AMA Adopts Moratorium Policy

AMA Adopts Moratorium Policy

Bob Ehrlich, Chairman
DTC Perspectives, Inc.

As discussed in a recent column, the American Medical Association (AMA) did consider a DTC moratorium resolution this week at their annual meeting. The result was a compromise that is sensible. Instead of calling for a set time period for all new drugs, the AMA is asking for a negotiated moratorium period between the drug maker and FDA.

 

This makes sense since not all new drugs present the same risks. A new statin drug poses less risk than a first in class cholesterol drug. A new cancer drug is likely to have more risks/side effects than a new antihistamine. Clearly, negotiation of a moratorium between experts makes more sense than Congress legislating a blanket time period.

 

Perhaps a minimum period of 6 months makes sense for any drug, with longer periods to be negotiated if warranted. Letting the FDA negotiate gives tremendous power to the agency since it can withhold approval if the time period agreed on by a drug maker is not to their liking. I would like to see how this works, and one hopes FDA would not be unreasonable.

 

It is important that drug makers retain the right to advertise their products, and even drugs in new classes should not have to wait long periods. I propose a maximum period of 18 months which would allow significant physician experience and identification of clinically unseen side effects.

 

The AMA call for a moratorium will carry significant weight in Congress, and I expect some time period to be adopted as part of drug safety legislation. It is not what drug makers want, but I think a reasonable policy will not be fought by the industry. A negotiation between drug maker and FDA seems fair and should not lead to major problems. A moratorium should strengthen consumer confidence in the safety of advertised drugs, and this may, in fact, increase sales.

Web most effective for getting consumers to request specific Rx

Web most effective for getting consumers to request specific Rx

The Internet is the most effective channel for getting consumers to ask for a specific drug, according to a new survey from market research firm MRx Health and Medical Marketing & Media. The survey of 546 U.S. adults found that 34% of respondents said ads on the Internet had the biggest impact on whether they asked for a drug. Television, by comparison, had less of an impact (31%). TV also ranked lower than family and friends (33%). Other channels commonly used by pharma were the least effective, including telephone support lines (2%), newspapers (3%), and radio (4%). One-third of respondents said they are interested in prescription drug ads. However, those in poorer health are almost twice as interested as the healthiest group (45% vs. 24%). Of the patients who have asked their doctor for a specific drug, 87% said they have received it.

iPods double as patient-education, detailing tools

iPods double as patient-education, detailing tools

iPods aren't just for music for anymore; they can save lives, according to Grant Winter, president of The Manhattan Bureau, a news-based video production company. They can be used to store medical information, act as medication reminders, and be used by physicians to explain diseases and treatment to patients, he said yesterday during Pharmaceutical Executive's Marketing and Sales Summit. Pharma can produce reliable, peer-reviewed information in a video format with accurate, unbiased material for physicians to use to better inform patients within their time-constrained appointments. With physicians trying to see more patients, and patients often coming in armed with the wrong information from the Web, physicians need a way to quickly and clearly educate them on their disease or treatment. Winter said that most pharmas are beta testing video material for sales reps to use on iPods, and the value is in the continual updating of information. "Every time you plug your iPod into your computer, the data is automatically updated," he said.

 

 

FDA approves cervical cancer vaccine

FDA approves cervical cancer vaccine

By ANDREW BRIDGES, Associated Press Writer 13 minutes ago

WASHINGTON - Women for the first time have a vaccine to protect themselves against cervical cancer.

Food and Drug Administration on Thursday approved use of the vaccine, Gardasil, for use in girls and women ages 9 to 26.

It works by preventing infection by four strains of the human papillomavirus, or HPV, the most prevalent sexually transmitted disease.

This cancer kills 3,700 women each year in the United States and hundreds of thousands more worldwide. Acting FDA Administrator Dr. Andrew von Eschenbach said the vaccine will have "a dramatic effect" on the health of women around the world.

Gardasil, manufactured by Merck & Co. Inc., protects against the two types of HPV responsible for about 70 percent of cervical cancer cases. The vaccine also blocks infection by two other strains responsible for 90 percent of genital wart cases. It will be available by the end of June.

Clinical trials showed Gardasil prevented 100 percent of cervical cancer related to the two HPV strains in women who had not been previously infected, Merck said. It also prevented 99 percent of the cases of genital warts caused by the two other strains.

"Fortunately, we can now include the worst types of HPV and most cervical cancer in the list of diseases that no one need suffer or die from ever again," said Alex Azar, deputy Health and Human Services secretary.

The FDA also said the vaccine appeared very safe. However, it's not known how long its protection will last or if women will have to receive booster shots later in life. Merck has agreed to monitor its long-term effectiveness.

Merck is expected to market Gardasil as a cancer vaccine, rather than an STD vaccine. It remains unclear how widespread the use of the three-shot series will be, in part because of its $360 list price. Conservative opposition to making the vaccine mandatory for school attendance may also curb its adoption.

The target age for receiving Gardasil is low because the vaccine works best when given to girls before they begin having sex and run the risk of HPV infection. The vaccine does not protect people already infected and may increase their risk of the kind of lesions that can lead to cervical cancer, the FDA has said. However, a final FDA analysis does not substantiate such a risk, said Dr. Jesse Goodman, director of the agency's Center for Biologics and Evaluation and Research.

The national Advisory Committee on Immunization Practices will decide June 29 whether to endorse routine vaccination with Gardasil. That endorsement is critical if a vaccine is to become a standard of care.

It then will be up to individual states to decide whether to add the vaccine to the list of others required before students may attend public schools.

Conservative groups like Focus on the Family support availability of the vaccine, but oppose making it mandatory, saying the decision to vaccinate should rest with a child's parents or guardians. It promotes abstinence as the best way of warding off infection by HPV and other STDs.

HPV affects more than 50 percent of sexually active adults at some point in their lives. The cervical cancer it can cause kills about 290,000 women worldwide each year, including 3,700 in the United States. In the U.S., regular Pap smears often detect precancerous lesions and early cancer. The vaccine does not eliminate the need for regular screening.

Analysts believe Gardasil sales could top $1 billion a year for Merck, which is battling thousands of lawsuits over its withdrawn painkiller

Vioxx. The Whitehouse Station, N.J. company is seeking to license Gardasil in more than 50 countries.

