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Sleep Aid Products in the U.S. Market: Non-Prescription OTC, Natural and
Alternative Remedies


December 1, 2008

Sleep has finally emerged from the darkness and gained the limelight as a critical
American health issue. According to the American Sleep Association, every year
approximately 40 million Americans, if not more, are afflicted by chronic, long-term
sleep disorders. Restless nights followed by sluggish, anxious days have led a growing
number of consumers to seek relief and physical and emotional rejuvenation from a
diverse and fragmented market of mainstream and alternative products that aid sleep or
relaxation.

As more Americans become aware that sleep is as important as food or exercise,
marketers will find greater opportunities for both traditional and alternative sleep aid
products. For OTC sleep aids alone, Packaged Facts expects the total market to near
the $759 million mark by 2013.

This all new packaged Facts report, Sleep Aid Products in the U.S. Market: Non-
Prescription OTC, Natural and Alternative Remedies, is focused on consumer, product
and marketplace trends. It takes an in-depth look at sales of over-the-counter (OTC)
sleep aids and a snapshot of the more niche natural sleep aid supplements market as a
bellwether for the future of the total marketplace. For the purposes of this report, the
market consists of products and accessories designed to enhance and aid sleep without
a prescription that are easily accessible and usable by the consumer. This
encompasses OTC sleep medications—both analgesic and non-analgesic—and herbal
supplements intended to aid sleep, as well as accessories such as neck and body
pillows, devices such as sound machines and conditioners, sleep masks and earplugs,
plus shower and body care products, aromatherapy candles or foods and beverages
intended to aid sleep.

Companies profiled in the report include: Avon Products Inc., Chattem, Inc., Glaxo
SmithKline, Green Pharmaceuticals Inc., HoMedics, Inc., Johnson & Johnson, NBTY,
Inc., and smaller players such as Dream Essentials, Dreamerz Foods, Nature’s Way
and SoothSoft Comfort Technology.
Report Methodology

Information for Sleep Aid Products in the U.S. Market: Non-Prescription OTC, Natural
and Alternative Remedies was obtained from both primary and secondary sources.
Primary research entailed consultation with industry sources and on-site examination of
the retail setting. Secondary research entailed gathering data from relevant business
sources, including: trade publications and newsletters; government data; current articles
in newspapers and trade and consumer magazines; information from industry and non-
governmental associations such as The American Psychological Association, The
National Sleep Foundation, and The American Sleep Association; annual reports, 10Ks
and other financial releases from public companies; and other related Packaged Facts
reports.

For the OTC sleep aids mass market, this report covers the sale of products through
channels tracked by Information Resources, Inc. (IRI) only; i.e., U.S. chain
supermarkets, drugstores and mass merchandisers other than Wal-Mart. Hence, market
and brand share figures reflect the position of the marketers/brands in those channels.
However, in arriving at overall market size estimates all major retail channels are
covered. For natural supplement sales estimates, SpinScan data was used.

The consumer demographics analysis was developed using data from the Simmons
Market Research Bureau (New York, NY) spring 2008 consumer survey. Information on
new product introductions was derived from Productscan Online, a Datamonitor service.



Table of Contents

Chapter 1: Executive Summary
     Scope
     Methodology
     Serious Sleep Disorders Affect 40 Million Americans
     Total Sleep Industry Sales Conservatively at $20 Billion
     Total OTC Sleep Aids Market Reaches $604 Million

          •   Figure 1-1: Total U.S. Over-the-Counter Sleep Aids Market, 2004-2008 (in
              millions of dollars)

      OTC Sleep Aids Market to Reach $759 Million by 2013

          •   Figure 1-2: Total U.S. Over-the-Counter Sleep Aid Market, 2008-2013 (in
              millions of dollars)

      Natural Sleep Sales Likely Slowed 2008
•   Figure 1-3: Total Natural Stress and Sleep Aids Market, 2004-2008 (in
       millions of dollars)

Natural Sleep Aid Supplement Sales to Grow at a CAGR of 10%

   •   Figure 1-4: Natural Stress and Sleep Aids Market Forecast, 2008-2013 (in
       millions of dollars)

Factors to Growth
Prescription Sleeping Pill—Worth the Cost?
Perceived Emotional Benefits May Suffice
Potential for Backlash against New Wave of Prescriptions
OTC Sleep Aids Fill an Important Niche
OTC Sleep Aids Growth Threatened By Natural Sleep Aid Products
Alternative Products Market a Threat or a Companion?
Competitive Landscape
Chattem Emerges as a Player with Unisom
Small Companies to Watch
Trends: Challenges and Opportunities
Forces Are Converging on the Sleep Products Market
Average Weeknight Sleep is Six Hours and 40 Minutes
30% of Americans Extremely Stressed
Women More Likely to Be Stressed

   •   Table 1-1: APA’s Top Stress Symptoms, Female vs. Male, 2008 (percent)

