The Effects Of Information Sources On Consumer Reactions To Direct-to-Consumer (DTC) Prescription Drug Advertising: A Consumer Socialization Approach

This study examines the process by which, and the extent to which, consumers' reliance on mass media and interpersonal channels for health information is associated with consumer responses to direct-to-consumer (DTC) advertising. By analyzing nationally representative survey data collected among a U.S. adult population, this study finds that those who rely more on mass media and interpersonal channels for health information form more positive attitudes toward DTC advertising. In addition, reliance on interpersonal channels for health information leads consumers to have more active discussions with their health professionals about the drug advertised. Implications for pharmaceutical marketing practitioners and DTC advertising researchers are discussed with reference to the heated debate surrounding DTC advertising in the wake of the recent Vioxx recall incident.     

The Social Reality of Depression: DTC Advertising of Antidepressants and Perceptions of the Prevalence and Lifetime Risk of Depression

This study is rooted in the research traditions of cultivation theory, construct accessibility, and availability heuristic. Based on a survey with 221 subjects, this study finds that familiarity with direct-to-consumer (DTC) print advertisements for antidepressant brands is associated with inflated perceptions of the prevalence and lifetime risk of depression. The study concludes that DTC advertising potentially has significant effects on perceptions of depression prevalence and risk. Interpersonal experiences with depression coupled with DTC advertising appear to significantly predict individuals’ perceived lifetime risk of depression. The study ultimately demonstrates that DTC advertising may play a role in constructing social reality of diseases and medicine. The findings strongly suggest that the social cognitive effects of DTC advertising are far-reaching, impacting pharmaceutical marketing strategy as well as presenting issues regarding public health and the business ethics of advertising drugs to consumers. Jin Seong Park is a doctoral student at the University of Florida in Gainesville. He earned his MA from Marquette University and BA from Korea University in Seoul, Korea. His research interests include health communication and DTC drug advertising, mood and heuristics in consumer information processing and judgments, and international advertising. Jean M. Grow is an assistant professor at Marquette University. She earned her PhD from University of Wisconsin-Madison and her BFA from the School of Art Institute of Chicago. Her scholarly work focuses on controversial advertising case studies. She has published extensively on Nike women's advertising, and her most recent scholarship focuses on DTC advertising of pharmaceuticals and public service announcements for Hepatitis C. In 2005, she coauthoured a book on creative strategy, Advertising Strategy: Creative Tactics from Outside/In (with T. Altstiel). Prior to joining the academy, she worked in the advertising industry with agencies such as DDB Needham, Foote Cone & Belding, J. Walter Thompson, and Leo Burnett.     

Perceived Third‐Person Effects and Consumer Attitudes on Prevetting and Banning DTC Advertising

This study examined consumer attitudes toward two potential direct‐to‐consumer (DTC) advertising regulatory options—prior approval of DTC ads and a total ban—and how those attitudes are influenced by perceived DTC ad effects and receiver‐specific characteristics within the context of the third‐person effect framework. Results suggest that (1) consumers support the prevetting of DTC ads, but not the banning of DTC ads, (2) their support for prior approval is unaffected by demographic, predispositional, and ad‐effect perceptual differences, but (3) their support for a ban is associated with age, attitude toward DTC advertising, and perceptions of negative effects on self and others.     

Consumer Curriculum Materials: The First Content Analysis

Teachers in public schools have ready access to free consumer curriculum materials from a variety of sources, including, increasingly, the business community. Critics claim that materials from business sources are commercial in nature. The research reported in this paper evaluates the extent to which this criticism is justified. A systematic content analysis was conducted on materials from business (corporate and trade association) and nonbusiness (government and nonprofit) sources. Findings indicate that business-sponsored consumer curriculum materials contain significantly more commercial and advertising content than non-business materials.     

Deceptive advertising and third-person perception: The interplay of generalized and specific suspicion

The present research examines the extent to which consumers perceive deceptive advertising claims as effective (i.e., affect one's purchase decision) for themselves and others. Results in two experiments suggest that consumers tend to consider an advertising claim more effective for others than for themselves, when they realize the claim is highly deceptive. In contrast, when perceived deceptiveness is moderate or low, the self–others difference is moderated by consumer dispositional difference in skepticism toward advertising. The effect appears to be driven by the interplay of generalized and specific suspicion, which has a stronger impact on consumer judgment about the effect of deceptive advertising on the self than on others.     

