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1	
  
Consumer-Centric Design:
Psychographic Segmentation
and Consumer Behavior Change
If	
  There	
  are	
  No	
  Changes	
  to	
  the	
  Status	
  Quo….our	
  Past	
  
Performance….Predicts	
  Poor	
  Outcomes	
  
1.  Medica=on	
  Compliance	
  and	
  
Persistency	
  has	
  not	
  been	
  solved	
  
2.  Health	
  Screenings	
  (e.g.,	
  Cancer,	
  Blood	
  
Pressure)	
  are	
  not	
  mee=ng	
  goals	
  	
  
3.  Preventa=ve	
  Care	
  (e.g.,	
  low-­‐dose	
  
aspirin,	
  immuniza=ons)	
  is	
  under	
  used	
  
4.  Wellness	
  Programs	
  (e.g.,	
  smoking	
  
cessa=on,	
  weight	
  loss)	
  s=ll	
  have	
  low	
  
rates	
  of	
  par=cipa=on	
  
	
  
Proxies	
  for	
  HC	
  Reform	
  have	
  not	
  
fared	
  too	
  well	
  	
  
•  Significant	
  Resources	
  Invested	
  
•  Extensively	
  Studied	
  and	
  Researched	
  
•  “Poor	
  to	
  Average”	
  Results	
  
considering	
  	
  investments	
  and	
  
research	
  
•  Outcomes	
  for	
  Each	
  Dependent	
  Upon	
  
an	
  Ability	
  to	
  Mo=vate	
  Individuals	
  to	
  
Change	
  their	
  Behavior	
  
•  Segmenta=on	
  Needed	
  to	
  Enhance	
  
Targeted	
  Communica=on	
  
	
  
Key	
  Learnings	
  
Psychographic	
  Possibili=es	
  
§  +300%	
  increase	
  in	
  traffic	
  to	
  a	
  brand’s	
  website	
  
	
  
§  70+%	
  par=cipa=on	
  in	
  disease	
  interven=on	
  program	
  
	
  
§  3X	
  increase	
  in	
  ecommerce	
  Visit-­‐to-­‐Order	
  rate	
  
3	
  
§  Demographic	
  &	
  Socioeconomic	
  Segmenta=on:	
  	
  Grouping	
  people	
  
by	
  gender,	
  age,	
  ethnicity,	
  income,	
  educa=on,	
  geography	
  and	
  other	
  
physical	
  or	
  situa=onal	
  characteris=cs	
  
§  Behavioral	
  Segmenta=on:	
  	
  Grouping	
  people	
  by	
  their	
  behavior	
  
(e.g.,	
  healthcare	
  u=liza=on	
  behaviors	
  tracked	
  by	
  a	
  medical	
  claims	
  
database,	
  shopping	
  behaviors	
  tracked	
  by	
  a	
  retailer’s	
  loyalty	
  card	
  
database)	
  
§  AHtudinal	
  Segmenta=on:	
  	
  Grouping	
  people	
  by	
  shared	
  abtudes	
  
and	
  emo=ons	
  about	
  a	
  given	
  subject	
  (e.g.,	
  how	
  a	
  consumer	
  feels	
  
about	
  preventa=ve	
  medicine	
  or	
  Health	
  Care	
  Reform)	
  
§  Psychographic	
  Segmenta=on:	
  	
  Grouping	
  people	
  by	
  shared	
  values,	
  
principles,	
  beliefs,	
  emo=ons,	
  personality,	
  interests	
  and	
  lifestyle	
  
	
  
4	
  
A	
  Deep	
  Understanding	
  of	
  the	
  Health	
  Care	
  	
  	
  	
  	
  	
  	
  	
  
Consumer	
  Required	
  to	
  Drive	
  Behavioral	
  Change	
  
Deepest	
  	
  
Surface	
  
c2b	
  Research	
  Summary	
  
5	
  
Health	
  Care	
  
AHtudes	
  
Condi=ons	
  
Experience,	
  
Current	
  
Medica=ons,	
  	
  	
  	
  
OTC	
  AHtudes	
  
Health	
  	
  
Insurance	
  
Provider	
  -­‐	
  
Sa=sfac=on,	
  
Desired	
  	
  	
  	
  
Benefits	
  
Health	
  Care	
  
Reform	
  
AHtudes	
  
Sources	
  of	
  
Health	
  Care	
  
Informa=on	
  	
  
&	
  Media	
  
Demographics	
  
Socioeconomics	
  
Geography	
  
	
  
United	
  States,	
  online	
  sample	
  of	
  4,	
  878	
  
individuals	
  
Na=onal	
  representa=ve	
  sample	
  by	
  age	
  (18+),	
  sex,	
  	
  	
  
region,	
  and	
  race	
  
Analyzed	
  1st	
  Quarter	
  2013	
  
	
  
44	
  Disease	
  States	
  
including…	
  
	
  
•  Anxiety	
  
•  Diabetes	
  
•  Heart	
  Disease	
  
•  Depression	
  
•  COPD	
  
•  Obesity	
  
•  Hypertension	
  
	
  
15.6	
  million	
  data	
  points	
  
c2b	
  Consumer	
  Classifier	
  
6	
  
c2b	
  Consumer	
  Classifier	
  
A	
  simple	
  12	
  ques=on	
  survey	
  will	
  place	
  you	
  in	
  one	
  
of	
  five	
  segments…	
  with	
  91%	
  predictability!	
  