Women Have Special Sleep Challenges
Only 20% of Children Get Optimal Sleep
Increasing Childhood Obesity Equals Increasing Sleep Issues
Environmental Cause: Urbanization Clouds Rest
Travel Impacted By Recession Fears
Trend toward Self-Care to Enhance Sleep Aids Market
Consumer Health Information Websites See Increasing Activity
Complementary and Alternative Medicine Growth
Increased Medical Costs
Is The Medical Community Fully Aware of Sleep Issues?
Product Trends and Innovations
2008 Sleep-Related New Product Introductions
Upscale Was Top Package Tag
Alternative Delivery Systems
Products Work While You Sleep
Aromatherapy Sleep Aids Often In Bath and Body Products
Color Therapy Sleep Enhancement: Pseudo-Science or Chakra-liscious?
Listen Up to Sound Therapy
Alternative Beverages for a Refreshing Sleep
Bringing the Doctor’s Office In-home
Products That Readjust the Body Clock
     Women-Focused Products Abound
     Kid-Friendly Products
     Products for Aging Population
     Better Sleep During Travel
     Sleep with the Environment in Mind
     Marketing and Retail Dynamics
     Marketing and Retail Trends Overview
     Despite Economy There Is Opportunity for Marketers to Engage Loyal
     Consumers and Innovate
     Major Marketers A Threat?
     Best Avenues for Outreach in Challenging Economy
     Direct Response TV Trends Upwards in Health and Fitness Arena
     Could Recession Be a Boon for Internet Retailing?
     CPG Growth in Search Functions
     Behavioral Targeting Perfect for Diversified Sleep Market
     Sleep Marketers and Etailers Can Make Best Use of Alternative Medias
     Company Ethics Important to Consumers
     Word-of-Mouth: Added-Value for Marketers and Consumers
     The Ultimate WOM: Celebrity
     Sleep Product Retail Distribution Overwhelmingly Diverse
     Think Non-Traditional: Specialty Outlets vs. General Market
Chapter 2: Sleep Aids Market Introduction
     Scope
     Sleep Aid Market Categories Diverse
     Methodology
     Sleep—a Primer
     Cycles of Sleep: Stages 1, 2, 3, 4 and REM
     Sleep, a Mysterious Key To Survival
     Serious Sleep Disorders Affect 40 Million Americans
     Insomnia
     Sleep Apnea
     Restless Legs Syndrome
     Periodic Leg Movement During Sleep
     Parasomnia
     REM Sleep Behavior Disorder
     Circadian Rhythms
     Other Sleep Issues and Consumer Touchpoints Abound
     Total Sleep Industry Sales Conservatively At $20 Billion
Chapter 3: The OTC Sleep Aids Market In Depth
     Total OTC Sleep Aid Market Reaches $604 Million

         •   Figure 3-1: Total U.S. Over-the-Counter Sleep Aid Market, 2008-2013 (in
             millions of dollars)

      Analgesic Sleep Aids Dominate, Growth Accelerates
•   Table 3-1: Total U.S. Over-the-Counter Sleep Sales and Year-over-Year
       Percentage Change, 2004-2008 (in millions of dollars)
   •   Figure 3-2: Estimated Over-the-Counter Sleep Aids Share, by Dollar
       Sales, 2008 (percent)

Analgesic Sleep Aids
Total IRI-Tracked Sales Growth Slows in 2008

   •   Figure 3-3: U.S Over-the-Counter Analgesic Sleep Aid IRI-Tracked Dollar
       Sales, 2004-2008 (in millions of dollars)
   •   Table 3-2: Total Over-the-Counter Analgesic Sleep Aid IRI-Tracked Dollar
       Sales and Year-over-Year Percentage Change, 2004-2008 (in millions of
       dollars)

IRI-Tracked Unit Sales Grew 11%

   •   Figure 3-4: Total Over-the-Counter Analgesic Sleep Aid IRI-Tracked Unit
       Sales, 2004-2008 (in thousands units)
   •   Table 3-3: Total Over-the-Counter Analgesic Sleep Aid IRI-Tracked Unit
       Sales and Year-over-Year Percentage Change, 2004-2008 (in thousands
       units)

Prices Increase Dramatically in 2008

   •   Figure 3-5: Average Over-the-Counter Analgesic Sleep Aids, IRI-Tracked
       Price per Unit, 2004-2008(in dollars)
   •   Table 3-4: Average Over-the-Counter Analgesic Sleep Aids, IRI-Tracked
       Price per Unit and Year-over-Year Percentage Change, 2004-2008 (in
       dollars)

Tylenol PM Rules, But Advil PM Makes Grabs Share

   •   Table 3-5: Over-the-Counter Analgesic Sleep Aids, IRI-Tracked Sales in
       FDM by Brand, 2004-2008 (in millions of dollars)
   •   Figure 3-6: Estimated Over-the-Counter Analgesic Sleep Aids Brand
       Share, 2008 (percent)

Non-Analgesic Sleep Aids
Total IRI-Tracked Sales Rise Modestly in 2008

   •   Figure 3-7: U.S Over-the-Counter Non-Analgesic Sleep Aids, IRI-Tracked
       Dollar Sales by Category, 2004-2008 (in millions of dollars)

IRI-Tracked Tablet Sales Higher, Liquid Sales Dry Up
•   Table 3-6: Total Over-the-Counter Non-Analgesic Sleep Aids, IRI-Tracked
       Dollar Sales, by Category and Year-over-Year Percentage Change, 2004-
       2008 (in millions of dollars)
   •   Figure 3-8: Estimated Over-the-Counter Non-Analgesic Sleep Aids, IRI-
       Tracked Share, by Dollar Sales, 2008 (percent)

IRI-Tracked Unit Sales Grew 11%

   •   Figure 3-9: Total Over-the-Counter Non-Analgesic Sleep Aids, IRI-
       Tracked Unit Sales by Category, 2004-2008 (in thousands units)

Unit Sales Suffer Double-Digit Declines

   •   Table 3-7: Total Over-the-Counter Non-Analgesic Sleep Aids, IRI-Tracked
       Unit Sales, by Category and Year-over-Year Percentage Change, 2004-
       2008 (in thousands units)
   •   Figure 3-10: Estimated Over-the-Counter Non-Analgesic Sleep Aids, IRI-
       Tracked Share, by Unit Sales, 2008 (percent)

Prices Increase Dramatically in 2008

   •   Figure 3-11: Average Over-the-Counter Non-Analgesic Sleep Aids, IRI-
       Tracked Prices per Unit by Category, 2004-2008 (in dollars)