GlaxoSmithKline PLC is also developing an HPV vaccine.

Richard Clark, Merck's chief executive officer and president, called the vaccine a "lifesaving scientific advance."

The cost of Gardasil and the difficulty of getting young girls in to see a doctor three times in six months to receive the vaccine could pose problems, said Cynthia Dailard, senior public policy analyst at the Guttmacher Institute, which focuses on sexual and reproductive health. Ensuring its availability to poor and minority girls and women — and others less likely to receive regular Pap exams — also will be difficult. Merck plans to provide Gardasil for free to the poor and uninsured.

"This is an incredibly exciting breakthrough, but at the same time, it presents some major challenges, some the likes of which we have never confronted before," Dailard said.

Inda Blatch-Geib, an Akron, Ohio mother of four, said she'd consider vaccinating her daughters, ages 9 and 16. Blatch-Geib, 41, said doing so wouldn't be tantamount to giving her girls a green light to have sex.

"Giving the vaccine goes with a conversation. We are pretty open with our children, so it wouldn't be an issue. It would lead to conversations," Blatch-Geib said.

The only other vaccine effective in preventing cancer is against hepatitis B, which can cause liver cancer.

 

Advertisers: Increase Web ad spending to match consumer use

[BRIEF]

 

Advertisers: Increase Web ad spending to match consumer use

The Web comprises between 20% and 25% of consumers' overall media time, but attracts only 8% of advertising dollars, according to a report from the Online Publishers Association (OPA). The report indicates that even though advertisers are migrating toward the Web--Internet advertising revenues reached a record $3.9 billion during the first quarter of 2006--the pace should be faster to keep up with consumer use. The research showed that consumers consistently use the Web while they are using other media, which gives it the ability to offer support. For example, the study found that the Web increased the reach of TV by 51% in the morning, 39% in the middle of the day and 42% in the afternoon. The Web more than doubles the reach of magazines. Click the supporting link below to read more.

 

 

[FULL STORY]

 

Online Publishers Association Media Usage Study Shows the Web Now Rivals TV in Reach and Extends the Impact of All Media; OPA Unveils Groundbreaking New Observational Research During 'Eyes on the Internet Tour' through Eight Cities

Business Wire via NewsEdge Corporation :

NEW YORK--(BUSINESS WIRE)--June 6, 2006--The Online Publishers Association (OPA) today announced the results of a new research project, "A Day in the Life: An Ethnographic Study of Media Consumption." The observational media usage study is being discussed throughout the OPA's 2006 Eyes on the Internet Tour, which will visit Atlanta, New York City, Boston, Chicago, Detroit, Los Angeles, Dallas, and San Francisco.

The unprecedented observational research tracked the real-time media use of 350 people, recording their actual activities every 15 seconds. The results show that the Web is now clearly a mass media - ranking right alongside other major media when it comes to reach and duration of use. And when it comes to at-work media use, the study found that the Web clearly dominates (with 54.6% reach, compared to television's 21.1%), and is the only medium that ranks among the top two at both work and home.

OPA commissioned Ball State University's Center for Media Design to conduct the study, which is most detailed and in-depth analysis to date of the Middletown Media Studies data.

Full details of the study results are available at www.online-publishers.org

"By observing people in real-life situations, this study provides a level of accuracy and insight that simply cannot be found elsewhere," said Pam Horan, OPA president. "With that in mind, the evidence of the Web's rise to mass media status is now clear and incontrovertible."

Horan continued, "Industry data shows that the Web takes up between 20 and 25 percent of consumers' overall media time, but attracts about 8 percent of advertising dollars. While advertisers have been steadily moving to the Web in recent years, this research indicates the shift should be on a much faster pace. As a mass media with a powerful ability to extend the impact of all media, the Web clearly offers tremendous untapped advertising opportunities."

Web Extends Reach of All Media

Consumers often use the Web consecutively or simultaneously with television, radio and other media, allowing it to offer significant support. The research also revealed that the Web is a powerful tool for extending the reach of other media. More specifically, the research found that the Web increased the reach of television by a remarkable 51 percent in the morning, 39 percent in the middle of the day, and 42 percent in the afternoon. With magazine advertising, the impact is even greater - the Web more than doubles the reach of magazines.

Horan commented, "Based on our real-world observations, it is clear that consumers are consistently online even while they're watching TV or listening to the radio. This unique attribute of Web usage means that advertising messages receive a dramatic boost when online is part of the buy."

Web Users Exhibit Consistently Strong Buying Power

A final key finding of the research is that Web users tend to have greater buying power than television users. In looking at the neighborhood Census data for study participants identified as heavy Web users and heavy TV users, the study found that the Web group demonstrated consistently higher buying power. The census data showed the TV dominant group had average annual retail spending of $21,401, while the Web dominant group spent $26,450 on average - or nearly one-quarter more. In another example, the TV group spent $2,626 on entertainment and recreation, while the Web group spent an average of $3,281 - or 25 percent more.

"Getting a real-world look at how much consumers rely on the Web and on television allowed us to make important conclusions about spending power," Horan said. "Whether they're headed to the store for new clothes or planning a vacation, heavy Web users simply spend more money. In a wide range of spending categories, heavy Web users are more affluent and spend more than their television-centric counterparts."

The OPA's annual Eyes on the Internet tour provides executives in the advertising, marketing and publishing communities with the latest online media research and trend information.

Eyes on the Internet 2006 is sponsored nationally by AllBusiness.com; About.com; CBS Digital Media; CNET Networks; The New York Times Media Company; Real Cities Network; Reuters.com; and Tribune Interactive.

About the Study

Ball State University's Center for Media Design observed three hundred fifty consumers in Spring 2005. They were split about equally between men and women 18-24, 35-49 and 50+. On average participants were observed about 80% of their waking day. Locations include work, home, school, auto, etc. Simultaneous consumption of media was recorded (e.g., surfing the Internet while listening to the radio), as well as media consumption while engaged in an activity (e.g., watching TV while eating). Overall, 15 media were tracked, including 5 ad-supported media, during 17 life activities (e.g., child care, meal preparation, hobbies, homework, etc).

Observation is considered a superior method for this type of study, as previous research has shown survey research/recall tends to underestimate some media consumption while overestimating others.