Self	
  Achievers	
  
	
  (24%)	
  
Balance	
  Seekers	
  
(18%)	
  
Priority	
  Jugglers	
  
	
  (18%)	
  
Willful	
  Endurers	
  
(27%)	
  
Direc=on	
  Takers	
  
(13%)	
  
The	
  c2b	
  solu=ons	
  Psychographic	
  Segments	
  
7	
  
Self-­‐Achievers	
  are	
  the	
  most	
  proac=ve	
  and	
  wellness	
  oriented	
  
	
  
8	
  
0%# 10%# 20%# 30%# 40%# 50%# 60%# 70%# 80%# 90%# 100%#
I'll#spend#whatever#it#takes#to#be#healthy#
I#am#already#healthy#but#I#take#steps#to#be#even#beBer#
I#acDvely#take#steps#to#prevent#illness#
Proac&ve)
DirecDon#Takers# Self#Achievers# Priority#Jugglers# Willful#Endurers# Balance#Seekers#
Willful	
  Endurers	
  are	
  the	
  least	
  engaged	
  
They	
  depriori=ze	
  Heath	
  and	
  Wellness	
  
	
  
9	
  
0%# 5%# 10%# 15%# 20%# 25%# 30%# 35%# 40%# 45%# 50%#
I#have#an#unhealthy#lifestyle;#I#just#can't#change#my#habits#
I#consider#myself#a#"couch#potato"#
I#know#what#I#should#be#doing#to#be#healthy,#but#I#don't#
make#my#health#a#priority#
Disengaged)
DirecFon#Takers# Self#Achievers# Priority#Jugglers# Willful#Endurers# Balance#Seekers#
The	
  Role	
  of	
  Physicians	
  
10	
  
Attitudes Toward Health Care Professionals
Strongly Agree/Agree
Balance
Seekers
n = 711
a
Willful
Endurers
n = 1,107
b
Priority
Jugglers
n = 733
c
Self
Achievers
n = 953
d
Direction
Takers
n = 532
e
I like to take care of myself and don't like
going to the doctor unless I'm really sick
79% (132)
bcde
66% (110)
de
72% (120)
bde
44% (73) 44% (73)
Physicians are just one resource for me;
I consider many sources when managing
my health & wellbeing
82% (141)
bcde
52% (90)
e
48% (83) 67% (116)
bce
45% (78)
My doctor is the most credible authority
for my health & wellness needs
19% (34) 48% (86)
a
64% (114)
ab
76% (136)
abc
86% (154)
abcd
I do whatever my doctor tells me
26% (53) 43% (88)
a
51% (104)
ab
65% (133)
abc
71% (145)
abcd
!
11	
  
Psychographic	
  Segments	
  Across	
  Popula=ons	
  
0%#
5%#
10%#
15%#
20%#
25%#
30%#
35%#
40%#
45%#
50%#
General'Popula,on' Medicaid'Managed'Care' Medicaid'Standard' Uninsured'
Psychographic'Segment'Distribu,on'Across'Popula,ons'
Balance#Seekers#
Willful#Endurers#
Priority#Jugglers#
Self#Achievers#
DirecCon#Takers#
Medicaid	
  &	
  Uninsured	
  
Health	
  Condi=ons	
  by	
  Segment	
  
12	
  
Health Condition
Personally Experiencing Currently
Balance
Seekers
n = 711
a
Willful
Endurers
n = 1,107
b
Priority
Jugglers
n = 733
c
Self
Achievers
n = 953
d
Direction
Takers
n = 532
e
Acid Reflux/heartburn/GERD
10% (63) 17% (106)
a
15% (94)
a
20% (125)
ac
21% (131)
ac
Depression
11% (92) 14% (117)
acd
10% (83) 9% (75) 17% (142)
acd
Diabetes
Type 1
Type 2
4% (36)
1% (100)
4% (40)
11% (100)
a
2% (200)
acd
9% (90)
a
9% (82)
a
1% (100)
8% (80)
15% (136)
abc
1% (100)
14% (140)
abc
16% (145)
abc
2% (200)
d
14% (140)
abc
Insomnia
11% (122)
cd
8% (89) 8% (89) 8% (89) 12% (133)
bcd
!
•  44	
  health	
  condi=ons	
  measured	
  
•  >100	
  Rx	
  products	
  included	
  
•  Brand	
  vs.	
  Generic	
  Preferences	
  
Health	
  Insurance	
  Company	
  Amributes	
  
13	
  
Attribute(
Extremely/Very(Important(
Balance(
Seekers(
Willful(
Endurers(
Priority(
Jugglers(
Self(
Achievers(
Direction(
Takers(
n(=(711( n(=(1,107( n(=(733( n(=(953( n(=(532(
Is(one(that(I(can(trust(
90%((108)(
b(
74%((89)( 87%((105)(
b(
90%((108)(
bc(
92%((111)(
bc(
Will(be(here(for(me(in(the(future(
when(I(need(care(
86%((105)(
b(
74%((90)( 85%((104)(
b(
90%((110)(
abc(
89%((109)(
b(
Has(a(good(reputation(
83%((105)(
b(
71%((90)( 80%((101)(
b(
88%((111)(
abc(
88%((111)(
abc(
Makes(me(feel(like(they(care(about(
my(health(
78%((108)(
bc(
66%((92)( 66%((92)( 82%((114)(
abce(
76%((106)(
bc(
!
•  33	
  amributes	
  measured	
  