Higher Private-Label Prices Affect Tablets

   •   Table 3-8: Total Over-the-Counter Non-Analgesic Sleep Aids, IRI-Tracked
       Prices per Unit, by Category and Year-over-Year Percentage Change,
       2004-2008 (in dollars)

Private Label Dominates Mass Channels

   •   Table 3-9: Over-the-Counter Non-Analgesic Sleep Aids, IRI-Tracked Sales
       in FDM by Brand, 2004-2008 (in millions of dollars)
   •   Figure 3-12: Estimated Over-the-Counter Non-Analgesic Sleep Aids Brand
       Share, 2008 (percent)

OTC Sleep Aids Forecast
OTC Sleep Aids Market to Reach $$759 Million by 2013

   •   Figure 3-13: Total U.S. Over-the-Counter Sleep aids Market, 2008-2013
       (in millions of dollars)

Factors To Growth
Prescription Sleeping Pill—Worth the Cost?
Perceived Emotional Benefits May Suffice
Potential for Backlash against New Wave of Prescriptions
Media on Top of Issues with Prescription
OTC Sleep Aids Fill an Important Niche
OTC Sleep Aids Growth Threatened By Natural Sleep Aids Products
Alternative Product Markets a Threat or a Companion?
The OTC Consumer
Note on Simmons Market Research Bureau Data
Sleep Issue Consumer Penetration—12% of U.S.

   •   Table 3-10: Percentage of Consumers Suffering from Sleep Issues in The
       Past 12 Months: Insomnia/Sleep Disorders and Snoring/Sleep Apnea,
       2004-2008 (percent)

Non-Prescription & Prescription Product Usage Penetration Low
Consumer May Want More Than One Benefit

   •   Table 3-11: Percentage of Consumers Suffering from Sleep Issues in The
       Past 12 Months: Insomnia/Sleep Disorders and Snoring/Sleep Apnea, by
       Remedy Used, 2004-2008 (percent)

Moderate Insomnia/Sleep Apnea Most Likely

   •   Table 3-12: Percentage of Consumers Suffering from Sleep Issues in The
       Past 12 Months: Insomnia/Sleep Disorders and Snoring/Sleep Apnea, by
       Severity, 2004-2008 (percent)

Does this Data Contradict Other Sources?
Demographic Characteristics of Insomnia/Sleep Disorder Sufferers
Employed Individuals Less Likely to Have Sleep Issues
Relationships Make for Better Sleep
Renters More Sleep Distressed than Owners

   •   Table 3-13: Demographic Characteristics of Insomnia/Sleep Disorder
       Sufferers, 2008 (index)

Demographic Characteristics of Insomnia/Sleep Disorder Sufferers Who Use
Sleep Aids
Women, Students Pop For Prescription and Non-Prescription Usage
Single-Person, Low Income Greater Likelihood for Sleep Aids

   •   Table 3-14: Demographic Characteristics of Insomnia/Sleep Disorder
       Sufferers Who Used Prescription and Non-Prescription Remedies in Past
       12 Months, 2008 (index)

Demographic Characteristics of Snoring/Sleep Apnea Sufferers
The Stereotypes Are True: Men Snore
•   Table 3-15: Demographic Characteristics of Snoring/Sleep Apnea
            Sufferers, 2008 (index)

     Demographic Characteristics of Snoring/Sleep Apnea Sufferers Who Use Sleep
     Aids
     The Dry Southwest a Hotbed of Snorers
     Higher Incomes Show Greater Likelihood to Use Product

        •   Table 3-16: Demographic Characteristics of Snoring/Sleep Apnea
            Sufferers Who Used Prescription and Non-Prescription Remedies in Past
            12 Months, 2008 (index)

     Demographic Characteristics of Nighttime Pain Sufferers
     Headaches Are the Bane of Women
     Multiple Responsibilities and Stress May Be Driving Pain/Sleep Product Use
     Households with Children…Fewer Headaches?!

        •   Table 3-17: Demographic Characteristics of Adults Who Used Non-
            Prescription Pain Relievers/Sleep aids in Past 12 Months, 2008 (index)

     Emerging and Fragmented Product Market Means Lack of Consumer Tracking
     Data
     Select OTC and Prescription Sleep Aids Tracked

        •   Table 3-18: Non-Prescription Headache/Pain Relievers Used In Past
            Month, 2008
        •   Table 3-19: Prescription Sleep Aids Used In Last 12 Months, 2008

Chapter 4: Natural Sleep Supplements Market Snapshot
     Overview

        •   Table 4-1: Description of Selected Natural Remedies

     Natural Sleep Sales Likely Slowed in 2008

        •   Figure 4-1: Natural Stress and Sleep Aids Market, 2004-2008 (in millions
            of dollars)
        •   Table 4-2: Total Natural Stress and Sleep Aids Market and Year-over-
            Year Percentage Change, 2004-2008 (in millions of dollars and all
            channels)

     Sales in Natural Store Channel Slow

        •   Figure 4-2: Stress and Sleep Aid Medicine Sales through Natural
            Supermarket Channel, 2004-2008 (in millions of dollars)
•   Table 4-3: Natural Channel Stress and Sleep Aids Market and Year-over-
            Year Percentage Change, 2004-2008 (in millions of dollars)

     Natural Sleep and Stress Supplements Market Forecast
     Natural Sleep Sales to Grow at a CAGR of 10%Natural Sleep Sales to Grow at a
     CAGR of 10%

        •   Figure 4-3: Total Natural Stress and Sleep Aids Market Forecast, 2004-
            2008 (in millions of dollars)

     Factors to Growth
     Health Concerns Impact American Purchase Habits

        •   Table 4-4: American Consumer Level of Health-Consciousness, 2008 vs.
            2004

