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    Chapter 6Consumer Behavior

    Chapter 6 slides forMarketingfor Pharmacists,2nd Edition

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    Learning Objectives

    Describe the steps associated withconsumer decision-making.

    Delineate how each step influences thechoices consumers make.

    Discuss how risk, involvement, control,and expectations affect consumersdecision-making.

    Give a general description of the followingmodels of health behavior: health beliefmodel, theory of reasoned action, theory ofplanned behavior, transtheoretical model.

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    Consumer (Patient) Behavior

    Understanding consumer behavioris necessary in pricing,merchandising, advertising,personal selling, designingservices, and so on.

    It helps in knowing who, what,

    when, where, and how to market.

    e.g., diabetes management clinic

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    The aim of marketing is to know

    and understand the customer sowell the product or service fitshim and sells itself.

    Peter F. Drucker

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    Frameworks for Understanding

    Consumer Behavior

    Economic man

    Social influences

    Personal influences

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    Consumer Purchase Situations

    Types of

    Consumer

    Decisions

    New Repeat

    Extended

    Problem Solving

    Limited

    Problem Solving

    Extended

    Problem Solving

    Limited

    Problem Solving

    First Choice

    Of Important

    Product or Service

    Impulse Decisions Habitual Choices,

    Brand Loyalty

    Variety Seeking,

    Dissatisfaction with

    Current Choice

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    Problem Solving

    Extended problem solving

    New, high-risk, complex

    Limited problem solving

    Routine, low-risk

    Determines attention and receptivityto information

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    Need Recognition

    Information Search

    Alternative Evaluation

    Choice

    Evaluation

    Consumer

    DecisionProcess

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    Need Recognition

    Information Search

    Alternative Evaluation

    Choice

    Evaluation

    Prepurchase

    Stage

    Consumption

    Stage

    PostpurchaseEvaluation Stage

    Consumer

    DecisionProcess

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    Consumer Decision Process

    Need recognition(arousal, interest, desire)

    CommercialSocial

    Physical

    Information searchInternalExternal

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    Consumer Decision Process

    Alternative evaluationCognitive versus emotional

    Salient (important) versus determinant

    criteriaConsumptionChoice of vendor, channel of distribution,

    product

    Decision rules: cutoffs, overall utilityPostpurchaseSatisfaction versus cognitive dissonance

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    Need Recognition

    Information Search

    Alternative Evaluation

    Choice

    Evaluation

    Prepurchase

    Stage

    Consumption

    Stage

    PostpurchaseEvaluation Stage

    How mightpharmacistsinfluence the

    decision processfor seekingtreatment fordiabetes?

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    Variables AffectingConsumer Decisions

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    Risk (e.g., diabetes)

    Financial

    Performance

    Physical

    Social

    Psychological

    Dimensions:

    severity and

    likelihood

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    Involvement

    (i.e., perceived importance)

    Affects information search andprocessing and ability to be

    persuadedNecessary for thoughtful behavior

    (extended problem solving)

    Influenced byPersonal relevance

    Object considered

    Situation

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    Customizing services to patient

    involvement (e.g., diabetes)Assess patient involvementFor highly involved, greater information can

    be provided.For less highly involved, provide simple,

    short, repetitive messages.

    Enhance involvement through education

    and reducing distractions.

    Tell me and I'll forget. Show me and I'll remember.Involve me and I'll understand.

    - Confucius(famous Chinese marketer)

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    Perception of control

    Lack of perceived control leads tostress and frustration.

    Enhance feelings of controlProvide information about what is

    going on.

    Give control through self-service

    and choice.Make service experiences as consistent

    and predictable as possible.

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    Health Behavior Models

    commonlyused in

    pharmacypractice

    For counseling

    and intervention

    strategies

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    Health belief model

    Patient health behaviors aredetermined by

    The degree to which a patientperceives a particular health threat

    Whether the patient believes theparticular behavior will reduce the

    threat.

    Kehoe WA, Katz RC. Health Behaviors and Pharmacotherapy. Ann Pharmacotherapy 1998;32:1076-1085.

    Ried LD, Christensen DB. A Psychosocial Perspective in the Explanation of Patients Drug-Taking Behavior.

    Soc Sci Med 1988; 27(3): 277-285.

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    Health belief model

    Actions are directly related toA patients feelings of susceptibility to a disease

    Concern about worsening of the disease

    A belief that the disease will get better withtreatment

    The patients assessment of risks versus benefits

    Stimulus that motivates the patientInternal: signs and symptoms of disease

    External: personal pressure from family or medicalprofessionals

    Nagy VT, Wolfe GR. Cognitive Predictors of Compliance in Chronic Disease Patients. Med Care 1984; 22:912-921.

    Kehoe WA, KatzRC. Health Behaviors and Pharmacotherapy. Ann Pharmaco 1998;32:1076-1085.

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    Health belief model

    Perceived

    Susceptibility

    or Seriousness

    Perceived

    Threat

    Cues to ActionEducation

    Symptoms

    Media

    Age, Sex, Ethnicity

    Personality, Knowledge

    Socioeconomics

    Likelihood of

    Taking Action

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    Theory of reasoned action

    Beliefs,

    Importance

    Expectations,Importance

    Intentions

    To ActActual

    Behavior

    SubjectiveNorm

    Attitude

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    Transtheoretical model

    States that people progress throughfive stages when changing a behavior.

    These stages identify onesmotivational and behavioral readinessfor change.

    The success of behavior-changing

    strategies depends on what stage aperson is in.

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    Stages of change

    Stage 1: Precontemplation

    No intention of changing in foreseeable

    futureEfforts to get person to make immediate

    change will likely meet resistance

    Stage 2: ContemplationIntention to change in foreseeable future

    but unwilling to act yet

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    Stages of change

    Stage 3: Preparation

    Have begun to take small steps towardchange in very near future

    Stage 4: Action

    Have successfully made change in past6 months

    Stage 5: Maintenance

    Change more than 6 months ago

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    Decisional balance

    Pros

    (Benefits of change)

    Cons

    (Negatives of change)

    Pre-contemplators and Contemplators

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    Decisional balance

    Pros

    (Benefits of change)

    Cons

    (Negatives of change)

    , Action, Maintenance Preparation

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    Important points

    On average, 40-60% of people inthe process of change are in stage

    1 or 2.Many change efforts attempt to

    change behavior of people who are

    not ready to take action (stage 1or 2). The result is resistance andrelapse.

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    Making a change

    In stages 1 and 2, focus is on negativesof change. Increasing the likelihood ofchange requiresIncreasing the perceived benefits of change

    Increasing peoples confidence that they areable to change.

    Stages 3 to 5 consist primarily ofmanaging temptations to slide back intoprevious undesirable behavior.

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    Summary

    Understanding patient behavior isessential to influencing them.

    Models of consumer behavior can helppharmacists increase medicationadherence, change smoking behavior,communicate health messages, designservices, and influence physicianprescribing.

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    Questions?