•  Cost	
  vs.	
  Choice	
  
•  Premium	
  price	
  sensi=vity	
  analysis	
  
•  Sa=sfac=on,	
  Value,	
  and	
  Likelihood	
  to	
  Recommend	
  
•  50+	
  Influences	
  on	
  health	
  plan	
  choice	
  
Online	
  OTC	
  &	
  Personal	
  Care	
  Store	
  	
  
RESULTS	
   Baseline	
   +6	
  months	
  
Average	
  	
  Basket:	
   $33.51	
   $43.99	
  
%	
  Open	
   22.8%	
   20.6%	
  
Visit-­‐to-­‐Order	
   3.1%	
   10.1%	
  
Before	
   A`er	
  
14	
  
3X	
  visits	
  driving	
  30+%	
  increase	
  in	
  total	
  basket	
  purchases	
  
Applica=on	
  –	
  Workplace	
  Health	
  Interven=on	
  	
  
Among	
  “Company	
  X”	
  Plant	
  workers	
  who	
  showed	
  up	
  for	
  the	
  sessions:	
  
•  Amendance	
  overdeveloped	
  among	
  Balance	
  Seekers	
  and	
  Self	
  Achievers	
  
15	
  
•  Willful	
  Endurers	
  and	
  Direc=on	
  Takers	
  more	
  likely	
  to	
  be	
  eligible	
  for	
  program	
  
18%$
27%$
18%$
24%$
13%$
27%$
19%$ 18%$
27%$
11%$
0%$
5%$
10%$
15%$
20%$
25%$
30%$
Balance$
Seekers$
Willful$
Endurers$
Priority$
Jugglers$
Self$$$$$
Achievers$
DirecFon$
Takers$
General$PopulaFon$
Company$X$Plant$AMendees$
27%$
19%$ 18%$
27%$
11%$
22%$
24%$
18%$
20%$
16%$
0%$
5%$
10%$
15%$
20%$
25%$
30%$
Balance$
Seekers$
Willful$
Endurers$
Priority$
Jugglers$
Self$$$$$
Achievers$
DirecGon$
Takers$
Company$X$Plant$AMendees$
Eligible$for$Program$
Phase	
  1	
  Pilot	
  Results	
  
§  Willful	
  Endurers	
  most	
  likely	
  to	
  enroll	
  in	
  the	
  program	
  once	
  they	
  are	
  
iden=fied	
  as	
  candidates	
  for	
  the	
  program	
  and	
  receive	
  coaching	
  	
  	
  
§  Closure	
  rate	
  on	
  candidates	
  increased	
  to	
  over	
  70%	
  
16	
  
1.03%
1.16%
0.91%
0.83%
1.01%
0.75% 1.00% 1.25%
Balance%Seekers%
Willful%Endurers%
Priority%Jugglers%
Self%Achievers%
DirecBon%Takers%
Index%Enrolled%
c2b	
  Consumer	
  Classifier	
  
Live	
  Demo	
  
17	
  
c2b	
  Consumer	
  Classifier	
  
A	
  simple	
  12	
  ques=on	
  survey	
  will	
  place	
  you	
  in	
  one	
  
of	
  five	
  segments…	
  with	
  91%	
  predictability!	
  
Marke=ng	
  to	
  the	
  Segments	
  
18	
  
Balance	
  Seekers	
   Willful	
  Endurers	
   Priority	
  Jugglers	
  
Self	
  Achievers	
   Direc=on	
  Takers	
  
Balance	
  Seekers	
  
19	
  
Balance	
  Seekers	
  are	
  generally	
  proac=ve	
  in	
  their	
  health	
  and	
  
wellness-­‐oriented.	
  	
  Balance	
  Seekers	
  are	
  open	
  to	
  many	
  ideas,	
  
sources	
  of	
  informa=on,	
  and	
  treatment	
  op=ons	
  when	
  it	
  comes	
  to	
  
their	
  healthcare.	
  	
  	
  
	
  
However,	
  Balance	
  Seekers	
  themselves	
  –	
  not	
  healthcare	
  
professionals	
  -­‐-­‐	
  define	
  what	
  success	
  looks	
  like	
  in	
  their	
  health.	
  	
  
Physicians	
  and	
  other	
  healthcare	
  professionals	
  are	
  useful	
  resources,	
  
but	
  not	
  the	
  only	
  resources,	
  for	
  leading	
  a	
  healthy	
  life.	
  
Willful	
  Endurers	
  
20	
  
Willful	
  Endurers	
  live	
  in	
  the	
  “here	
  and	
  now”	
  
and	
  believe	
  there	
  are	
  more	
  important	
  things	
  to	
  
focus	
  on	
  than	
  improving	
  their	
  health	
  for	
  the	
  
future.	
  	
  	
  
	
  
Willful	
  Endurers	
  are	
  not	
  necessarily	
  unhealthy,	
  
but	
  they	
  do	
  what	
  they	
  like,	
  when	
  they	
  like,	
  and	
  
do	
  not	
  change	
  their	
  habits.	
  	
  They	
  are	
  self-­‐
reliant	
  and	
  can	
  withstand	
  anything	
  life	
  throws	
  
at	
  them,	
  going	
  to	
  the	
  doctor	
  only	
  when	
  they	
  
absolutely	
  must.	
  
Priority	
  Jugglers	
  
21	
  
Priority	
  Jugglers	
  are	
  very	
  busy	
  with	
  many	
  
responsibili=es.	
  	