About the Online Publishers Association

Founded in June 2001, the Online Publishers Association is an industry trade organization whose mission is to advance the interests of high-quality online publishers before the advertising community, the press, the government and the public. Members of OPA represent the standards in Internet publishing with respect to editorial quality and integrity, credibility and accountability. OPA member sites have a combined, unduplicated reach of 109.5 million visitors, or 65 percent of the total U.S. Internet audience (Source: comScore Media Metrix, July 2005 combined home/work/university data). For more information, go to www.online-publishers.org.

About Ball State University, Center for Media Design and Middletown Media Studies 2

Ball State University, located one hour northeast of Indianapolis in Muncie, Ind., is the third-largest public university in Indiana, with more than 17,700 students. As a part of the Digital Exchange initiative funded by the Lilly Endowment, the Center for Media Design (CMD) is a research and design facility focused on the creation, testing and practical application of digital technologies for business, classroom, home and community.

Middletown Media Studies 2 (MMS2) builds upon Muncie's reputation as "Middletown America," a typical community in the United States. Muncie earned this distinction as a result of the Middletown Studies of the 1920s and '30s by sociologists Robert and Helen Lynd. MMS2 is a follow-up to a 2004 study that found people consume much more media than they say they do.

 

Study finds Rx oncology ads are often hard to read

Study finds Rx oncology ads are often hard to read

Drug ads aimed at cancer patients are often difficult to read and may emphasize the benefit information over the risks, according to a new study by researchers at Dana-Farber Cancer Institute in Boston. Researchers analyzed all ads for oncology drugs that appeared in three cancer patient-focused magazines in 2005. Although all of the ads were rated as difficult to read overall, the text outlining the drugs' benefits had the highest readability score. Information about the drugs' benefits tended to appear in the top third of the ads, whereas information about risks and side effects was in the bottom third. Also, the type size of the text explaining benefits was larger than the text explaining risks, according to the analysis. The research is being presented this week during the American Society of Clinical Oncology's annual meeting in Atlanta.

 

New Genzyme site combines patient support and drug education

New Genzyme site combines patient support and drug education

Unique features and easy-to-read information are the hallmarks of a new Genzyme Web site for the osteoarthritis of the knee medicine Synvisc. Unlike similar sites that offer education and support in an unbranded environment, the content on the Genzyme site combines information and resources about the disease and personalized support tools along with information about the drug. The site, www.InStepWithSynvisc.com , also offers some unique resources, such as a chart that compares Synvisc with its competitors. The language on the site is very consumer-friendly, especially the section about risk information. Unlike many other pharma Web programs that register users, InStepWithSynvisc.com sent a welcome e-mail within an hour of our registration. In a recent ePharm5 brief, consulting agency WHITTMANHART said graphics, personalized content, and links back to the site are crucial components of online pharma program welcome e-mails. The In Step With Synvisc e-mail featured many of these elements.

 

HEALTH BEAT: EMPOWERING CONSUMERS

New technologies can benefit health

Modern devices are helping us change unhealthy habits

By Kimberlee Roth
Special to the Tribune
Published May 30, 2006

Most of us have probably heard the concerns about the dangers of interactive technology on our health: Web surfing, e-mail and video games keep us tied to computer monitors for hours at a time, lowering activity levels and straining eyes; talking on cell phones distracts us from tasks at hand.

No doubt there are downsides, but a high-tech approach to health also can confer benefits such as helping us change unhealthy behaviors and improving how we feel.

"Given the complex health problems that need to be treated today, incorporating technology into health-care delivery means we can treat people more effectively, efficiently and cost-effectively," said Nilmini Wickramasinghe, associate director of the Center for the Management of Medical Technology at the Illinois Institute of Technology.

According to a paper published recently by the American Medical Association, 63 percent of the U.S. adult population had gone online in 2003; of those, almost 64 percent looked for health-related information. Forty-eight percent reported going online before seeing a doctor.

Beyond that, here are some of the other innovative applications:

Among teens, instant messaging and text messaging are edging out e-mail as the "killer app for communicating with friends," Pew Internet and American Life Project research shows. So researchers in Australia put text-messaging technology to use with teens for another purpose: to help them quit smoking.

In a paper titled "Do u smoke after txt?" investigators reported that 28 percent of teens in the study who received regular, personalized text messages with smoking-cessation advice and support had quit after six weeks versus 13 percent of those who didn't receive the messages.

In an ongoing study by the Rush University Medical Center and Stroger Hospital, 32 low-income urban teens with asthma were given MP3 players loaded with music and videos interspersed with messages from the likes of rapper Ludacris, reminding the teens to take their asthma medication.

Personal digital assistants have been recruited for healthy causes too. Patients in clinical trials and other studies are being given the handheld devices to record their daily symptoms, diet and other data instead of using paper and pen. In a study published in the British Medical Journal, researchers found that compliance was more than 90 percent among patients keeping tabs electronically versus 11 percent among those using paper.

In a study at the University of Alberta in Canada, patients who received e-mail reminders about physical activity and nutrition were more active and had more positive perceptions of exercise than patients who didn't receive the e-mails. They even maintained their physical-activity levels during an Alberta winter, a notable finding, the researchers wrote.

The Chicago Department of Public Health helps support inspot.org, a Web site where you can anonymously send e-cards to partners to whom you may have passed a sexually transmitted disease. (Surprise: You have more than mail.)

Finnish researchers have developed a prototype application for consumers to use camera phones as bar-code readers. Hungry shoppers can scan grocery store items with the phones and receive product-specific nutritional information. Test runs have targeted dieters and the lactose intolerant, but the technology could be a welcome shopping companion to anyone with diabetes, allergies or other food restrictions.

Plenty of companies and university researchers are targeting seniors for new technologies and applications too. Devices remind users, among other things, to take their pills, warn of medication mistakes and detect when someone with Alzheimer's may be wandering.

But do interactive consumer health technologies really make a difference? "Certainly these types of interactions help patients take more ownership of their health care and treatment," Wickramasinghe said. "They're empowered. Take a child with asthma or someone with diabetes -- by careful monitoring, they can have a more normal life."

