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A Futuristic Approach to
Message Testing for Pharma Companies
Why the science behind message testing needs
a serious upgrade and what is the future of
message testing?
Reinventing
Message
Testing
WHY PHARMA NEEDS A STEP CHANGE IN MESSAGE TESTING
In the last decade, the pharma industry has gone through significant changes in how it messages
to physicians, patients and payers. The processes and tools that pharma brands use to DEVELOP
and DELIVER messages have been disrupted by new technologies. However, what hasn’t
changed much is the TESTING of messages in market research prior to execution.
It is still too common for brands to test messages in qualitative IDIs despite the known
shortcomings of qualitative research. In fact, entire message campaigns can be decided based
on 20-30 qualitative interviews, campaigns that are supported by $10-100 millions in spending!
Even when brands use quant message testing, conventional methodologies like maxdiff/TURF
haven't evolved in decades and still have many shortcomings.
2
With little innovation in message testing research, even
The most basic needs have not been met.
Still can’t test a lot
of messages in one
study
Still have to ask
stated questions
about why like/dislike
Still can’t improve
messages as
you test
Still can’t get better
separation in
message scores
Still focus on top
messages, not
message storyflow
Still can’t get
best messages
by channel
An industry wide study on the Future of Messaging commissioned jointly by
Intellus Worldwide and Newristics highlights the urgent need for advanced
message testing optimization methodologies in pharma.
Messaging will shift dramatically
in the future: from clinical to
RWE/PRO, from rational to
emotional, biomarker testing,
companion, diagnostics, etc.
HEOR/HECON teams will heavily
influence message development
in the future as increasingly more
messages will be targeted towards
IDNs and hospital networks.
Development
Testing
Performance
Message story flow will become
more important than the core
message bundle, as detailing
shifts from data-telling to
storytelling.
Execution
Non-personal promotion channels
will grow in importance in the
future as more physician practices
and their affiliates limit rep access.
Messaging research will shift
from traditional qual/quant to
micro-surveys, usability testing,
machine learning, etc.
In market message testing will
become more common than
market research testing,
driven by need for faster
message refresh cycles.
Customization message story
flow by channel and by customer
segments will become more of
the norm vs the aspiration.
Messaging campaigns will be
refreshed more frequently,
triggered by more frequent data
releases and agile sales
technology.
Emerging Metrics such as
brand sentiment and formulary
access will become key
measure of success.
Real-time ROI measurement and
campaign optimization will
replace traditional pre-post
campaign ROI analysis.
New message recall assessment
techniques will likely displace
traditional methods.
Message development will be
pushed earlier in the commercial
launch planning process.
$
3
Traditional Qualitative Message Testing (IDIs/TDIs)
How It Works
Qualitative research is used extensively in the pharmaceutical industry to test messages with
customers (HCPs, Patients, and Payers).
1
Typically, messages are tested
qualitatively in 1-on-1 interviews
lasting 60 mins (IDI/TDIs).
3
After every message exposure,
respondents are asked to score the
message and “talk” about the
rationale for their score.
5
Prioritized messages from each
attribute are shown again to
respondents and they are asked to
organize the messages in a story flow.
2
Messages are organized into
attributes like Efficacy, Safety, MOA
etc. and are exposed to respondents
one message at a time.
4
The moderator probes on what
respondents like/dislike in each
message and tries to capture ideas
for improving each message.
4
Limitations of the Traditional Qualitative Approach
Traditional qualitative message testing has many limitations and should, ideally, no longer be
used in the pharma industry. Yet, tens of millions of valuable market research dollars are spent
every year by pharma brands to test messages qualitatively.
It is not representative of the real world
and makes respondents artificially pay
attention to messages.
Feedback from outliers is neglected even
though there are many outliers in the real
world.
Improvements suggested by respondents
are rarely useful since they are not
marketers.
Only a small number of messages can be
tested, forcing brands to make tough
choices on what to test.