  Because	
  of	
  all	
  these	
  
responsibili=es,	
  Priority	
  Jugglers	
  may	
  not	
  take	
  
the	
  =me	
  to	
  invest	
  in	
  their	
  own	
  wellbeing	
  and	
  
are	
  reac=ve	
  when	
  it	
  comes	
  to	
  health	
  issues.	
  	
  	
  
	
  
However,	
  Priority	
  Jugglers	
  are	
  very	
  proac=ve	
  
when	
  it	
  comes	
  to	
  their	
  family’s	
  health	
  and	
  will	
  
make	
  sure	
  their	
  loved	
  ones	
  receive	
  the	
  care	
  
they	
  need.	
  
Self	
  Achievers	
  
22	
  
Self	
  Achievers	
  are	
  the	
  most	
  proac=ve	
  when	
  it	
  
comes	
  to	
  their	
  wellness,	
  inves=ng	
  what	
  is	
  necessary	
  
toward	
  their	
  health	
  and	
  appearance.	
  	
  	
  
	
  
Self	
  Achievers	
  may	
  actually	
  have	
  health	
  issues,	
  but	
  
they	
  stay	
  on	
  top	
  of	
  them	
  with	
  regular	
  medical	
  
check-­‐ups,	
  health	
  screenings,	
  and	
  research.	
  	
  	
  
	
  
Self	
  Achievers	
  are	
  task	
  oriented,	
  and	
  will	
  tackle	
  a	
  
challenge	
  if	
  they	
  are	
  given	
  measurable	
  goals.	
  
Direc=on	
  Takers	
  
23	
  
Direc=on	
  Takers	
  believe	
  their	
  physician	
  is	
  the	
  most	
  
credible	
  resource	
  for	
  their	
  healthcare	
  needs.	
  	
  Direc=on	
  
Takers	
  look	
  to	
  their	
  physician	
  and	
  other	
  healthcare	
  
professionals	
  for	
  direc=on	
  and	
  guidance	
  because	
  of	
  their	
  
exper=se	
  and	
  creden=als.	
  	
  	
  
	
  
Direc=on	
  Takers	
  are	
  more	
  likely	
  to	
  go	
  to	
  the	
  doctor	
  at	
  
the	
  first	
  sign	
  of	
  health	
  concerns.	
  	
  	
  
	
  
However,	
  Direc=on	
  Takers	
  may	
  not	
  always	
  follow	
  a	
  
physician’s	
  advice	
  –	
  not	
  because	
  they	
  disagree	
  with	
  his/
her	
  recommenda=ons,	
  but	
  because	
  it	
  is	
  oten	
  difficult	
  to	
  
work	
  these	
  recommenda=ons	
  into	
  their	
  rou=ne.	
  
• Highly	
  recep=ve	
  to	
  health	
  
informa=on	
  	
  
• Most	
  likely	
  to	
  interact	
  with	
  
health	
  insurance	
  company	
  
online	
  
Self	
  Achievers	
  
• Highly	
  recep=ve	
  to	
  health	
  
informa=on	
  
• Most	
  likely	
  to	
  visit	
  health	
  
websites	
  
Balance	
  Seekers	
  
• Lower	
  levels	
  of	
  involvement	
  
and	
  awareness	
  v.	
  other	
  
segments	
  
• Doctor	
  is	
  desired	
  source	
  for	
  
informa=on	
  –	
  higher	
  desire	
  to	
  
get	
  informa=on	
  than	
  currently	
  
gets	
  from	
  doctor	
  
Direc=on	
  Takers	
  
• Generally	
  not	
  engaged	
  in	
  
gebng	
  health	
  care	
  
informa=on	
  for	
  self	
  	
  
• Family/peer	
  influence	
  strong	
  	
  
Priority	
  Jugglers	
  
• Generally	
  least	
  engaged	
  for	
  
health	
  related	
  informa=on	
  –	
  
hardest	
  to	
  reach	
  
• Peer	
  influence	
  strongest	
  
Willful	
  Endurers	
  
Recep=vity	
  to	
  Receiving	
  Health	
  Informa=on	
  Varies	
  by	
  Segment	
  
Duos	
  Gradus	
  is	
  a	
  Type	
  2	
  Diabetes	
  Drug.	
  	
  It	
  lowers	
  blood	
  sugar	
  by	
  increasing	
  
insulin	
  produc=on	
  in	
  your	
  pancreas	
  and	
  decreases	
  sugar	
  made	
  in	
  your	
  liver	
  
25	
  
Health	
  Related	
  Media	
  &	
  Informa=on	
  Preferences	
  
26	
  
Willful	
  Endurers	
  Balance	
  Seekers	
  	
  
Balance	
  Seekers	
  are	
  generally	
  proac=ve	
  in	
  
their	
  health	
  and	
  wellness-­‐oriented.	
  	
  Balance	
  
Seekers	
  are	
  open	
  to	
  many	
  ideas,	
  sources	
  of	
  
informa=on,	
  and	
  treatment	
  op=ons	
  when	
  it	
  
comes	
  to	
  their	
  healthcare.	
  	
  	
  
	
  
However,	
  Balance	
  Seekers	
  themselves	
  –	
  not	
  
healthcare	
  professionals	
  -­‐-­‐	
  define	
  what	
  
success	
  looks	
  like	
  in	
  their	
  health.	
  	
