Getting Health Answers I trust tradition and my "mom sense"; I'm hesitant 32% 15% to try something new. 28% The Bionic June 7% I'm a solo-flying pioneer, Judge Judy Woman Cleaver Amelia relying only on myself. Earhart I'm a cynic I never stop until until I get all I get all the answers 18% I want to know about the latest things, and I'm not the facts. I need. Madonna afraid to be the first to try something new. sponsored by will she say yes? white paper 4
  • 5. Less Doctor reliance while women still report a great deal of trust in their doctors, half of women feel increasingly empowered to rely on themselves rather than on doctors. 83% of women reported they also are confident making health decisions for themselves. the current economic environment has impacted healthcare treatment as well. 50% of respondents have altered their medical treatment in the last year either by postponing doctor visits (33%) or opting for otC products and home remedies (33%). so how are these women making decisions, and where are they turning instead? Changes in Past Year Due to Economic Conditions Any (Net) 50% Relied on home remedies or over- the-counter drugs instead of going 33% to see a doctor Put off or postponed a regular medical checkup 26% Put off or postponed a doctor's appointment when ill 21% Skipped a recommended medical test or treatment 18% Didn't fill a prescription for a medicine 16% she Is a Media network 2 in 5 Very few women want to do it alone, relying only on themselves. in the same women can be described way that moms create a network of shared parenting information, boomer as "health mentors," women are creating a similar and powerful network of healthcare information to others about healthcare that is challenging the traditional role of the doctor as the initiator and as the and medications. final say. nearly three-quarters of all women forward health information or articles to others; 3 in 10 do so on a monthly or more frequent basis. half share through discussions, a third share via e-mail, and 41% provide healthcare and medication advice. Actions Taken Seeing/ Hearing Interesting Health News at least once Ever forward health info/articles 72% 29% a month Bring it up in conversations with others 50% Send/forward an e-mail list 29% E-mail it to all women on 34% e-mail (net) your e-mail list 10% Post it to your Facebook 4% social networking (or other social networking) page 4% (net) Tweet about it 1% sponsored by will she say yes? white paper 5
  • 6. How She Makes Health Decisions composite Decision Making how is she filling the gap as doctor and brand authority declines? women are composite decision makers who assemble information from multiple and varied sources—her doctor, articles, what her friends say, blogs, and web sites —for a complete picture before making a long-term commitment to a brand. increasingly, these are sources of information where brands have less direct control over the dialogue. conversation starters Most women have asked their doctors about a new prescription—59% often discuss new rx—and women report their doctors are receptive. when it comes to persuading women to speak with their doctors about a new illness or treatment, the internet is increasingly their source. Medical web sites like webMd and online articles from well-known, respected periodicals drive doctor discussion for 71% Influential* Internet of women. nearly 60% of women are influenced by online reviews from other women/patients. Sources Driving Doctor Discussions 80% 71% 57% 37% 26% Articles posted online Online Pharmaceutical Medical from known and reviews from A blog company Web sites like respected magazines other women by someone Web sites/Web sites WebMD and newspapers or patients they trust listed in an ad *Net very and somewhat influential. P.s. I'll think It over General Reaction to a New Ka-boomers are challenging the traditional role of the doctor as the initiator and as Prescription Medication the final say in decisions on health brands and rejecting brand authority. the “point of sale,” long considered to start and end with the doctor appointment, is now more fluid, extending before and after the appointment. 40% of women continue their evaluation before deciding if they will fill a new prescription after leaving the 44% doctor‘s office, giving a new significance to the post-script conversation. some will investigate want to check the cost, but for the majority, it means checking out side effects. before filling (net) 32% 10% 2% research look at ask friends online cost or family sponsored by will she say yes? white paper 6
  • 7. A More Appealing Proposal women have a high standard for information and claims for prescription brands— and a high level of cynicism. accordingly, the information she needs and wants in a proposal is changing in ways that have important implications for marketers on messages, branded and unbranded approach, and creative. Give her the Missing Pieces a critical and often missing piece of information women want before making a “… give all the facts long-term commitment to a brand is side effects. 80% of women pay attention to the side effects in tV ads, and 64% read the small print in magazine/newspaper during the advertising. ads if they are interested in the brand. by emphasizing the benefits of brands and Not just the little speed relegating the risks to fair balance, brands have created the belief among many version at the end.” women that they are more interested in profit. women also want to understand how the drug works in their body, including videos or visuals. 41% of women would like to see stories from real patients or women like them. boniva, ambien, Gardasil, and nuvaring were all seen by 40% or more women as doing a good job of communicating with them about their health. they were praised for straightforward, clear, and realistic messaging, as well as explaining the product benefits and side effects. Brand/Company Does a Good Job of Communicating With Women About Health Boniva 68% Ambien CR 54% Gardasil 47% NuvaRing 43% VESIcare 29% Pristiq 10% boniva ambien Cr Gardasil nuvaring “The commercials “Explains the problem, “This is the one ad that “They give straight- help explain how it will how it’s used, and the persuaded me to talk to my forward information help me as a woman and side effects.” pediatrician.” about the product; they what it will do to help identify potential problems my health.” “They explain the risks that could occur using and benefits and also that the product; and they're boys can take it, as well up-front about the product as girls.” not being suitable for everyone.” sponsored by will she say yes? white paper 7
  • 8. Less selling and More serving what makes a proposl more appealing? For Ka-boomers, a brand's actions "Become trustworthy… speak louder than words. Credibility and trust are improved when brands focus patient before pocketbook less on themselves and selling and more on promoting health and serving the as they say." community. women would like to see marketing focused on education about health conditions, not just brands. brands who give back to the community by donating or helping a cause gain credibility and trust. Ways to Improve Credibility and Trust in Pharmaceuticals Emphasize how a drug works in my 61% body, including videos or visuals. Focus on education about women's 59% health conditions. Include stories from real patients. 41% Give back to the community by 37% donating or helping a cause. Show more women like me. 21% Include emotions I can relate to. 14% 10% "Stop trying to push drugs Other. on people, and encourage a healthy lifestyle." try adding a Little wellness all of this is driving women to consider non-rx solutions and wellness as ways to meet health and wellness goals. 83% of women agree that consuming foods with health benefits (such as yogurt with probiotics) can help improve one's health. Cheerios, weight watchers, tylenol, and activia are seen as doing a particularly good job of communicating the health benefits of their brands. Gretchen Goffe-wagner is sVp brand planner and manages the strategic consulting business at pink tank, the marketing-to-women division of Gsw worldwide. the follow-on to "will she say yes?" is pink tank's "direct to yes" presentation that identifies ways your brand can create a long-term relationship with female patients or caregivers. For more information, contact Gretchen at ggoffe@gsw-w.com. knowher.com sponsored by will she say yes? white paper 8