And it can confuse consumers:
Marketers for direct-to-consumer medication often trick consumers,
downplaying the risks of drugs by presenting too many possible dangers
simultaneously, according to a study.
The research, conducted by a team at the University of Michigan and published in the journal Nature Human Behaviour,
reveals that when a drug advertisement throws too many risks at you —
we all know the oft-parodied endless scroll of side effects with a
speedy narrator — the less risky a drug is perceived to be by consumers.
It’s a psychological phenomenon called “the dilution effect.”
The researchers performed a series of experiments involving more than
3,000 participants. In one experiment, about 800 people listened to an
ad for Cymbalta, a drug to treat depression. Those who listened to the
full ad, which lines both major and minor risks, thought the drug was
less risky than those who listened to a version of the commercial that
listed only the severe side effects.
Drug ads are required by the Food and Drug Administration to list their
risks along with the drug’s benefits, but savvy marketers have perhaps
found that the more risks the commercial or print ad lists, the better
for their brand — because the minor side effects dilute the larger
dangers.
The study found that when only the severe side effects are listed, a
potential consumer will immediately think the drug will cause them harm,
but when heart disease and stroke are listed alongside headache and dry
mouth, the drug is seen as less risky overall.
Both types of side effects are important, the study says. The severe
side effects, which are rarer, are important in a potential consumer
judging the major risk factors of a drug. But the lesser side-effects
are typically more common, so consumers also need to know they could
happen. Both are necessary for weighing the cost of the adverse side
effects to the benefits of the prescription.
The study
says that this means medication risk communication may need to be
divided between severe and minor risks. One of the experiments in the
study listed all the side effects but bolded the more severe ones.
Consumers who saw that list judged the drug just as risky as those who
saw only the severe side effect lists. But the study says more work
needs to be done to say for certain if that method is better overall.
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