  Physicians	
  
and	
  other	
  healthcare	
  professionals	
  are	
  useful	
  
resources,	
  but	
  not	
  the	
  only	
  resources,	
  for	
  
leading	
  a	
  healthy	
  life.	
  
Willful	
  Endurers	
  live	
  in	
  the	
  “here	
  and	
  now”	
  
and	
  believe	
  there	
  are	
  more	
  important	
  
things	
  to	
  focus	
  on	
  than	
  improving	
  their	
  
health	
  for	
  the	
  future.	
  	
  	
  
	
  
Willful	
  Endurers	
  are	
  not	
  necessarily	
  
unhealthy,	
  but	
  they	
  do	
  what	
  they	
  like,	
  
when	
  they	
  like,	
  and	
  do	
  not	
  change	
  their	
  
habits.	
  	
  They	
  are	
  self-­‐reliant	
  and	
  can	
  
withstand	
  anything	
  life	
  throws	
  at	
  them,	
  
going	
  to	
  the	
  doctor	
  only	
  when	
  they	
  
absolutely	
  must.	
  
Health	
  Related	
  Media	
  &	
  Informa=on	
  Preferences	
  
27	
  
•  Less	
  likely	
  to	
  seek	
  out	
  
informa=on	
  online	
  
•  Relies	
  primarily	
  on	
  
recommenda=ons	
  from	
  
peers/friends	
  
•  Less	
  likely	
  to	
  trust	
  media	
  
Willful	
  Endurers	
  Balance	
  Seekers	
  	
  
•  Consult	
  informa=on	
  
provided	
  by	
  news	
  media	
  
channels	
  and	
  public	
  sources	
  
•  Open	
  to	
  messages	
  
broadcasted	
  on	
  TV,	
  Radio	
  
and	
  Internet	
  
•  Trusts	
  media	
  
28	
  
Health-oriented Websites Visited
for Health Advice for Self or
Family in the Past Three Years
%
Balance
Seekers
n = 711
a
Willful
Endurers
n = 1,107
b
Priority
Jugglers
n = 733
c
Self
Achievers
n = 953
d
Direction
Takers
n = 532
e
AARP.com 11% (110)
bc
8% (80) 6% (60) 16% (160)
abce
9% (90)
Ask-A-Nurse.com 2% (67) 6% (200)
acde
1% (33) 3% (100)
ce
1% (33)
CDC.gov 13% (144)
bcde
8% (89)
e
9% (100)
e
9% (100)
e
5% (56)
EverydayHealth.com 7% (140)
bce
5% (100)
c
2% (40) 7% (140)
bce
3% (60)
HealthGrades.com 4% (133)
ce
4% (133)
ce
2% (67) 3% (100)
ce
1% (33)
MayoClinic.com 28% (140)
bce
18% (90) 16% (80) 24% (120)
bce
16% (80)
NIH.gov 8% (160)
bc
5% (100) 4% (80) 6% (120)
c
5% (100)
Prevention.com 9% (180)
bce
3% (60) 3% (60) 7% (140)
bc
5% (100)
RealAge.com 7% (140)
bce
5% (100)
ce
2% (40) 7% (140)
bce
2% (40)
WebMD.com 62% (122)
bcde
44% (86) 55% (108)
be
53% (104)
b
48% (94)
!
Preferred	
  Media	
  and	
  Informa=on	
  Sources	
  by	
  Segment	
  
•  >25	
  websites	
  
•  Professional,	
  peer,	
  organiza=onal,	
  media	
  influencers	
  
•  Print	
  
•  Social	
  Media	
  
29	
  
	
  
Casey	
  Albertson	
  	
  	
  casey@c2bsolu=ons.com	
  
Brent	
  Walker	
  	
  	
  	
  	
  	
  	
  	
  brent@c2bsolu=ons.com	
  
	
  
www.c2bsolu=ons.com	
  
844-­‐c2b-­‐data	
  (844-­‐222-­‐3282)	
  
Thank You!

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Consumer-Centric Design: Psychographic Segmentation and Consumer Behavior Change