Respondent feedback to messages is all
‘stated’ and there are no derived insights.
There is little or no differentiation in
message scores or regression to the
mean for all the messages.
Bad solution for message bundling/storyflow
– too many combinations are unexplored.
1
2
3
4
5
6
7
5
Traditional Quant Message Testing (Maxdiff/TURF)
How It Works
Traditional quantitative message testing methodologies use choice-based models like
conjoint, discrete choice or Maxdiff/TURF.
2 Choices can be individual messages
or message bundles.
3
Each respondent sees 45-80 choices,
but they are not all unique.
Some choices are tested more than
once with the same respondent.
4
Since there are more choices possible than
what can be shown, a Design of Experiments
(DOE) is created to make sure that enough
choices are tested and each choice is tested
with enough respondents.
5
Utility scores are aggregated for each
message based on data from the
respondents and are used to create a
message hierarchy.
1
Take respondents through 15-20
choice sets containing 3-4
messages in every choice set.
6
Limitations of the Traditional Quantitative Approach
Traditional choice-based methodologies also have some known limitations that create
challenges for message testing:
When message bundles are tested, scores for
individual messages have to be modeled, which is
also not ideal because many messages end up
having similar scores.
Traditional methodologies don’t provide feedback on
why messages do/don’t do well in research and how
to improve them.
If individual messages are tested, then message
bundles have to be modeled with a simulator, which
is not ideal because interaction effects between
messages are not adequately accounted for.
The design of experiments does not take into
account individual respondent-level choice drivers,
which means that irrelevant choices could be tested
with many respondents in many choice sets.
1
2
The Design of Experiments approach works well with up
to 30-40 messages, after which, either respondents have
to be shown an overwhelming number of choices or the
sample size has to be increased.
3
4
5
7
Heuristics-Based Message Testing: A futuristic approach
Decision heuristics science or behavioral science offers a novel approach to market research
in general, and many use case scenarios for behavioral science in market research have emerged
in the past few years. From deep insights research to patient journey to idea testing to brand health,
decision heuristics science can be incorporated into almost every type of customer research.
Physicians and patients don’t
realize that they are using
heuristics to make decisions
and don’t offer them as
explanations for their
behaviors.
Many of the heuristics are
cognitive biases, judgment
fallacies, psychological or
social effects and can even
lead to irrational decisions
when used very quickly.
Decision heuristics are
mental shortcuts that drive
human decisions. In every
therapeutic area, there is a
set of dominant decision
heuristics that drive most of
the treatment decisions.
Decision heuristics have been
discovered by conducting
behavioral experiments that
are designed to put people
under certain predetermined
situations and then track their
behaviors/choices.
The choices can be powered
by heuristics, and respondent
behaviors during the research
can be tracked to study the
underlying heuristics.
Decision heuristics science is
ideally suited for market
research in which the
respondents are shown a
series of choices.
What is decision heuristics science?
Decision heuristics science sheds light on how
humans behave in real life and research.
?
8
Decision heuristics science is a great tool to test messages with respondents in a new
“behavioral” way to optimize messages AND message bundles, based on how they make
treatment decisions.
Heuristics-based message testing overcomes many of the limitations that plague traditional
methodologies:
A Large number of
messages can be tested
without a large sample
because heuristics can be
used to create the design
of experiments.
Choices are presented to
respondents based on
how they make decisions
using specific decision
heuristics, which means
their exposures are much
more relevant.
Heuristic preferences
can provide real-time
intelligence on
respondents during the
survey that can be used
to make real-time
predictions.
Drivers of message appeal
can be estimated through
the language that talks to
decision heuristics in each
message, eliminating the
need for asking stated
diagnostics survey
questions that can also be
very time consuming.