Social relationships and social anxiety appeals in direct-to-consumer advertising

The use of social relationships as a promotional tool in direct-to-consumer (DTC) advertising has received limited attention despite relational impacts on illnesses and empirical evidence supporting social relationships’ positive influence with some patients. This content analysis provides insights into social relationship appeals’ use in DTC magazine ads for each drug-class category. Further, the current study introduces the concept of social anxiety appeals into the DTC advertising literature, which had previously focused more on fear appeals, such as the fear of pain. Social relationships appeared in 42.5% of the 421 DTC ads included in the sample. Social anxiety appeals appeared in 28.5% of ads with social relationships. Types of social relationships depicted (nonromantic, romantic, non-human pets or cartoon characters, and family) vary across drug-class categories. The current study affirms that DTC advertisers frequently appeal to the theoretical importance of relationships as an aid to improved health. It also raises ethical issues when neither the implied improvements in relationships nor decreased social anxiety are direct consequences of prescribed use of the advertised pharmaceutical.     

Direct-to-Consumer (DTC) Branded Drug Web Sites Risk Presentation and Implications for Public Policy

Direct-to-consumer (DTC) branded drug Web sites inform consumers of certain specific facts, including risk information, about drugs. Prominently displayed risk disclosures can reduce the potentially misleading aspects of advertising information and encourage a deeper level of consumer processing. Although previous studies of DTC Web sites have examined the presence and absence of risk information, no research to date has evaluated the placement of risk information relative to benefit information on DTC Web sites or whether risk information is presented consistently in the DTC category. Bettman, Payne, and Staelin (1986) suggested that "the same information presented in different formats can result in different decisions" (p. 2). Schema theory can guide Web site development, as it suggests that consistency of information presentation in an on-line environment can help consumers maximize their ability to utilize information at the site. In addition, current regulatory practices (Food and Drug Administration [FDA] guidelines for fair balance in DTC ads, the Federal Trade Commission [FTC] "clear and conspicuous" standards for television and Web site disclaimers) suggest that consistency in information presentation can also help consumers comprehend information. This study, then, examines whether risk information presentation is consistent across DTC Web sites, and serves as a first step in the process of understanding what guidance might be necessary at DTC Web sites.     

Presumed Influence of Direct-to-Consumer (DTC) Prescription Drug Advertising on Patients: The Physician's Perspective

This study explored the influence of the presumed influence model in the context of DTC (direct-to-consumer) advertising. A survey of 404 physicians studied presumed effects of DTC advertising on patients and whether the presumed effects influenced physicians' support for regulation and response to patient requests. Results partially supported the proposed model. Physicians perceived the highest degree of DTC advertising influence on patients' inquiries with their doctors and requests for advertised drugs and the lowest degree for beneficial influence of DTC ads. Physicians tend to support government regulation of DTC advertising, and their support is consistent across different demographic and perceptual variables. While physicians' responses to patients' requests for an advertised drug is mixed, greater presumed detrimental effects predicted refusal of patient requests, even after controlling for physicians' demographic and attitudinal characteristics. However, acceptance of patients' requests and recommendation of other drugs are found to be unrelated to presumed DTC advertising influence. The results are discussed in relation to existing theoretical work and DTC advertising literature. Future research recommendations are also provided.     

Social Consumer Neuroscience: Neurophysiological Measures of Advertising Effectiveness in a Social Context

The application of neurophysiological methods to study the effects of advertising on consumer purchase behavior has seen an enormous growth in recent years. However, little is known about the role social settings have on shaping the human brain during the processing of advertising stimuli. To address this issue, we first review previous key findings of neuroscience research on advertising effectiveness. Next, we discuss traditional advertising research into the effects social context has on the way consumers experience advertising messages and explain why marketers, who aim to predict advertising effectiveness, should place participants in social settings, in addition to the traditional ways of studying consumer brain responses to advertising in social isolation. This article contributes to the literature by offering advertising researchers a series of research agendas on the key indicators of advertising effectiveness (attention, emotion, memory, and preference). It aims to improve understanding of the impact social context has on consumers' neurophysiological responses to advertising messages.     