  • 1. 1   Consumer-Centric Design: Psychographic Segmentation and Consumer Behavior Change
  • 2. If  There  are  No  Changes  to  the  Status  Quo….our  Past   Performance….Predicts  Poor  Outcomes   1.  Medica=on  Compliance  and   Persistency  has  not  been  solved   2.  Health  Screenings  (e.g.,  Cancer,  Blood   Pressure)  are  not  mee=ng  goals     3.  Preventa=ve  Care  (e.g.,  low-­‐dose   aspirin,  immuniza=ons)  is  under  used   4.  Wellness  Programs  (e.g.,  smoking   cessa=on,  weight  loss)  s=ll  have  low   rates  of  par=cipa=on     Proxies  for  HC  Reform  have  not   fared  too  well     •  Significant  Resources  Invested   •  Extensively  Studied  and  Researched   •  “Poor  to  Average”  Results   considering    investments  and   research   •  Outcomes  for  Each  Dependent  Upon   an  Ability  to  Mo=vate  Individuals  to   Change  their  Behavior   •  Segmenta=on  Needed  to  Enhance   Targeted  Communica=on     Key  Learnings  
  • 3. Psychographic  Possibili=es   §  +300%  increase  in  traffic  to  a  brand’s  website     §  70+%  par=cipa=on  in  disease  interven=on  program     §  3X  increase  in  ecommerce  Visit-­‐to-­‐Order  rate   3  
  • 4. §  Demographic  &  Socioeconomic  Segmenta=on:    Grouping  people   by  gender,  age,  ethnicity,  income,  educa=on,  geography  and  other   physical  or  situa=onal  characteris=cs   §  Behavioral  Segmenta=on:    Grouping  people  by  their  behavior   (e.g.,  healthcare  u=liza=on  behaviors  tracked  by  a  medical  claims   database,  shopping  behaviors  tracked  by  a  retailer’s  loyalty  card   database)   §  AHtudinal  Segmenta=on:    Grouping  people  by  shared  abtudes   and  emo=ons  about  a  given  subject  (e.g.,  how  a  consumer  feels   about  preventa=ve  medicine  or  Health  Care  Reform)   §  Psychographic  Segmenta=on:    Grouping  people  by  shared  values,   principles,  beliefs,  emo=ons,  personality,  interests  and  lifestyle     4   A  Deep  Understanding  of  the  Health  Care                 Consumer  Required  to  Drive  Behavioral  Change   Deepest     Surface  
  • 5. c2b  Research  Summary   5   Health  Care   AHtudes   Condi=ons   Experience,   Current   Medica=ons,         OTC  AHtudes   Health     Insurance   Provider  -­‐   Sa=sfac=on,   Desired         Benefits   Health  Care   Reform   AHtudes   Sources  of   Health  Care   Informa=on     &  Media   Demographics   Socioeconomics   Geography     United  States,  online  sample  of  4,  878   individuals   Na=onal  representa=ve  sample  by  age  (18+),  sex,       region,  and  race   Analyzed  1st  Quarter  2013     44  Disease  States   including…     •  Anxiety   •  Diabetes   •  Heart  Disease   •  Depression   •  COPD   •  Obesity   •  Hypertension     15.6  million  data  points  
  • 6. c2b  Consumer  Classifier   6   c2b  Consumer  Classifier   A  simple  12  ques=on  survey  will  place  you  in  one   of  five  segments…  with  91%  predictability!  
  • 7. Self  Achievers    (24%)   Balance  Seekers   (18%)   Priority  Jugglers    (18%)   Willful  Endurers   (27%)   Direc=on  Takers   (13%)   The  c2b  solu=ons  Psychographic  Segments   7  
  • 8. Self-­‐Achievers  are  the  most  proac=ve  and  wellness  oriented     8   0%# 10%# 20%# 30%# 40%# 50%# 60%# 70%# 80%# 90%# 100%# I'll#spend#whatever#it#takes#to#be#healthy# I#am#already#healthy#but#I#take#steps#to#be#even#beBer# I#acDvely#take#steps#to#prevent#illness# Proac&ve) DirecDon#Takers# Self#Achievers# Priority#Jugglers# Willful#Endurers# Balance#Seekers#
  • 9. Willful  Endurers  are  the  least  engaged   They  depriori=ze  Heath  and  Wellness     9   0%# 5%# 10%# 15%# 20%# 25%# 30%# 35%# 40%# 45%# 50%# I#have#an#unhealthy#lifestyle;#I#just#can't#change#my#habits# I#consider#myself#a#"couch#potato"# I#know#what#I#should#be#doing#to#be#healthy,#but#I#don't# make#my#health#a#priority# Disengaged) DirecFon#Takers# Self#Achievers# Priority#Jugglers# Willful#Endurers# Balance#Seekers#
  • 10. The  Role  of  Physicians   10   Attitudes Toward Health Care Professionals Strongly Agree/Agree Balance Seekers n = 711 a Willful Endurers n = 1,107 b Priority Jugglers n = 733 c Self Achievers n = 953 d Direction Takers n = 532 e I like to take care of myself and don't like going to the doctor unless I'm really sick 79% (132) bcde 66% (110) de 72% (120) bde 44% (73) 44% (73) Physicians are just one resource for me; I consider many sources when managing my health & wellbeing 82% (141) bcde 52% (90) e 48% (83) 67% (116) bce 45% (78) My doctor is the most credible authority for my health & wellness needs 19% (34) 48% (86) a 64% (114) ab 76% (136) abc 86% (154) abcd I do whatever my doctor tells me 26% (53) 43% (88) a 51% (104) ab 65% (133) abc 71% (145) abcd !
  • 11. 11   Psychographic  Segments  Across  Popula=ons   0%# 5%# 10%# 15%# 20%# 25%# 30%# 35%# 40%# 45%# 50%# General'Popula,on' Medicaid'Managed'Care' Medicaid'Standard' Uninsured' Psychographic'Segment'Distribu,on'Across'Popula,ons' Balance#Seekers# Willful#Endurers# Priority#Jugglers# Self#Achievers# DirecCon#Takers# Medicaid  &  Uninsured  