 

Copyright © 2006, Chicago Tribune

 

Technology, Advertising, and Healthcare Stories from the Past Week

PhRMA heart and stroke campaign leverages Web as learning tool
 
A new PhRMA public service campaign about heart disease and stroke encourages consumers to go online to receive important health information. For example, a streaming video on the PhRMA site tells users to "Go online and learn, because knowledge is the best medicine of all." The PhRMA site links to PhRMA.org/heartdisease, which features a streaming video of Paul Antony, MD, MPH, PhRMA's chief medical officer, discussing heart disease. There are also links to relevant Web sites such as the American Heart Association and the National Coalition for Women with Heart Disease. The national multimedia campaign will also be supported by newspaper and television ads. A print ad for the campaign encourages users to visit PhRMA.org and innovation.org. The American Heart Association last week launched a new Web site to help people who have had a heart attack or want to prevent one become better informed.
 
 

WOMMA launches first site and blog for word-of-mouth research
 
A new site and blog sponsored by the Word of Mouth Marketing Association (WOMMA) is designed to help marketers understand what consumers are talking about and how to effectively join the conversation. The site features new content designed to help introduce word-of-mouth research to a wider audience. In addition to the latest research reports, surveys, and data, the WOM Research blog also features original contributions from leading academics and market research experts. A companion e-mail newsletter delivers the latest data on measurement and metrics. Learn more on the new WOMMA Web site. 
 
http://womma.org/research/

Ask.com adds feature for searching blogs and feeds
 
Ask.com is following Google and Yahoo! with a new Blog & Feed Search feature, it reports. Instead of using Web crawlers like other blog searches, Ask.com says its feature uses subscription data from the feed reader Bloglines, as well as Ask.com's algorithmic search technology. Ask.com's new blog search also features posts, feeds, and news within blogs. Another function allows sorting by relevance, date, and popularity, and subscribing to feeds and searches. The Blog & Feed Search launched in the United States, Germany, France, Italy, the Netherlands, the United Kingdom, and Spain. Ask.com, a relaunched version of Ask Jeeves (ePharm5, 3/31/06), is the latest search engine to enter the blogosphere. In September, Google launched a beta version of its blog search.
 
 

Microsoft program displays keywords, ads based on e-mail content
 
Microsoft released Active Search last week, a program that scans e-mails for keywords and displays related search terms and paid search ads, reports Brandweek. Active Search will not only generate a list of possible keywords from the e-mail, but will display them in the upper right corner of the inbox, allowing users to click one of them to perform a search. Paid search ads will be displayed when users conduct searches. Also, contextually relevant ads will be displayed to the right of messages as users browse through e-mails. The new feature, which aims to let users search the Web quickly without having to go back and forth between e-mail and the Internet, is being beta tested and is part of Microsoft's new e-mail application Windows Live Mail Desktop.
 
 

AMA will ask its members to support government DTC moratorium
 
The American Medical Association (AMA) will reverse it prior decision and ask its members to back government restrictions on DTC advertising, reports the Chicago Tribune. Last year, the AMA did not back a moratorium on advertising new drugs and instead asked for more research. This year, however, the research is complete and suggests that AMA delegates should support a "time interval" between when a drug receives FDA approval and when consumer advertising can begin. The 17-page report says DTC ads for newly approved drugs should not begin until "physicians have been appropriately educated" about them and that the length of the moratorium will vary. Although PhRMA opposes a government moratorium, the group's new DTC guidelines call for companies to voluntarily hold off on DTC ads until doctors are educated.
 
 

New blog aims to facilitate research collaborations, discussion
 
A new blog is available to help the scientific and medical communities advance their understanding of diseases of human mutation and ultimately lead to research collaborations between participants. Scrivner's Online Metabolic and Molecular Basis of Inherited Disorders Blog, launched this week by McGraw-Hill Professional, is available free on the company's online reference of inherited diseases. Users can discuss inherited disorders, post news about recent discoveries, promote conferences, and stimulate research collaborations. The blog is open to the public via an RSS feed, and blog postings link to abstracts within the online reference of inherited disorders. McGraw-Hill recently added online clinical resources for Spanish-speaking physicians, medical students, and other healthcare professionals.
 
 

CNN study: Online video ads increase brand recall, awareness
 
A CNN Digital Research study shows that using online video ads with regular Internet billboards can double brand recall and awareness, reports iMediaConnection. The study showed that 99% of viewers watched all or most of the video ads shown before the news clip they requested on CNN.com, instead of "bailing out" on the ad before it's finished, reports TVweek.com. Using broadband video ads also enhances believability, message communication, product knowledge, and word of mouth buzz. For example, people who saw video and banner ads together were more likely to remember the product than people who only saw the banner ads. According to the latest data from the Interactive Advertising Bureau, Internet advertising revenues reached a record $3.9 billion during the first quarter of 2006.
 
 

American Heart Association launches heart attack prevention site
 
A new Web site from the American Heart Association (AHA) provides resources to help people who have had a heart attack or want to prevent one, it reports. The site, available through the AHA's main site, offers two pathways: Prevention and Life After Heart Attack. The Prevention area focuses on avoiding tobacco, being active, and eating well, and includes risk factors, healthy heart quizzes, and a heart attack risk assessment. The Life After Heart Attack channel offers information about recovery, as well as medical illustrations explaining diagnostic tests, procedures, surgeries, and medications. There are also links to support groups and other tools to help survivors reduce their risk of having another heart attack. An interactive discussion group provides a forum for patients and caregivers to ask questions, discuss treatments, and seek advice. Learn more on AHA's Web site.
 
http://www.americanheart.org/presenter.jhtml?identifier=1200005

Initiative will provide PHR to endocrinologist group, patients
 
A new initiative from the American Association of Clinical Endocrinologists will provide iHealth Services from Medem to its members and their patients, it reports. As part of the program, patients will receive an iHealthRecord, which is an interactive personal health record that allows patients to share their health information with physicians, family members, and other healthcare providers. Services will also include automated education programs that are specific to a patient's medical conditions and FDA medication warnings and recall alerts. Patients can access the service from their physician's practice Web site hosted on Medem's network, according to the company. The American Association of Clinical Endocrinologists has more than 5,300 members in the United States and 85 other countries.
 