Using decision heuristics science for message testing
Benefits of the Heuristics-Based Approach
b. Customize messages to each
respondent based on their
heuristic preferences, forcing them
to provide greater distinction
between choices.
b. Develop alternative versions
of each message using the best-fit
heuristic and test both the
alternatives and the originals in
research.
a. Use language in each
message as a signal for decision
heuristics and tag each message
in the inventory with the “best-fit”
decision heuristic.
a. Test not just the appeal of
messages, but also the appeal of
underlying heuristics embedded in
the language of each message.
b. Go beyond a Message
Hierarchy and a TURF analysis
and optimize the precise message
bundles and story flow for all
messaging channels.
a. Feed data from respondents
into advanced machine learning
algorithms that identify the best
combination of any number of
messages based on heuristics.
After Research
Before Research During Research
9
CMO is the first and only message testing algorithm that combines the power of behavioral
science and artificial intelligence to test messages with customers in a way that can propel the
future of marketing in pharma.
Designed with 3 years of pure R&D, CMO is built exclusively to test messaging in the pharma
industry and offers benefits that every pharma marketer and market researcher will need in the
future.
CMO (Choose Message Optimizer)
Message Testing for the Future of Marketing
CMO cuts the time it takes
to go from the 1st draft of
messages to campaign
development by 65% and
save up to 15 weeks.
CMO cuts the total cost of
testing messages by 50% or
more.
CMO is proven superior to
even the most advanced
message testing methodologies
in identifying the optimal
message bundle from the same
inventory of messages.
CMO simplifies the process
of testing and optimizing
messages before launch.
Faster
Cheaper
Better
Easier
a. CMO can test 100s of messages, which eliminates the need for your
team to spend time prioritizing messages before research.
b. CMO creates “heuristicized” alternative versions of your messages
before research, and tests both the original and heuristicized versions
with respondents.
c. CMO delivers optimal message bundles that are campaign ready for
omni-channel use, saving time needed for execution.
a. CMO can potentially eliminate all qualitative message testing
because the heuristics-based design of CMO provides the WHY
behind the appeal of each message without having to ask
respondents.
b. CMO can even eliminate draft paper vis-aid testing because data
from the CMO study can identify the optimal message bundle for
every page of the vis-aid.
a. CMO message bundle was preferred by 1.5x more people.
b. CMO message bundle had 25% higher Utility Scores.
c. CMO message bundle had statistically higher scores for diagnostics
like Believability, Relevance, Uniqueness and Likelihood to Use.
a. Turnkey: all you need to provide is the draft inventory of messages
for testing.
b. Minimal project management is needed from your team.
c. CMO eliminates rounds of unproductive meetings and workshops
needed to review, refine and prioritize messages.
10
CMO Research on Research
The superiority of CMO was studied in a large-scale meta-analysis of research projects
11
29 22 4,752
20 6,420 36
research projects product categories messages tested
leading brands respondents months
CMO is proven to identify winning messaging for brands
through market research
100% of CMO projects
resulted in improvement
vs. current messaging and
vs. competitors
CMO-identified message
bundles had 1.7 times
higher customer
preference than current
in-market messaging
CMO message bundles
helped 7 out of 10
brands take or extend
market leadership and the
remaining brands close
gap vs. the leader
100%
Success Rate
1.7x
Improvement
Market
Leadership
Results based on comparison of preference share data on message bundles from the 29 studies
CMO has a 100% success rate
The preference share of CMO-generated message bundles was higher
than current in-market message bundles in 100% of the studies
18%
14%
23%
18%
48%
33%
40%
35%
44%
42%
43%
32%
39%
30%
50%
56%
63%
55%
45%
57%
63%
51%
50%
57%
51%
60%
60%
79%
80%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
Current Message Bundle CMO-Generated Message Bundle
CMO vs. current message
bundle preference share
CMO improved preference share by 1.7x vs. current in-market messaging
CMO helped brands improve market leadership position with winning messages
CMO message bundles helped 7 out of 10 brands take or extend market leadership
and the remaining brands close gap vs. the leader
267%
14%
15%
15%
17%
20%
21%
28%
28%
33%
33%
35%
54%
56%
61%
63%
73%
75%
76%
81%
82%
84%
87%
96%
98%
106%
129%
149%
153%
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
Average improvement
in preference share