     A Good Night’s Rest, the Next Big Trend
     …Or Sleeplessness, The Next Big Health Crisis?
     Supplement Users Especially Interested in Health
     The Natural/Organic Connection
     Sleep Supplements Face Competition from Functional Foods
     2008 Natural and Herbal Sleep Aid Introductions

        •   Table 4-5: Natural and Herbal Sleep Aid Supplement Introductions, 2008

     Not Without Controversy
     The Natural Supplements Consumer
     Note on Simmons Market Research Bureau Data
     Baby Boomers Important Component of Supplement Market

        •   Figure 4-4: Percent of Adults Using Nutritional Supplements: By Age
            Bracket, 2008 (U.S. adults)
        •   Figure 4-5: Number of Adults Using Nutritional Supplements: By
            Generational Cohort, 2008 (percent of total U.S. adult users)

     Consumer Interest in Non-traditional Treatments
     More Than One in Three Consumers Use CAM
     Herbal Supplements Most Commonly Used Treatment

        •   Figure 4-6: Top 10 Natural/Herbal Supplements among U.S. Adults Who
            Use Natural Products, 2002 (percent)

     Potential for Natural Sleep aids Growth
Chapter 5: Competitive Overview
     Competitive Landscape
     Chattem Emerges as a Player with Unisom
Advil PM Reinvigorates Analgesic Sleep-Aids
Small Companies to Watch
Dream Essentials, LLC
Dreamerz Foods
Nature’s Way
SoothSoft Comfort Technology
Selected Corporate Profiles
Avon Products Inc.
Overview
Performance
Sleep Products Portfolio
Chattem, Inc.
Overview
Performance

   •   Figure 5-1: Total Chattem, Inc. (Unisom) Sleep Aids, IRI-Tracked Sales,
       2004-2008 (in millions of dollars)

Sleep Products Portfolio
Glaxo SmithKline
Overview
Performance

   •   Figure 5-2: Total GlaxoSmithKline Sleep Aid IRI-Tracked Sales, 2004-
       2008 (in millions of dollars)

Sleep Products Portfolio
Green Pharmaceuticals Inc.
Overview
Performance

   •   Figure 5-3: Total Green Pharmaceuticals Sleep Aids, IRI-Tracked Sales,
       2004-2008 (in millions of dollars)

Products
HoMedics, Inc.
Overview
Performance
Sleep Product Portfolio
Johnson & Johnson
Overview
Performance

   •   Figure 5-4: Total Johnson & Johnson’s Tylenol PM Sleep Aid IRI-Tracked
       Sales, 2004-2008 (in millions of dollars)
NBTY, Inc. (Nature’s Bounty)
     Overview
     Performance
     Sleep Product Portfolio
Chapter 6: Trends: Challenges and Opportunities
     Forces Are Converging on the Sleep Products Market
     Dangers of Sleepless Nights: Short Term
     Average Weeknight Sleep is Six Hours and 40 Minutes
     Dangers of Sleepless Nights: Long Term
     Increase in Stress-related Ailments Affects Sleep
     Stress in America by the Numbers: 30% Extremely Stressed
     Economic Woes Taking Their Toll
     Economy Raising Stress Levels across Generations

         •   Table 6-1: APA’s Top Stressors by Generation, 2008 (percent)

      High Debt Stress Causes Sleep Trouble
      Women More Likely to Be Stressed

         •   Table 6-2: APA’s Top Stress Symptoms, Female vs. Male, 2008 (percent)

      The Effects of Stress on Sleep
      Smoking and Drinking Part of Negative Cycle
      Time for Sleep Awareness
      A Nation of Aging Boomers
      Better Sleep Council Survey
      Mattresses Age Too
      Changing Behavior
      Identifying the Problem
      (Non)-Risky Business
      Women Have Special Sleep Challenges
      Menopausal Sleep Issues Under-Diagnosed
      Sleep Apnea May Appear Due to Hormonal Changes
      Effects of Poor Sleep on Women’s Cardiovascular Health
      Only 20% of Children Get Optimal Sleep
      Media Overload Leads to Overloaded Kids
      How Much Sleep Is Needed?

         •   Table 6-3: Average Recommended Sleep Requirements

      Cut Back the Kids’ Caffeine
      Increasing Childhood Obesity Equals Increasing Sleep Issues
      Additional Health Risks: Elevated Blood Pressure
      Sticking to a Schedule
      The City Never Sleeps…And Neither Do City Kids
      Environmental Cause: Urbanization Clouds Rest
Busy Urban Days Lead into Busy Urban Nights
      Urbanites Want to Take Back the Night
      Travel Products Impacted By Recessionary Slump in Travel
      Trend toward Self-Care to Enhance Sleep Aids Market

         •   Table 6-4: American Consumer Level of Health-Consciousness, 2008 vs.
             2004 (percent)

      Consumer Health Information Websites See Increasing Activity

         •   Table 6-5: Top 10 Health Information Sites by Unique Visitors of Total
             U.S. Home/Work/University Locations, July 2008 vs. July 2007
         •   Table 6-6: Top 10 Health-Related Searches Conducted Using Major U.S.
             Internet Search Engines, Q1 2007 (in millions)

      Consumer Interest in Complementary and Alternative Medicine
      Emerging CAM Treatments Utilize Improved Technology
      Comprehensive Surveys Find More Than One in Three Use CAM

         •   Figure 6-1: Complementary and Alternative Medicine Use by U.S. Adults,
             2002 (percent)

      Use of CAM for Specific Conditions

         •   Figure 6-2: Conditions Most Commonly Treated by CAM*, 2002 (percent)