 

Merck-funded study: Team approach needed for diabetes management
 
Tackling diabetes requires a team approach because patients and doctors aren't on the same page when it comes to diabetes management, according to the Merck-sponsored Diabetes Roundtable. A survey commissioned by the American Association of Diabetes Educators found that 69% of adults with type 2 diabetes say they are very knowledgeable or knowledgeable about their condition. However, doctors disagree: 81% of physicians say they are frustrated with the number of their patients who don't follow their treatment regimens exactly as prescribed. The Roundtable, which includes a multi-disciplinary panel of health experts, concluded that there should be a team-centered approach to managing diabetes that involves everyone from patients and primary care physicians to diabetes educators, behavioral scientists, and endocrinologists. Learn more about the Roundtable and the survey on the Web site.

http://www.diabetesteamsite.com/index.html
 
 

European docs use Web, but lack e-marketing tools from pharma
 
Physicians in Europe have not adopted pharma e-marketing technology at the same pace as physicians in the United States, according to Manhattan Research. However, this is not due to a lack of interest from European physicians, but because of a lack of offerings and awareness, according to the company's latest study, Taking the Pulse Europe v5.0. According to the research, European physicians have embraced the Internet for professional uses and pharma marketers have an opportunity to be among the first to offer e-marketing tools to this market. For example, 96% of European physicians use the Internet for any purpose and 94% use it for professional purposes. Moreover, physicians said they value the Internet as a professional and educational resource, with 62% reporting that the Internet is essential to their practice. Go to Manhattan Research's Web site to learn more.
 
 

Study uses MP3 player to deliver asthma Rx adherence messages
 
An ongoing study is using MP3 players to improve asthma medication adherence among teens, according to the Chicago Tribune. In the study at Rush University Medical Center and Stroger Hospital in Chicago, low-income urban teens with asthma received MP3 players with music and videos interspersed with messages from rapper Ludacris reminding them to take their medicine. The Chicago Tribune also examined other ways technology is playing a role in keeping people healthy. For example, a study sent smoking cessation text messages to teen smokers. After six weeks, 28% of those who had received the messages had quit, compared to only 13% of those who didn't receive the messages. Read more in the Chicago Tribune.
 
http://www.chicagotribune.com/technology/reviews/chi-0605290226may30,1,6262717.story?coll=chi-technologyreviews-hed&ctrack=1&cset=true

Program will reward cell phone users for watching ads
 
Virgin Mobile will reward people for watching ads with the launch of what it calls the first ad-supported cell phone service in the United States, reports The New York Times. The program will give free telephone minutes to people who watch 30-second commercials on a computer or by text message. Consumers have to answer questions about the ads to prove they were paying attention and can earn up to 75 minutes per month. The program, called SugarMama, is set to be available June 14 and has already signed up three advertisers: Pepsi, Xbox, and the youth anti-smoking campaign Truth. In other news, cell phone companies are increasingly reaching out to Hispanics with services and downloads available in Spanish. Hispanics are one of the fastest growing populations in the United States and cell phone marketers are eager to get a piece of this market, according to The New York Times.
 
 

MedSeek adds patient portal technology, Henry Ford goes live
 
E-health firm MedSeek has added ".net" technology in order to develop patient portals for its clients. MedSeek says its new .net platform provides better security and more robust technology for existing and future patient portals. The Henry Ford Health System is the first MedSeek client to go live on the portal, according to the company. The patient portal platform is linked into Henry Ford's existing EMR and lets patients update demographic information, obtain personalized medical information, renew or refill prescriptions, and receive personalized health news and updates. According to MedSeek, hospitals are looking for a more comprehensive approach to patient portal development that includes clinical information.
 
 

Web site acts as searchable portal to other health sites
 
A new health Web portal aims to offer an easier way to search through the labyrinth of online health information and Web sites. Healthsiteguide.com is a portal to other health Web sites, providing pre-searched information from other healthcare sites across the Internet. The site itself does not contain much actual information. However, users can use it to find outside sites that contain information about a certain topic. Drop-down menus help users navigate the site, listing hundreds of medical conditions, in-depth reviews of health Web sites, and special features such as health videos and drug guides. Selecting a topic links users to sites containing that information. For example, selecting "acne" from the drop down menu will provide links to Healthcentral.com and Mayo Clinic's Web site. The site does not currently have advertisers, but will look into advertising opportunities as traffic on the site builds, Health Site Guide spokesperson Carly Rose said.
 
 

One-third of Americans have diabetes or are on track to get it
 
One-third of Americans have diabetes or are on their way to having it in the future, and there is a disproportionate prevalence among minority groups, according to a study in the June issue of Diabetes Care. Diabetes is nearly twice as prevalent among African Americans and Mexican Americans as it is in Caucasians. The study showed that 9.3% of adults aged 20 and older had diabetes between 1999 and 2002. Another 26% had impaired fasting glucose, a form of pre-diabetes that often leads to diabetes within 10 years. According to researchers, diabetes advocates are not doing enough to convince people to make changes in their lives, because even though type 2 diabetes can be prevented in many cases, diabetes prevalence continues to grow.
 
 

Podcast firm offers tips for successful podcast advertising
 
Marketers have a major opportunity to leverage podcast advertising, according to Gregory Galant, CEO of podcast ad facilitating firm RadioTail. The key to podcast advertising is keeping it short, Galant wrote last week in iMedia Connection. A few 15-second spots are a better bet than one 60-second spot. Advertisers should also vary their ads as much as possible, perhaps addressing seasons, holidays, or current events. Also remember that the podcasting audience is very tech-savvy and sophisticated, so don't dumb down the message, wrote Galant. Ads should be placed between podcast segments, not before the content. Finally, avoid imitating radio broadcasts with podcast ads by trying to grab the listener's attention with loud or gimmicky copy. Downloadable podcasts of medical presentations are a feature on a new GlaxoSmithKline-sponsored CME Web site.
 
 

 

 

AMA will ask its members to support government DTC moratorium

AMA will ask its members to support government DTC moratorium  

The American Medical Association (AMA) will reverse it prior decision and ask its members to back government restrictions on DTC advertising, reports the Chicago Tribune. Last year, the AMA did not back a moratorium on advertising new drugs and instead asked for more research. This year, however, the research is complete and suggests that AMA delegates should support a "time interval" between when a drug receives FDA approval and when consumer advertising can begin. The 17-page report says DTC ads for newly approved drugs should not begin until "physicians have been appropriately educated" about them and that the length of the moratorium will vary. Although PhRMA opposes a government moratorium, the group's new DTC guidelines call for companies to voluntarily hold off on DTC ads until doctors are educated.