  • 12. Health  Condi=ons  by  Segment   12   Health Condition Personally Experiencing Currently Balance Seekers n = 711 a Willful Endurers n = 1,107 b Priority Jugglers n = 733 c Self Achievers n = 953 d Direction Takers n = 532 e Acid Reflux/heartburn/GERD 10% (63) 17% (106) a 15% (94) a 20% (125) ac 21% (131) ac Depression 11% (92) 14% (117) acd 10% (83) 9% (75) 17% (142) acd Diabetes Type 1 Type 2 4% (36) 1% (100) 4% (40) 11% (100) a 2% (200) acd 9% (90) a 9% (82) a 1% (100) 8% (80) 15% (136) abc 1% (100) 14% (140) abc 16% (145) abc 2% (200) d 14% (140) abc Insomnia 11% (122) cd 8% (89) 8% (89) 8% (89) 12% (133) bcd ! •  44  health  condi=ons  measured   •  >100  Rx  products  included   •  Brand  vs.  Generic  Preferences  
  • 13. Health  Insurance  Company  Amributes   13   Attribute( Extremely/Very(Important( Balance( Seekers( Willful( Endurers( Priority( Jugglers( Self( Achievers( Direction( Takers( n(=(711( n(=(1,107( n(=(733( n(=(953( n(=(532( Is(one(that(I(can(trust( 90%((108)( b( 74%((89)( 87%((105)( b( 90%((108)( bc( 92%((111)( bc( Will(be(here(for(me(in(the(future( when(I(need(care( 86%((105)( b( 74%((90)( 85%((104)( b( 90%((110)( abc( 89%((109)( b( Has(a(good(reputation( 83%((105)( b( 71%((90)( 80%((101)( b( 88%((111)( abc( 88%((111)( abc( Makes(me(feel(like(they(care(about( my(health( 78%((108)( bc( 66%((92)( 66%((92)( 82%((114)( abce( 76%((106)( bc( ! •  33  amributes  measured   •  Cost  vs.  Choice   •  Premium  price  sensi=vity  analysis   •  Sa=sfac=on,  Value,  and  Likelihood  to  Recommend   •  50+  Influences  on  health  plan  choice  
  • 14. Online  OTC  &  Personal  Care  Store     RESULTS   Baseline   +6  months   Average    Basket:   $33.51   $43.99   %  Open   22.8%   20.6%   Visit-­‐to-­‐Order   3.1%   10.1%   Before   A`er   14   3X  visits  driving  30+%  increase  in  total  basket  purchases  
  • 15. Applica=on  –  Workplace  Health  Interven=on     Among  “Company  X”  Plant  workers  who  showed  up  for  the  sessions:   •  Amendance  overdeveloped  among  Balance  Seekers  and  Self  Achievers   15   •  Willful  Endurers  and  Direc=on  Takers  more  likely  to  be  eligible  for  program   18%$ 27%$ 18%$ 24%$ 13%$ 27%$ 19%$ 18%$ 27%$ 11%$ 0%$ 5%$ 10%$ 15%$ 20%$ 25%$ 30%$ Balance$ Seekers$ Willful$ Endurers$ Priority$ Jugglers$ Self$$$$$ Achievers$ DirecFon$ Takers$ General$PopulaFon$ Company$X$Plant$AMendees$ 27%$ 19%$ 18%$ 27%$ 11%$ 22%$ 24%$ 18%$ 20%$ 16%$ 0%$ 5%$ 10%$ 15%$ 20%$ 25%$ 30%$ Balance$ Seekers$ Willful$ Endurers$ Priority$ Jugglers$ Self$$$$$ Achievers$ DirecGon$ Takers$ Company$X$Plant$AMendees$ Eligible$for$Program$
  • 16. Phase  1  Pilot  Results   §  Willful  Endurers  most  likely  to  enroll  in  the  program  once  they  are   iden=fied  as  candidates  for  the  program  and  receive  coaching       §  Closure  rate  on  candidates  increased  to  over  70%   16   1.03% 1.16% 0.91% 0.83% 1.01% 0.75% 1.00% 1.25% Balance%Seekers% Willful%Endurers% Priority%Jugglers% Self%Achievers% DirecBon%Takers% Index%Enrolled%
  • 17. c2b  Consumer  Classifier   Live  Demo   17   c2b  Consumer  Classifier   A  simple  12  ques=on  survey  will  place  you  in  one   of  five  segments…  with  91%  predictability!  
  • 18. Marke=ng  to  the  Segments   18   Balance  Seekers   Willful  Endurers   Priority  Jugglers   Self  Achievers   Direc=on  Takers  
  • 19. Balance  Seekers   19   Balance  Seekers  are  generally  proac=ve  in  their  health  and   wellness-­‐oriented.    Balance  Seekers  are  open  to  many  ideas,   sources  of  informa=on,  and  treatment  op=ons  when  it  comes  to   their  healthcare.         However,  Balance  Seekers  themselves  –  not  healthcare   professionals  -­‐-­‐  define  what  success  looks  like  in  their  health.     Physicians  and  other  healthcare  professionals  are  useful  resources,   but  not  the  only  resources,  for  leading  a  healthy  life.  
  • 20. Willful  Endurers   20   Willful  Endurers  live  in  the  “here  and  now”   and  believe  there  are  more  important  things  to   focus  on  than  improving  their  health  for  the   future.         Willful  Endurers  are  not  necessarily  unhealthy,   but  they  do  what  they  like,  when  they  like,  and   do  not  change  their  habits.    They  are  self-­‐ reliant  and  can  withstand  anything  life  throws   at  them,  going  to  the  doctor  only  when  they   absolutely  must.  
  • 21. Priority  Jugglers   21   Priority  Jugglers  are  very  busy  with  many   responsibili=es.    Because  of  all  these   responsibili=es,  Priority  Jugglers  may  not  take   the  =me  to  invest  in  their  own  wellbeing  and   are  reac=ve  when  it  comes  to  health  issues.         However,  Priority  Jugglers  are  very  proac=ve   when  it  comes  to  their  family’s  health  and  will   make  sure  their  loved  ones  receive  the  care   they  need.  