across 29 studies
71%
12
Current Messages
Optimized Bundle
Leading Competitor
3 out of 10 brands closed the gap
7 out of 10 brands extended/took the lead
e
r
a
h
S
e
c
n
e
r
e
f
e
r
P

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a-futuristic-approach-to-message-testing-for-pharma-companies.pdf

  • 1. A Futuristic Approach to Message Testing for Pharma Companies Why the science behind message testing needs a serious upgrade and what is the future of message testing? Reinventing Message Testing
  • 2. WHY PHARMA NEEDS A STEP CHANGE IN MESSAGE TESTING In the last decade, the pharma industry has gone through significant changes in how it messages to physicians, patients and payers. The processes and tools that pharma brands use to DEVELOP and DELIVER messages have been disrupted by new technologies. However, what hasn’t changed much is the TESTING of messages in market research prior to execution. It is still too common for brands to test messages in qualitative IDIs despite the known shortcomings of qualitative research. In fact, entire message campaigns can be decided based on 20-30 qualitative interviews, campaigns that are supported by $10-100 millions in spending! Even when brands use quant message testing, conventional methodologies like maxdiff/TURF haven't evolved in decades and still have many shortcomings. 2 With little innovation in message testing research, even The most basic needs have not been met. Still can’t test a lot of messages in one study Still have to ask stated questions about why like/dislike Still can’t improve messages as you test Still can’t get better separation in message scores Still focus on top messages, not message storyflow Still can’t get best messages by channel
  • 3. An industry wide study on the Future of Messaging commissioned jointly by Intellus Worldwide and Newristics highlights the urgent need for advanced message testing optimization methodologies in pharma. Messaging will shift dramatically in the future: from clinical to RWE/PRO, from rational to emotional, biomarker testing, companion, diagnostics, etc. HEOR/HECON teams will heavily influence message development in the future as increasingly more messages will be targeted towards IDNs and hospital networks. Development Testing Performance Message story flow will become more important than the core message bundle, as detailing shifts from data-telling to storytelling. Execution Non-personal promotion channels will grow in importance in the future as more physician practices and their affiliates limit rep access. Messaging research will shift from traditional qual/quant to micro-surveys, usability testing, machine learning, etc. In market message testing will become more common than market research testing, driven by need for faster message refresh cycles. Customization message story flow by channel and by customer segments will become more of the norm vs the aspiration. Messaging campaigns will be refreshed more frequently, triggered by more frequent data releases and agile sales technology. Emerging Metrics such as brand sentiment and formulary access will become key measure of success. Real-time ROI measurement and campaign optimization will replace traditional pre-post campaign ROI analysis. New message recall assessment techniques will likely displace traditional methods. Message development will be pushed earlier in the commercial launch planning process. $ 3
  • 4. Traditional Qualitative Message Testing (IDIs/TDIs) How It Works Qualitative research is used extensively in the pharmaceutical industry to test messages with customers (HCPs, Patients, and Payers). 1 Typically, messages are tested qualitatively in 1-on-1 interviews lasting 60 mins (IDI/TDIs). 3 After every message exposure, respondents are asked to score the message and “talk” about the rationale for their score. 5 Prioritized messages from each attribute are shown again to respondents and they are asked to organize the messages in a story flow. 2 Messages are organized into attributes like Efficacy, Safety, MOA etc. and are exposed to respondents one message at a time. 4 The moderator probes on what respondents like/dislike in each message and tries to capture ideas for improving each message. 4
  • 5. Limitations of the Traditional Qualitative Approach Traditional qualitative message testing has many limitations and should, ideally, no longer be used in the pharma industry. Yet, tens of millions of valuable market research dollars are spent every year by pharma brands to test messages qualitatively. It is not representative of the real world and makes respondents artificially pay attention to messages. Feedback from outliers is neglected even though there are many outliers in the real world. Improvements suggested by respondents are rarely useful since they are not marketers. Only a small number of messages can be tested, forcing brands to make tough choices on what to test. Respondent feedback to messages is all ‘stated’ and there are no derived insights. There is little or no differentiation in message scores or regression to the mean for all the messages. Bad solution for message bundling/storyflow – too many combinations are unexplored. 1 2 3 4 5 6 7 5