One-Third of U.S. Adults Diabetic or Pre-Diabetic

One-Third of U.S. Adults Diabetic or Pre-Diabetic

By Steven Reinberg
HealthDay ReporterFri May 26, 7:09 PM ET

FRIDAY, May 26 (HealthDay News) -- The number of Americans diagnosed with type 2 diabetes has now topped 19 million, and a new study says a third of adults with the disease don't even know they have it.

The researchers found that another 26 percent of adults had "impaired fasting glucose," a precursor to diabetes.

"So, if you add that together with the 9.3 percent of people with diabetes, that means that fully one-third of the adult population -- 73 million Americans -- have diabetes or they may be on their way to getting it," said lead researcher Catherine Cowie, director of the diabetes epidemiology program at the U.S. National Institute of Diabetes and Digestive and Kidney Diseases.

Her team's report appears in the June issue of Diabetes Care.

The researchers note that about 95 percent of all cases of diabetes in the United States fall under the category of type 2 disease -- a gradual loss of insulin production and sensitivity that's usually linked to overweight and obesity.

According to the U.S. National Institutes of Health and the U.S. Centers for Disease Control and Prevention, survey data from the National Health and Nutrition Examination Survey of 1988 to 1994 and 1999 to 2002 indicate the incidence of diabetes among people aged 20 and older has gone from about 5.1 percent of the population in the older survey to 6.5 percent by 2002.

"In the 1999 to 2002 survey, participants were interviewed to find out whether they had ever been told that they had diabetes," said Cowie. "In addition, the people had a blood test after they fasted overnight."

Among the 4,761 adults in surveyed, 9.3 percent had type 2 diabetes -- that translated to about 19.3 million people in the entire U.S. population, Cowie said. "In addition, we found that about one-third of the 9.3 percent don't know they have it," she noted.

Diabetes continues to affect blacks and Mexican-Americans about as much as whites, Cowie noted. "In fact, in blacks, diagnosed diabetes rose more significantly between the two surveys than it did for other groups," she said.

"In addition, it rose more significantly in men than in women," Cowie added.

It's even worse among older Americans. About 22 percent of those over 65 have diabetes, Cowie said. "Combine that with 40 percent of those with impaired fasting glucose, [and] it's affecting 62 percent of the adult population in that age group," she said.

There is a huge portion of the population who don't know they have diabetes or who are at risk for diabetes, Cowie said.

"We aren't doing a good enough job of diagnosing these one-in-three people who don't know they have diabetes as well as people who have pre-diabetes," Cowie said. "We really need to be a better job of convincing people that should be adopting healthy behaviors that will prevent these conditions."

One expert thinks that the number of undiagnosed diabetics and pre-diabetics may be underestimated.

"The findings suggest that the prevalence of undiagnosed diabetes is stable," said Dr. David L. Katz, an associate professor of public health and director of the Prevention Research Center at Yale University School of Medicine. "This might be true, and due to the fact that as diabetes rates are rising, we're at least attentive to it, and usually finding it when it's there. But this finding might also be misleading."

Undiagnosed diabetes may be less likely in people who participate in health surveys than those who do not, Katz said. "I am suspicious that there is more undiagnosed diabetes than these findings suggest," he noted.

"Since type 2 diabetes is often preventable, almost any is too much," Katz said. "Seeing a steady rise in the rates of this serious and potentially debilitating disease we have the wherewithal to prevent is compelling testimony of past failings and future needs," he said.

This is neither the first, nor the last time this message will be delivered in a scientific paper, Katz said.

"My hope is that we will do what needs to be done to make healthful diets and activity patterns more accessible to all, and diabetes a bit less so," he said.

More information

For more on diabetes, head to the U.S. National Diabetes Clearinghouse.

Who's Not Watching Online Video?

Who's Not Watching Online Video?

MAY 26, 2006

The screen may still be relatively small but the audience is growing.

Responding to the surge in online video consumption, comScore Networks has launched a service called Video Metrix. The service reports on online video consumption, covering both content and advertising, and includes audience demographic data. Data on video usage is gathered by observing the online behaviour of several hundred thousand panellists.

Not surprisingly, comScore confirmed a marked increase in online video viewing by US Internet users. According to the results, the average number of minutes spent watching video online increased by 18% in the six months from October 2005 to March 2006.

The US Internet users who were monitored for the study indicated that, in the month of March, they each viewed an average of 100 minutes of video content per month, compared to an average of 85 minutes in October. It also emerged that they each spent close to an hour per month viewing Internet video from work locations during March.

 

"Video consumption on the web is rapidly approaching the tipping point for advertisers," said Peter Daboll, CEO of comScore Media Metrix. "With two-thirds of consumers accessing the Internet from home using a broadband connection, and publishers continuing to innovate by using the latest technologies to deliver content in a way that engages users, video consumption is poised to become a standard part of the online experience for a majority of consumers. Advertisers will increasingly seek opportunities to reach broad and frequently elusive markets, and do so with a level of engagement and richness that has not previously been available online."

The composition of video consumers is fairly evenly split among males and females, according to the comScore study.

 

However, looking deeper into the numbers reveals that the male audience is much more engaged with online video, with the average male viewer seeing nearly 120 minutes a month, while females watch approximately 80 minutes a month. Males 25-34 are intense consumers, watching an average of 140 minutes of online video content a month.

As to where consumers go online to watch their video, comScore found that approximately 42% of users went to entertainment sites, and 33% visited portals.

For more information on the marketing side of this subject, read the eMarketer report Online Video Advertising: Promises and Challenges.