  • 22. Self  Achievers   22   Self  Achievers  are  the  most  proac=ve  when  it   comes  to  their  wellness,  inves=ng  what  is  necessary   toward  their  health  and  appearance.         Self  Achievers  may  actually  have  health  issues,  but   they  stay  on  top  of  them  with  regular  medical   check-­‐ups,  health  screenings,  and  research.         Self  Achievers  are  task  oriented,  and  will  tackle  a   challenge  if  they  are  given  measurable  goals.  
  • 23. Direc=on  Takers   23   Direc=on  Takers  believe  their  physician  is  the  most   credible  resource  for  their  healthcare  needs.    Direc=on   Takers  look  to  their  physician  and  other  healthcare   professionals  for  direc=on  and  guidance  because  of  their   exper=se  and  creden=als.         Direc=on  Takers  are  more  likely  to  go  to  the  doctor  at   the  first  sign  of  health  concerns.         However,  Direc=on  Takers  may  not  always  follow  a   physician’s  advice  –  not  because  they  disagree  with  his/ her  recommenda=ons,  but  because  it  is  oten  difficult  to   work  these  recommenda=ons  into  their  rou=ne.  
  • 24. • Highly  recep=ve  to  health   informa=on     • Most  likely  to  interact  with   health  insurance  company   online   Self  Achievers   • Highly  recep=ve  to  health   informa=on   • Most  likely  to  visit  health   websites   Balance  Seekers   • Lower  levels  of  involvement   and  awareness  v.  other   segments   • Doctor  is  desired  source  for   informa=on  –  higher  desire  to   get  informa=on  than  currently   gets  from  doctor   Direc=on  Takers   • Generally  not  engaged  in   gebng  health  care   informa=on  for  self     • Family/peer  influence  strong     Priority  Jugglers   • Generally  least  engaged  for   health  related  informa=on  –   hardest  to  reach   • Peer  influence  strongest   Willful  Endurers   Recep=vity  to  Receiving  Health  Informa=on  Varies  by  Segment  
  • 25. Duos  Gradus  is  a  Type  2  Diabetes  Drug.    It  lowers  blood  sugar  by  increasing   insulin  produc=on  in  your  pancreas  and  decreases  sugar  made  in  your  liver   25  
  • 26. Health  Related  Media  &  Informa=on  Preferences   26   Willful  Endurers  Balance  Seekers     Balance  Seekers  are  generally  proac=ve  in   their  health  and  wellness-­‐oriented.    Balance   Seekers  are  open  to  many  ideas,  sources  of   informa=on,  and  treatment  op=ons  when  it   comes  to  their  healthcare.         However,  Balance  Seekers  themselves  –  not   healthcare  professionals  -­‐-­‐  define  what   success  looks  like  in  their  health.    Physicians   and  other  healthcare  professionals  are  useful   resources,  but  not  the  only  resources,  for   leading  a  healthy  life.   Willful  Endurers  live  in  the  “here  and  now”   and  believe  there  are  more  important   things  to  focus  on  than  improving  their   health  for  the  future.         Willful  Endurers  are  not  necessarily   unhealthy,  but  they  do  what  they  like,   when  they  like,  and  do  not  change  their   habits.    They  are  self-­‐reliant  and  can   withstand  anything  life  throws  at  them,   going  to  the  doctor  only  when  they   absolutely  must.  
  • 27. Health  Related  Media  &  Informa=on  Preferences   27   •  Less  likely  to  seek  out   informa=on  online   •  Relies  primarily  on   recommenda=ons  from   peers/friends   •  Less  likely  to  trust  media   Willful  Endurers  Balance  Seekers     •  Consult  informa=on   provided  by  news  media   channels  and  public  sources   •  Open  to  messages   broadcasted  on  TV,  Radio   and  Internet   •  Trusts  media  
  • 28. 28   Health-oriented Websites Visited for Health Advice for Self or Family in the Past Three Years % Balance Seekers n = 711 a Willful Endurers n = 1,107 b Priority Jugglers n = 733 c Self Achievers n = 953 d Direction Takers n = 532 e AARP.com 11% (110) bc 8% (80) 6% (60) 16% (160) abce 9% (90) Ask-A-Nurse.com 2% (67) 6% (200) acde 1% (33) 3% (100) ce 1% (33) CDC.gov 13% (144) bcde 8% (89) e 9% (100) e 9% (100) e 5% (56) EverydayHealth.com 7% (140) bce 5% (100) c 2% (40) 7% (140) bce 3% (60) HealthGrades.com 4% (133) ce 4% (133) ce 2% (67) 3% (100) ce 1% (33) MayoClinic.com 28% (140) bce 18% (90) 16% (80) 24% (120) bce 16% (80) NIH.gov 8% (160) bc 5% (100) 4% (80) 6% (120) c 5% (100) Prevention.com 9% (180) bce 3% (60) 3% (60) 7% (140) bc 5% (100) RealAge.com 7% (140) bce 5% (100) ce 2% (40) 7% (140) bce 2% (40) WebMD.com 62% (122) bcde 44% (86) 55% (108) be 53% (104) b 48% (94) ! Preferred  Media  and  Informa=on  Sources  by  Segment   •  >25  websites   •  Professional,  peer,  organiza=onal,  media  influencers   •  Print   •  Social  Media  
  • 29. 29     Casey  Albertson      casey@c2bsolu=ons.com   Brent  Walker                brent@c2bsolu=ons.com     www.c2bsolu=ons.com   844-­‐c2b-­‐data  (844-­‐222-­‐3282)   Thank You!