  • 6. Traditional Quant Message Testing (Maxdiff/TURF) How It Works Traditional quantitative message testing methodologies use choice-based models like conjoint, discrete choice or Maxdiff/TURF. 2 Choices can be individual messages or message bundles. 3 Each respondent sees 45-80 choices, but they are not all unique. Some choices are tested more than once with the same respondent. 4 Since there are more choices possible than what can be shown, a Design of Experiments (DOE) is created to make sure that enough choices are tested and each choice is tested with enough respondents. 5 Utility scores are aggregated for each message based on data from the respondents and are used to create a message hierarchy. 1 Take respondents through 15-20 choice sets containing 3-4 messages in every choice set. 6
  • 7. Limitations of the Traditional Quantitative Approach Traditional choice-based methodologies also have some known limitations that create challenges for message testing: When message bundles are tested, scores for individual messages have to be modeled, which is also not ideal because many messages end up having similar scores. Traditional methodologies don’t provide feedback on why messages do/don’t do well in research and how to improve them. If individual messages are tested, then message bundles have to be modeled with a simulator, which is not ideal because interaction effects between messages are not adequately accounted for. The design of experiments does not take into account individual respondent-level choice drivers, which means that irrelevant choices could be tested with many respondents in many choice sets. 1 2 The Design of Experiments approach works well with up to 30-40 messages, after which, either respondents have to be shown an overwhelming number of choices or the sample size has to be increased. 3 4 5 7
  • 8. Heuristics-Based Message Testing: A futuristic approach Decision heuristics science or behavioral science offers a novel approach to market research in general, and many use case scenarios for behavioral science in market research have emerged in the past few years. From deep insights research to patient journey to idea testing to brand health, decision heuristics science can be incorporated into almost every type of customer research. Physicians and patients don’t realize that they are using heuristics to make decisions and don’t offer them as explanations for their behaviors. Many of the heuristics are cognitive biases, judgment fallacies, psychological or social effects and can even lead to irrational decisions when used very quickly. Decision heuristics are mental shortcuts that drive human decisions. In every therapeutic area, there is a set of dominant decision heuristics that drive most of the treatment decisions. Decision heuristics have been discovered by conducting behavioral experiments that are designed to put people under certain predetermined situations and then track their behaviors/choices. The choices can be powered by heuristics, and respondent behaviors during the research can be tracked to study the underlying heuristics. Decision heuristics science is ideally suited for market research in which the respondents are shown a series of choices. What is decision heuristics science? Decision heuristics science sheds light on how humans behave in real life and research. ? 8
  • 9. Decision heuristics science is a great tool to test messages with respondents in a new “behavioral” way to optimize messages AND message bundles, based on how they make treatment decisions. Heuristics-based message testing overcomes many of the limitations that plague traditional methodologies: A Large number of messages can be tested without a large sample because heuristics can be used to create the design of experiments. Choices are presented to respondents based on how they make decisions using specific decision heuristics, which means their exposures are much more relevant. Heuristic preferences can provide real-time intelligence on respondents during the survey that can be used to make real-time predictions. Drivers of message appeal can be estimated through the language that talks to decision heuristics in each message, eliminating the need for asking stated diagnostics survey questions that can also be very time consuming. Using decision heuristics science for message testing Benefits of the Heuristics-Based Approach b. Customize messages to each respondent based on their heuristic preferences, forcing them to provide