      Reasons for Using CAM

         •   Figure 6-3: Reasons People Use CAM, 2002 (percent)

      The Spa Spawns Cultural Imperative to Relax
      Increased Medical Costs

         •   Figure 6-4: Cumulative Percentage Price Index Increases for Medical
             Care Services, Medical Care Commodities and Annual Average of Median
             Weekly Earnings for All Wage and Salary Workers

     Research Is Ongoing
     Is The Medical Community Fully Aware of Sleep Issues?
     Sleep Centers: Challenge or Opportunity?
     Sleep Centers Already Offering Alternative Product
     Health Savings Accounts (HSAs) May Be a Boon
     About HSAs
     HSA Growth
     HSA Growth Leads to More Spending
Chapter 7: Product Trends and Innovations
2008 Sleep-Related New Product Introductions

   •   Table 7-1: Selected New Product Introductions, 2008

Upscale Was Top Package Tag
Alternative Delivery Systems
Maximum Benefits: Functional, Sensory, and Emotional
Alternative Therapy Products
Aromatherapy Has Long History in Sleep
Aromatherapy Often In Bath and Body Products
Color Therapy: Pseudo-Science or Chakra-liscious?
Modern Color Therapy
Selected Color Therapy Product
Listen Up to Sound Therapy
Sound Therapy in Practice
Natural Sounds Inherently Relaxing
The Light…It Burns!
Next Up, Holograms?
Food and Beverage Sleep Aids
Alternative Beverages for a Refreshing Sleep
A Plethora of Drink Products
Opportunities in Food
Medical and Hi-tech Crossover
Bringing the Doctor’s Office In-home
Biofeedback and Ion Machines
Products That Readjust the Body Clock
A Clock for the Clock
Consumer-centric Product Innovations
Women-Focused Products Abound
Menopause a Cause
Beauty and Spa Crossover
JNJ’s Stress Relieving Skin Care
Pillow Cases That Do More Than Just Cover
Kid-Friendly Products
Music to Sooth Little Ears
Sound Oasis Sleep Bear
Other Baby Products
Products for Aging Population
Travel Products Made for Sleep
Better Sleep During Travel
Pillows for Support
Sound Conditioners on the Go
Green/Natural/Organic Influenced Market
Conscientious Consumerism Driving Force
Sleep with the Environment in Mind
Supplement Marketers Make Most of Green/Natural/Organic Trends
Demand for Green Products Is There
     Buckwheat Pillows Are O.K.!
Chapter 8: Marketing and Retail Dynamics
     Marketing and Retail Trends Overview
     Despite Economy There Is Opportunity for Marketers to Engage Loyal
     Consumers and Innovate
     Down Time Good Time for Positioning
     Major Marketers and Retailers A Threat?
     Just the Beginning of Rollouts From Majors
     Competition Is Complimentary
     DMA Reports Uptick in Direct Expenditure Despite Economy
     Direct Response TV Trends Upwards in Health and Fitness Arena
     Consumer Direct Marketing Concerns
     Internet Technology Changing Outreach
     Could Recession Be a Boon for Internet Retailing?
     Just Give Me the Bottom Line
     CPG Growth in Search Functions
     CPG Consumers Comfortable with Search
     Behavioral Targeting Perfect for Diversified Sleep Market
     Targeted End-User Marketing in Debate
     Outside Pressure on Potential Google and Yahoo! Search Partnership
     Sleep Marketers and Etailers Can Make Best Use of Alternative Medias
     Evolving Media Consumption Opens Up Opportunities
     Online Shoppers Still Need Wooing
     Company Ethics Important to Consumers
     Importance of Added Values
     Word-of-Mouth: Added-Value for Marketers and Consumers
     WOM a Real Business
     Proof in the Numbers
     Does WOM Need The Human Touch?
     The Ultimate WOM: Celebrity
     Sleep Holdings, Inc. on “The Rachael Ray Show”
     Homedics and Sharper Image Deal Harbinger to Increased Licensing?
     Sleep Innovation Should Open Eyes to Licensing
     Retail Issues
     Sleep Product Retail Distribution Overwhelmingly Diverse
     Think Non-Traditional: Specialty Outlets vs. General Market
     Retail Space Further Challenged By Influx of Durable Medical Equipment
Chapter 9: Looking Ahead
     Converging Trends Mean Opportunities in Sleep & Stress Relief
     Short-Term Success Tied to Economic Trends
     Sleep Aid Customization
     Sleep Aids with Multiple and Higher Value Benefits
Appendix: Addresses of Selected Marketers


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Sleep Aid Products in the U.S. Market: Non-Prescription OTC, Natural and Alternative Remedies