Online Video Confirmed as an Effective Vehicle for Reaching the Male 25-34 Segment

[BRIEF]

 

Men more likely to engage with online video than women

Men are more likely to engage with online video than women, according to a study from comScore Networks. The study showed that even though the online video audience is split fairly evenly between men (52%) and women (48%), men are more engaged with video. The average male spends nearly two hours per month watching online videos, compared to the average woman's hour and 20 minutes. Men aged 25-34 spend the most time watching video overall, consuming an average of 140 minutes of video a month. According to comScore, more than one-third of all U.S. Internet users streamed video through a portal. Several health and pharma sites are taking advantage of this trend by adding video to their sites. For example, both WebMD and About.com have added video programming with pharma sponsorship opportunities.

 

 

[FULL STORY]

 

Online Video Confirmed as an Effective Vehicle for Reaching the Male 25-34 Segment

PR Newswire via NewsEdge Corporation :

RESTON, Va., May 23 /PRNewswire/ -- comScore Networks today released an analysis based on its newly launched Video Metrix service, the first-ever monthly reporting of consumer video consumption of both content and ads across the Web along with the demographic characteristics of video viewers. Among notable trends was the marked increase in the number of consumers viewing video online, which grew 18 percent from October 2005 to March 2006. In total, consumers viewed 3.7 billion video streams in March and slightly less than 100 minutes of video content per viewer per month, compared to an average of 85 minutes in October.

While the composition of video consumers is fairly evenly split among males (52 percent) and females (48 percent), the male audience is much more engaged with video, with the average male viewer seeing nearly two hours per month, while females consume approximately one hour and twenty minutes of video per month. Overall, males in the highly-coveted 25-34 age group have the highest intensity of video consumption, with an average of 140 minutes of video consumed per month.

"Video consumption on the Web is rapidly approaching the tipping point for advertisers," said Peter Daboll, president and CEO of comScore Media Metrix. "With two-thirds of consumers accessing the Internet from home using a broadband connection, and publishers continuing to innovate by using the latest technologies to deliver content in a way that engages users, video consumption is poised to become a standard part of the online experience for a majority of consumers. Advertisers will increasingly seek opportunities to reach broad and frequently elusive markets, and do so with a level of engagement and richness that has not previously been available online."

comScore Video Metrix is used by leading video publishers and networks, including Broadband Enterprises, Warner Brothers Interactive, NBC Universal, iFilm, Discovery Communications, Roo Networks, and Video Detective. The service provides key metrics and analysis of video consumption across top properties on the Web and provides demographics, ratings, daypart and site- specific measures to assist in the planning of video advertising buys.

"We use comScore Video Metrix to educate promotional partners at studios and record labels on the effectiveness and reach of streaming video content," said Jed Horovitz, managing member, Video Detective, LLC. "Because we are able to show them so much demographic detail tied directly to video viewing, they are able to put a real value on the materials they provide us."

    Other Key Findings

    Additional key findings from the report include:

    --  Approximately 16 percent of all time spent viewing online video takes

        place during prime time hours, while 22 percent occurs on the weekend.

    --  During March, approximately 42 percent of all U.S. Internet users

        streamed video through an entertainment site, and more than 33 percent

        did so from a portal.

    --  On average, consumers spent close to one hour per month viewing

        Internet video from work locations during March.

    About comScore Networks

comScore Networks provides unparalleled insight into consumer behavior and attitudes. This capability is based on a massive, global cross-section of more than 2 million consumers who have given comScore explicit permission to confidentially capture their browsing and transaction behavior, including online and offline purchasing. comScore panelists also participate in survey research that captures and integrates their attitudes and intentions. Through its proprietary technology, comScore measures what matters across a broad spectrum of behavior and attitudes. comScore consultants apply this deep knowledge of customers and competitors to help clients design powerful marketing strategies and tactics that deliver superior ROI. comScore services are used by global leaders such as AOL, Microsoft, Yahoo!, Verizon, Best Buy, The Newspaper Association of America, Tribune Interactive, ESPN, Fox Sports, Nestle, MBNA, Universal McCann, the United States Postal Service, Merck and Expedia. For more information, please visit http://www.comscore.com .

SOURCE comScore Networks, Inc.

CONTACT: Andrew Lipsman of comScore Networks, Inc., +1-312-775-6510, or press@comscore.com

 

Specialty Pharmaceuticals sponsors ADHD ed program for parents

Specialty Pharmaceuticals sponsors ADHD ed program for parents 

Specialty Pharmaceuticals, a division of McNeil-PPC, is sponsoring an educational program to help parents better understand the risks and benefits of ADHD medicines. The program also aims to help parents make the most appropriate treatment decisions for their child. The National Consumers League program, called Responsible Rx, provides a toolkit for parents, available online at ResponsibleRx.org. <http://www.nclnet.org/responsiblerx/index.htm>  The toolkit includes guides to help parents maintain a detailed medical history for their child and monitor their child's response to medication. The kit also includes tips for reading prescription labels and reporting symptoms and behaviors to a physician. Specialty Pharmaceuticals markets the ADHD drug Concerta.

Sponsored online education nets greater ROI than traditional ads

Sponsored online education nets greater ROI than traditional ads       

Sponsoring online educational programs produces a greater ROI than spending comparable marketing dollars on traditional media advertising, according to a study by Next Century Media. The study analyzed responses of nearly 200,000 consumers who participated in online educational programs in 2005 and found that these users are 29 times more likely to buy the sponsor's products compared to traditional advertising. Online educational programs also resulted in better perception of the brand among participants; 94% of surveyed consumers said they had a more favorable perception of the brand because of the experience. The analysis reviewed online educational courses provided by Powered, a company that produces the courses on microsites that match the brand's look. The courses are underwritten by a company to promote their brand. For example, Sony sponsors courses on iVillage covering how to shoot great home video, and also features its related products. Powered clients include Procter & Gamble and iVillage. Click the supporting link below to read more about the study and find out how you can get a copy.      

Relaunched Wyeth Web site provides on-demand info for docs

Relaunched Wyeth Web site provides on-demand info for docs

It appears Wyeth is listening to what doctors want: online health information. The company has relaunched its Web site with a new focus on physician and consumer needs. Included on the physician side of the site is a password-protected area where doctors can request samples, receive content specific to their therapeutic area, and access patient education, disease, and product information. Wyeth surveyed physicians and found that they want on-demand health and product information and don't always want to wait for a rep to get it, Christopher Garland, Wyeth spokesperson, tells ePharm5. The survey also showed that docs would rather have a meaningful relationship with one person than cursory visits from multiple reps, so Wyeth restructured its sales force and assigned one rep per primary care doctor. This relationship is reflected on the new site with a personalized sales rep page for the doctor. "They told us what they want and we're doing it," Garland says.