greater distinction between choices. b. Develop alternative versions of each message using the best-fit heuristic and test both the alternatives and the originals in research. a. Use language in each message as a signal for decision heuristics and tag each message in the inventory with the “best-fit” decision heuristic. a. Test not just the appeal of messages, but also the appeal of underlying heuristics embedded in the language of each message. b. Go beyond a Message Hierarchy and a TURF analysis and optimize the precise message bundles and story flow for all messaging channels. a. Feed data from respondents into advanced machine learning algorithms that identify the best combination of any number of messages based on heuristics. After Research Before Research During Research 9
  • 10. CMO is the first and only message testing algorithm that combines the power of behavioral science and artificial intelligence to test messages with customers in a way that can propel the future of marketing in pharma. Designed with 3 years of pure R&D, CMO is built exclusively to test messaging in the pharma industry and offers benefits that every pharma marketer and market researcher will need in the future. CMO (Choose Message Optimizer) Message Testing for the Future of Marketing CMO cuts the time it takes to go from the 1st draft of messages to campaign development by 65% and save up to 15 weeks. CMO cuts the total cost of testing messages by 50% or more. CMO is proven superior to even the most advanced message testing methodologies in identifying the optimal message bundle from the same inventory of messages. CMO simplifies the process of testing and optimizing messages before launch. Faster Cheaper Better Easier a. CMO can test 100s of messages, which eliminates the need for your team to spend time prioritizing messages before research. b. CMO creates “heuristicized” alternative versions of your messages before research, and tests both the original and heuristicized versions with respondents. c. CMO delivers optimal message bundles that are campaign ready for omni-channel use, saving time needed for execution. a. CMO can potentially eliminate all qualitative message testing because the heuristics-based design of CMO provides the WHY behind the appeal of each message without having to ask respondents. b. CMO can even eliminate draft paper vis-aid testing because data from the CMO study can identify the optimal message bundle for every page of the vis-aid. a. CMO message bundle was preferred by 1.5x more people. b. CMO message bundle had 25% higher Utility Scores. c. CMO message bundle had statistically higher scores for diagnostics like Believability, Relevance, Uniqueness and Likelihood to Use. a. Turnkey: all you need to provide is the draft inventory of messages for testing. b. Minimal project management is needed from your team. c. CMO eliminates rounds of unproductive meetings and workshops needed to review, refine and prioritize messages. 10
  • 11. CMO Research on Research The superiority of CMO was studied in a large-scale meta-analysis of research projects 11 29 22 4,752 20 6,420 36 research projects product categories messages tested leading brands respondents months CMO is proven to identify winning messaging for brands through market research 100% of CMO projects resulted in improvement vs. current messaging and vs. competitors CMO-identified message bundles had 1.7 times higher customer preference than current in-market messaging CMO message bundles helped 7 out of 10 brands take or extend market leadership and the remaining brands close gap vs. the leader 100% Success Rate 1.7x Improvement Market Leadership Results based on comparison of preference share data on message bundles from the 29 studies
  • 12. CMO has a 100% success rate The preference share of CMO-generated message bundles was higher than current in-market message bundles in 100% of the studies 18% 14% 23% 18% 48% 33% 40% 35% 44% 42% 43% 32% 39% 30% 50% 56% 63% 55% 45% 57% 63% 51% 50% 57% 51% 60% 60% 79% 80% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Current Message Bundle CMO-Generated Message Bundle CMO vs. current message bundle preference share CMO improved preference share by 1.7x vs. current in-market messaging CMO helped brands improve market leadership position with winning messages CMO message bundles helped 7 out of 10 brands take or extend market leadership and the remaining brands close gap vs. the leader 267% 14% 15% 15% 17% 20% 21% 28% 28% 33% 33% 35% 54% 56% 61% 63% 73% 75% 76% 81% 82% 84% 87% 96% 98% 106% 129% 149% 153% 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Average improvement in preference share across 29 studies 71% 12 Current Messages Optimized Bundle Leading Competitor 3 out of 10 brands closed the gap 7 out of 10 brands extended/took the lead e r a h S e c n e r e f e r P