  • 1.     Get more info on this report! Sleep Aid Products in the U.S. Market: Non-Prescription OTC, Natural and Alternative Remedies December 1, 2008 Sleep has finally emerged from the darkness and gained the limelight as a critical American health issue. According to the American Sleep Association, every year approximately 40 million Americans, if not more, are afflicted by chronic, long-term sleep disorders. Restless nights followed by sluggish, anxious days have led a growing number of consumers to seek relief and physical and emotional rejuvenation from a diverse and fragmented market of mainstream and alternative products that aid sleep or relaxation. As more Americans become aware that sleep is as important as food or exercise, marketers will find greater opportunities for both traditional and alternative sleep aid products. For OTC sleep aids alone, Packaged Facts expects the total market to near the $759 million mark by 2013. This all new packaged Facts report, Sleep Aid Products in the U.S. Market: Non- Prescription OTC, Natural and Alternative Remedies, is focused on consumer, product and marketplace trends. It takes an in-depth look at sales of over-the-counter (OTC) sleep aids and a snapshot of the more niche natural sleep aid supplements market as a bellwether for the future of the total marketplace. For the purposes of this report, the market consists of products and accessories designed to enhance and aid sleep without a prescription that are easily accessible and usable by the consumer. This encompasses OTC sleep medications—both analgesic and non-analgesic—and herbal supplements intended to aid sleep, as well as accessories such as neck and body pillows, devices such as sound machines and conditioners, sleep masks and earplugs, plus shower and body care products, aromatherapy candles or foods and beverages intended to aid sleep. Companies profiled in the report include: Avon Products Inc., Chattem, Inc., Glaxo SmithKline, Green Pharmaceuticals Inc., HoMedics, Inc., Johnson & Johnson, NBTY, Inc., and smaller players such as Dream Essentials, Dreamerz Foods, Nature’s Way and SoothSoft Comfort Technology.
  • 2. Report Methodology Information for Sleep Aid Products in the U.S. Market: Non-Prescription OTC, Natural and Alternative Remedies was obtained from both primary and secondary sources. Primary research entailed consultation with industry sources and on-site examination of the retail setting. Secondary research entailed gathering data from relevant business sources, including: trade publications and newsletters; government data; current articles in newspapers and trade and consumer magazines; information from industry and non- governmental associations such as The American Psychological Association, The National Sleep Foundation, and The American Sleep Association; annual reports, 10Ks and other financial releases from public companies; and other related Packaged Facts reports. For the OTC sleep aids mass market, this report covers the sale of products through channels tracked by Information Resources, Inc. (IRI) only; i.e., U.S. chain supermarkets, drugstores and mass merchandisers other than Wal-Mart. Hence, market and brand share figures reflect the position of the marketers/brands in those channels. However, in arriving at overall market size estimates all major retail channels are covered. For natural supplement sales estimates, SpinScan data was used. The consumer demographics analysis was developed using data from the Simmons Market Research Bureau (New York, NY) spring 2008 consumer survey. Information on new product introductions was derived from Productscan Online, a Datamonitor service. Table of Contents Chapter 1: Executive Summary Scope Methodology Serious Sleep Disorders Affect 40 Million Americans Total Sleep Industry Sales Conservatively at $20 Billion Total OTC Sleep Aids Market Reaches $604 Million • Figure 1-1: Total U.S. Over-the-Counter Sleep Aids Market, 2004-2008 (in millions of dollars) OTC Sleep Aids Market to Reach $759 Million by 2013 • Figure 1-2: Total U.S. Over-the-Counter Sleep Aid Market, 2008-2013 (in millions of dollars) Natural Sleep Sales Likely Slowed 2008
  • 3. Figure 1-3: Total Natural Stress and Sleep Aids Market, 2004-2008 (in millions of dollars) Natural Sleep Aid Supplement Sales to Grow at a CAGR of 10% • Figure 1-4: Natural Stress and Sleep Aids Market Forecast, 2008-2013 (in millions of dollars) Factors to Growth Prescription Sleeping Pill—Worth the Cost? Perceived Emotional Benefits May Suffice Potential for Backlash against New Wave of Prescriptions OTC Sleep Aids Fill an Important Niche OTC Sleep Aids Growth Threatened By Natural Sleep Aid Products Alternative Products Market a Threat or a Companion? Competitive Landscape Chattem Emerges as a Player with Unisom Small Companies to Watch Trends: Challenges and Opportunities Forces Are Converging on the Sleep Products Market Average Weeknight Sleep is Six Hours and 40 Minutes 30% of Americans Extremely Stressed Women More Likely to Be Stressed • Table 1-1: APA’s Top Stress Symptoms, Female vs. Male, 2008 (percent) Women Have Special Sleep Challenges Only 20% of Children Get Optimal Sleep Increasing Childhood Obesity Equals Increasing Sleep Issues Environmental Cause: Urbanization Clouds Rest Travel Impacted By Recession Fears Trend toward Self-Care to Enhance Sleep Aids Market Consumer Health Information Websites See Increasing Activity Complementary and Alternative Medicine Growth Increased Medical Costs Is The Medical Community Fully Aware of Sleep Issues? Product Trends and Innovations 2008 Sleep-Related New Product Introductions Upscale Was Top Package Tag Alternative Delivery Systems Products Work While You Sleep Aromatherapy Sleep Aids Often In Bath and Body Products Color Therapy Sleep Enhancement: Pseudo-Science or Chakra-liscious? Listen Up to Sound Therapy Alternative Beverages for a Refreshing Sleep Bringing the Doctor’s Office In-home