Information content in TV advertising. Consumer policy implications of the growing supply of TV advertising in Europe

The growth of both national and transnational television and TV advertising in Europe raises many issues. One issue of high relevance to traditional consumer policy is, however, barely mentioned, namely the consequences for consumers of the growing quantity of international TV advertising and the consequences of a growth or introduction of TV advertising in general. The purpose of the study reported here is to contribute to an objective evaluation of TV advertising strictly from a consumer point of view. For this purpose the article analyses the information content of the commercials on the satellite channel “Sky Channel” and on the West German channel ZDF. The results of that study are supplemented with the results from a review of those relevant investigations into the information content of print and TV advertising which can be found in the international literature. This includes an attempt to make the studies comparable and a critique of the prevailing tradition in measuring “informativeness”. It is concluded that from a consumer point of view, TV advertising has limited value since information relevant for most purchasing decisions is not communicated to a degree that would seem to have any practical significance for consumers. Furthermore, the information content of print advertising appears to be clearly superior to that of TV advertising.     

Consumer Believability of Information in Direct-to-Consumer (DTC) Advertising of Prescription Drugs

Direct to consumer (DTC) advertising has attracted significant research attention, yet none has focused on empirical assessments of its overall impact on U.S. consumers nationally, and tying assessment to relevant behavioral outcomes. This paper addresses the ethical issue of DTC advertising providing a balance of product and risk information that is both understandable and believable, and contributes direction to those exploring this phenomenon. Richard F. Beltramini is currently Professor of Marketing in the School of Business Administration at Wayne State University. He received his Ph.D. from the University of Texas at Austin, and served on the faculty of Arizona State University for fifteen years. His teaching interests include advertising and marketing management, research, and strategy. His primary research focus is on the believability of marketing communications information, and he has published in the Journal of Advertising, Journal of Advertising Research, Journal of Consumer Research, Journal of Marketing, and a variety of other journals, conference proceedings, and books as well as co-editing Gift Giving: A Research Anthology. Dr. Beltramini has served on the Editorial Review Boards of a number of academic journals, as guest editor of special issues of the Journal of Business Ethics and the International Journal of Internet Marketing and Advertising, as international president of the American Academy of Advertising, as a member of the American Advertising Federation's National Academic Committee and several other professional and business organizations, and is active as a consultant to several international organizations. He is the recipient of several national competitive grants and awards for his teaching and research, including the National Science Foundation, is the only faculty recipient of both his school’s Excellence in Research and Excellence in Teaching awards, and is currently the first Board of Visitors Faculty Fellow. Prior to academe, Dr. Beltramini worked for Texas Instruments, Inc. and The Drawing Board, Inc., both in Dallas, and he has also worked as a Visiting Research Professor for J. Walter Thompson Advertising in Chicago, Honeywell Information Systems in Phoenix, and the Federal Trade Commission in Washington, D.C.     

The Panoptic Role of Advertising Agencies in the Production of Consumer Culture

Advertising's role in promoting an ideology of marketed consumption has been widely commented upon by critical theorists yet the mechanisms through which this influence becomes manifest remain relatively under-examined. In particular there has been no explicit examination of the mediating role of cultural knowledge in the production of ideologically driven advertising. This paper invokes the panoptic metaphor to position the knowledge gathered by and on behalf of advertising agencies as a major dynamic in the production of consumer culture. The consumer of advertising is a known entity for advertising agencies: the subject is watched, filmed, questioned, recorded, and tracked. Indeed, consumer biography and subjectivity itself has become material that is both produced and consumed by advertising agencies in order to produce culturally constitutive advertising. The paper integrates disparate literatures to situate knowledge of consumer culture at the hub of advertising's constitutive ideological influence.     

Advertising time expansion, compression, and cognitive processing influences on consumer acceptance of message and brand

This article examines the nature of consumer process involvement and cognitive processing of advertising content as mediating variables between commercial message executions (e.g., broadcast time compression and expansion and using broadcast versus print media) on attitude and behavioral intentions. The article proposes a framework that builds on the prior work of Krugman, Wright, and MacInnis and colleagues; the framework includes hypotheses of an advertising execution and processing involvement interaction effect on cognitive processing of commercial messages and a substantial direct effect of cognitive processing on attitude and behavioral intention. The article includes details of an experiment testing hypotheses in the framework. The findings provide strong support of the hypotheses. Implications for advertising strategy include adopting a conservative view on the use of time compression in advertising commercials and nurturing low consumer processing involvement of commercial messages.