DTC Ad Study Finds Benefit/Risk Conflation

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New studies by FDA drug promotion staff found that consumers conflated a drug’s benefits and risks when they were exposed to both a disease awareness communication and drug advertisement. “Participants more often incorrectly attributed benefits of using the drug to treat or manage the disease (asthma) when the disease awareness communications and drug advertisements were more similar,” an FDA notice says. “Participants also more often incorrectly attributed risks of using the drug when the disease awareness communications and drug advertisements appeared in closer proximity to one another.”

The research found that risk conflation was very low, while benefit conflation was high across all experimental conditions in both studies. “This finding is consistent with prior CDER research of consumer-directed prescription drug television advertising showing better recall of a drug’s benefits compared to its risks and could be due to the differences in how benefits are usually communicated in the two communications,” the agency says. “The benefits of treating a disease featured in a disease awareness communication can be more directly linked to the benefits of a particular drug (e.g., fewer asthma episodes) compared to the risks in disease awareness communications, which communicate the risks of nontreatment. This may make it more difficult to directly link specific drug risks to more general risks of nontreatment.”

FDA says that being aware of the conflation caused by advertising and promotion activities is “important because it offers an opportunity for pharmaceutical companies to consider these features when developing prescription drug advertising and disease awareness communications. For example, companies could space out communications and create greater visual distinctiveness between them.”

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