  • 4. Products That Readjust the Body Clock Women-Focused Products Abound Kid-Friendly Products Products for Aging Population Better Sleep During Travel Sleep with the Environment in Mind Marketing and Retail Dynamics Marketing and Retail Trends Overview Despite Economy There Is Opportunity for Marketers to Engage Loyal Consumers and Innovate Major Marketers A Threat? Best Avenues for Outreach in Challenging Economy Direct Response TV Trends Upwards in Health and Fitness Arena Could Recession Be a Boon for Internet Retailing? CPG Growth in Search Functions Behavioral Targeting Perfect for Diversified Sleep Market Sleep Marketers and Etailers Can Make Best Use of Alternative Medias Company Ethics Important to Consumers Word-of-Mouth: Added-Value for Marketers and Consumers The Ultimate WOM: Celebrity Sleep Product Retail Distribution Overwhelmingly Diverse Think Non-Traditional: Specialty Outlets vs. General Market Chapter 2: Sleep Aids Market Introduction Scope Sleep Aid Market Categories Diverse Methodology Sleep—a Primer Cycles of Sleep: Stages 1, 2, 3, 4 and REM Sleep, a Mysterious Key To Survival Serious Sleep Disorders Affect 40 Million Americans Insomnia Sleep Apnea Restless Legs Syndrome Periodic Leg Movement During Sleep Parasomnia REM Sleep Behavior Disorder Circadian Rhythms Other Sleep Issues and Consumer Touchpoints Abound Total Sleep Industry Sales Conservatively At $20 Billion Chapter 3: The OTC Sleep Aids Market In Depth Total OTC Sleep Aid Market Reaches $604 Million • Figure 3-1: Total U.S. Over-the-Counter Sleep Aid Market, 2008-2013 (in millions of dollars) Analgesic Sleep Aids Dominate, Growth Accelerates
  • 5. Table 3-1: Total U.S. Over-the-Counter Sleep Sales and Year-over-Year Percentage Change, 2004-2008 (in millions of dollars) • Figure 3-2: Estimated Over-the-Counter Sleep Aids Share, by Dollar Sales, 2008 (percent) Analgesic Sleep Aids Total IRI-Tracked Sales Growth Slows in 2008 • Figure 3-3: U.S Over-the-Counter Analgesic Sleep Aid IRI-Tracked Dollar Sales, 2004-2008 (in millions of dollars) • Table 3-2: Total Over-the-Counter Analgesic Sleep Aid IRI-Tracked Dollar Sales and Year-over-Year Percentage Change, 2004-2008 (in millions of dollars) IRI-Tracked Unit Sales Grew 11% • Figure 3-4: Total Over-the-Counter Analgesic Sleep Aid IRI-Tracked Unit Sales, 2004-2008 (in thousands units) • Table 3-3: Total Over-the-Counter Analgesic Sleep Aid IRI-Tracked Unit Sales and Year-over-Year Percentage Change, 2004-2008 (in thousands units) Prices Increase Dramatically in 2008 • Figure 3-5: Average Over-the-Counter Analgesic Sleep Aids, IRI-Tracked Price per Unit, 2004-2008(in dollars) • Table 3-4: Average Over-the-Counter Analgesic Sleep Aids, IRI-Tracked Price per Unit and Year-over-Year Percentage Change, 2004-2008 (in dollars) Tylenol PM Rules, But Advil PM Makes Grabs Share • Table 3-5: Over-the-Counter Analgesic Sleep Aids, IRI-Tracked Sales in FDM by Brand, 2004-2008 (in millions of dollars) • Figure 3-6: Estimated Over-the-Counter Analgesic Sleep Aids Brand Share, 2008 (percent) Non-Analgesic Sleep Aids Total IRI-Tracked Sales Rise Modestly in 2008 • Figure 3-7: U.S Over-the-Counter Non-Analgesic Sleep Aids, IRI-Tracked Dollar Sales by Category, 2004-2008 (in millions of dollars) IRI-Tracked Tablet Sales Higher, Liquid Sales Dry Up
  • 6. Table 3-6: Total Over-the-Counter Non-Analgesic Sleep Aids, IRI-Tracked Dollar Sales, by Category and Year-over-Year Percentage Change, 2004- 2008 (in millions of dollars) • Figure 3-8: Estimated Over-the-Counter Non-Analgesic Sleep Aids, IRI- Tracked Share, by Dollar Sales, 2008 (percent) IRI-Tracked Unit Sales Grew 11% • Figure 3-9: Total Over-the-Counter Non-Analgesic Sleep Aids, IRI- Tracked Unit Sales by Category, 2004-2008 (in thousands units) Unit Sales Suffer Double-Digit Declines • Table 3-7: Total Over-the-Counter Non-Analgesic Sleep Aids, IRI-Tracked Unit Sales, by Category and Year-over-Year Percentage Change, 2004- 2008 (in thousands units) • Figure 3-10: Estimated Over-the-Counter Non-Analgesic Sleep Aids, IRI- Tracked Share, by Unit Sales, 2008 (percent) Prices Increase Dramatically in 2008 • Figure 3-11: Average Over-the-Counter Non-Analgesic Sleep Aids, IRI- Tracked Prices per Unit by Category, 2004-2008 (in dollars) Higher Private-Label Prices Affect Tablets • Table 3-8: Total Over-the-Counter Non-Analgesic Sleep Aids, IRI-Tracked Prices per Unit, by Category and Year-over-Year Percentage Change, 2004-2008 (in dollars) Private Label Dominates Mass Channels • Table 3-9: Over-the-Counter Non-Analgesic Sleep Aids, IRI-Tracked Sales in FDM by Brand, 2004-2008 (in millions of dollars) • Figure 3-12: Estimated Over-the-Counter Non-Analgesic Sleep Aids Brand Share, 2008 (percent) OTC Sleep Aids Forecast OTC Sleep Aids Market to Reach $$759 Million by 2013 • Figure 3-13: Total U.S. Over-the-Counter Sleep aids Market, 2008-2013 (in millions of dollars) Factors To Growth Prescription Sleeping Pill—Worth the Cost? Perceived Emotional Benefits May Suffice