 

Survey: Young people spend more time online than watching TV

Survey: Young people spend more time online than watching TV

Johnson & Johnson's decision to sit out the upfront network TV buys may be indicative of a shift in the impact of network TV. A recent survey of 16-34-year olds' media habits shows they spend more of their free time online than watching TV, according to Bolt Media. The survey showed that 85% of this group spends their free time surfing the Internet, compared to 69% who said they spend it watching TV. Only 25% of respondents could name the four major TV networks and one in three respondents couldn't name any of them. The five most popular networks with this group were Fox, Comedy Central, ABC, MTV, and Cartoon Network, reports Advertising Age.

 

Study Finds Health Marketers Lag On Web Promotions

Study Finds Health Marketers Lag On Web Promotions

The majority of consumers, 51 percent, turn to the Web as their primary resource for information about health and fitness, according to a new report by Prospectiv. An even larger proportion, 73 percent, said they'd like more health-related information online; more than nine in 10--91 percent--said they'd like online promotions tailored to their personal needs. But, even though consumers appear to go to the Web for information, marketers lag behind when it comes to offering incentives for health and fitness purchases. Consider that the vast majority of consumers indicate they want discounts on health products: the survey found that 82 percent of consumers use coupons for health-related purchases, while 40 percent said they do most health-related shopping at discount stores. But, apparently, consumers are not finding discounts or promotions online; just 10 percent of the coupons used were obtained on the Web. When asked what they purchased most often, 42 percent said over-the-counter prescriptions, 34 percent replied beauty products, and 23 percent said diet/fitness programs or services. For the report, Prospectiv surveyed 1,000 consumers last month.

eBay Wins Bid To Test Online Media Buying System

eBay Wins Bid To Test Online Media Buying System

by Erik Sass, Friday, May 12, 2006 8:30 AM EST

DAYS AFTER AN AD INDUSTRY task force unveiled plans to test an electronic trading system for buying and selling media, online auction giant eBay has won the bid. "We've looked at a bunch of providers, and eBay came out on top," confirmed Ray Warren, president of Carat Media Group Americas, and a member of the task force. While the task force has met with a number of potential infrastructure providers, including Google, Warren said eBay was chosen "based on their scale and their expertise and their brand name, which comes with some credibility in doing this kind of thing. Obviously, we wanted to make sure we get it right." eBay first pitched the concept to the Association of National Advertisers' Television Advertising Committee in January, and presented the idea again in a more public form earlier this week during the ANA's Financial Management Committee meeting in Naples, FL. Details of the test were not disclosed, but it looks to be fairly substantive. The task force has floated a $50 million budget for the test phase. The idea is still being vetted through the ANA, which is conducting additional surveys of its membership to gauge support, and a formal steering committee has yet to be organized, but the initiative appears to be taking on a life of its own. The concept of creating a Nasdaq-like media trading system was first broached by Wal-Mart's Senior Vice President For Marketing Communications, Julie Roehm, during the ANA's 2005 Television Advertising Forum in New York more than a year ago, while she was a senior marketing executive at DaimlerChrysler. The idea is not without controversy, as some of the largest national advertisers are opposed to the idea, and the ANA is not formally endorsing the pilot program--although it is a big proponent along with the American Association of Advertising Agencies for so-called "eBiz for Media" systems, and it plans to serve as a forum for discussing the idea through its committees and at forums such as the Financial Management Conference. Meanwhile, smaller online ad companies have joined the fray--with an announcement from Bid4Spots, an online ad broker that uses an innovative "reverse auction" model, that it plans to branch out into TV ad sales over the next year, according to founder and CEO Dave Newmark.

Who's Using PDAs? Estimates of PDA Use by Health Care Providers

Who’s Using PDAs? Estimates of PDA Use by Health Care Providers: A Systematic Review of Surveys

Chantelle Garritty^1,2, BA, DCS; Khaled El Emam^1,3, BEng, PhD

¹Chalmers Research Group, Children’s Hospital of Eastern Ontario Research Institute (CHEO RI), Ottawa, ON, Canada
²Department of Public Health Science, Faculty of Medicine, University of Toronto, Toronto, ON, Canada
³Department of Pediatrics, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada

ABSTRACT

Background: Personal digital assistants (PDAs) find many uses in health care. Knowing rates of collective PDA use among health care providers is an important guiding step to further understanding those health care contexts that are most suited to PDA use and whether PDAs provide improved health outcomes.

Objectives: The objectives of this study were to estimate current and future PDA use among health care providers and to discuss possible implications of that use on choice of technology in clinical practice and research.

Methods: This study was a systematic review of PDA usage surveys. Surveys were identified as part of an ongoing systematic review on the use of handheld devices. Reports from eight databases covering both biomedical sciences and engineering (1993-2006) were screened against distinct eligibility criteria. Data from included surveys were extracted and verified in a standardized way and were assessed descriptively.

Results: We identified 23 relevant surveys, 15 of which were derived from peer-reviewed journals. This cohort of surveys was published between 2000 and 2005. Overall, since 1999, there is clear evidence of an increasing trend in PDA use. The current overall adoption rate for individual professional use ranges between 45% and 85%, indicating high but somewhat variable adoption, primarily among physicians.

Conclusions: Younger physicians and residents and those working in large and hospital-based practices are more likely to use a PDA. The adoption rate is now at its highest rate of increase according to a commonly accepted diffusion of innovations model. A common problem with the evaluation of information technology is that use frequently precedes research. This is the case here, in which PDA adoption rates are already high and projections are for rapid growth in the short term. In general, it appears that professional PDA use in health care settings involves more administrative and organizational tasks than those related to patient care, perhaps signaling where the growth in adoption is most likely to occur. We conclude that physicians are likely accustomed to using a PDA, and, therefore, technology expertise will probably not be a barrier to implementing PDA applications. However, there is an urgent need to evaluate the effectiveness and efficiency of specific tasks using handheld technology to inform those developing and those using PDA applications.

(J Med Internet Res 2006;8(2):e7)
doi:10.2196/jmir.8.2.e7