  • 7. Potential for Backlash against New Wave of Prescriptions Media on Top of Issues with Prescription OTC Sleep Aids Fill an Important Niche OTC Sleep Aids Growth Threatened By Natural Sleep Aids Products Alternative Product Markets a Threat or a Companion? The OTC Consumer Note on Simmons Market Research Bureau Data Sleep Issue Consumer Penetration—12% of U.S. • Table 3-10: Percentage of Consumers Suffering from Sleep Issues in The Past 12 Months: Insomnia/Sleep Disorders and Snoring/Sleep Apnea, 2004-2008 (percent) Non-Prescription & Prescription Product Usage Penetration Low Consumer May Want More Than One Benefit • Table 3-11: Percentage of Consumers Suffering from Sleep Issues in The Past 12 Months: Insomnia/Sleep Disorders and Snoring/Sleep Apnea, by Remedy Used, 2004-2008 (percent) Moderate Insomnia/Sleep Apnea Most Likely • Table 3-12: Percentage of Consumers Suffering from Sleep Issues in The Past 12 Months: Insomnia/Sleep Disorders and Snoring/Sleep Apnea, by Severity, 2004-2008 (percent) Does this Data Contradict Other Sources? Demographic Characteristics of Insomnia/Sleep Disorder Sufferers Employed Individuals Less Likely to Have Sleep Issues Relationships Make for Better Sleep Renters More Sleep Distressed than Owners • Table 3-13: Demographic Characteristics of Insomnia/Sleep Disorder Sufferers, 2008 (index) Demographic Characteristics of Insomnia/Sleep Disorder Sufferers Who Use Sleep Aids Women, Students Pop For Prescription and Non-Prescription Usage Single-Person, Low Income Greater Likelihood for Sleep Aids • Table 3-14: Demographic Characteristics of Insomnia/Sleep Disorder Sufferers Who Used Prescription and Non-Prescription Remedies in Past 12 Months, 2008 (index) Demographic Characteristics of Snoring/Sleep Apnea Sufferers The Stereotypes Are True: Men Snore
  • 8. Table 3-15: Demographic Characteristics of Snoring/Sleep Apnea Sufferers, 2008 (index) Demographic Characteristics of Snoring/Sleep Apnea Sufferers Who Use Sleep Aids The Dry Southwest a Hotbed of Snorers Higher Incomes Show Greater Likelihood to Use Product • Table 3-16: Demographic Characteristics of Snoring/Sleep Apnea Sufferers Who Used Prescription and Non-Prescription Remedies in Past 12 Months, 2008 (index) Demographic Characteristics of Nighttime Pain Sufferers Headaches Are the Bane of Women Multiple Responsibilities and Stress May Be Driving Pain/Sleep Product Use Households with Children…Fewer Headaches?! • Table 3-17: Demographic Characteristics of Adults Who Used Non- Prescription Pain Relievers/Sleep aids in Past 12 Months, 2008 (index) Emerging and Fragmented Product Market Means Lack of Consumer Tracking Data Select OTC and Prescription Sleep Aids Tracked • Table 3-18: Non-Prescription Headache/Pain Relievers Used In Past Month, 2008 • Table 3-19: Prescription Sleep Aids Used In Last 12 Months, 2008 Chapter 4: Natural Sleep Supplements Market Snapshot Overview • Table 4-1: Description of Selected Natural Remedies Natural Sleep Sales Likely Slowed in 2008 • Figure 4-1: Natural Stress and Sleep Aids Market, 2004-2008 (in millions of dollars) • Table 4-2: Total Natural Stress and Sleep Aids Market and Year-over- Year Percentage Change, 2004-2008 (in millions of dollars and all channels) Sales in Natural Store Channel Slow • Figure 4-2: Stress and Sleep Aid Medicine Sales through Natural Supermarket Channel, 2004-2008 (in millions of dollars)
  • 9. Table 4-3: Natural Channel Stress and Sleep Aids Market and Year-over- Year Percentage Change, 2004-2008 (in millions of dollars) Natural Sleep and Stress Supplements Market Forecast Natural Sleep Sales to Grow at a CAGR of 10%Natural Sleep Sales to Grow at a CAGR of 10% • Figure 4-3: Total Natural Stress and Sleep Aids Market Forecast, 2004- 2008 (in millions of dollars) Factors to Growth Health Concerns Impact American Purchase Habits • Table 4-4: American Consumer Level of Health-Consciousness, 2008 vs. 2004 A Good Night’s Rest, the Next Big Trend …Or Sleeplessness, The Next Big Health Crisis? Supplement Users Especially Interested in Health The Natural/Organic Connection Sleep Supplements Face Competition from Functional Foods 2008 Natural and Herbal Sleep Aid Introductions • Table 4-5: Natural and Herbal Sleep Aid Supplement Introductions, 2008 Not Without Controversy The Natural Supplements Consumer Note on Simmons Market Research Bureau Data Baby Boomers Important Component of Supplement Market • Figure 4-4: Percent of Adults Using Nutritional Supplements: By Age Bracket, 2008 (U.S. adults) • Figure 4-5: Number of Adults Using Nutritional Supplements: By Generational Cohort, 2008 (percent of total U.S. adult users) Consumer Interest in Non-traditional Treatments More Than One in Three Consumers Use CAM Herbal Supplements Most Commonly Used Treatment • Figure 4-6: Top 10 Natural/Herbal Supplements among U.S. Adults Who Use Natural Products, 2002 (percent) Potential for Natural Sleep aids Growth Chapter 5: Competitive Overview Competitive Landscape Chattem Emerges as a Player with Unisom
  • 10. Advil PM Reinvigorates Analgesic Sleep-Aids Small Companies to Watch Dream Essentials, LLC Dreamerz Foods Nature’s Way SoothSoft Comfort Technology Selected Corporate Profiles Avon Products Inc. Overview Performance Sleep Products Portfolio Chattem, Inc. Overview Performance • Figure 5-1: Total Chattem, Inc. (Unisom) Sleep Aids, IRI-Tracked Sales, 2004-2008 (in millions of dollars) Sleep Products Portfolio Glaxo SmithKline Overview Performance • Figure 5-2: Total GlaxoSmithKline Sleep Aid IRI-Tracked Sales, 2004- 2008 (in millions of dollars) Sleep Products Portfolio Green Pharmaceuticals Inc. Overview Performance • Figure 5-3: Total Green Pharmaceuticals Sleep Aids, IRI-Tracked Sales, 2004-2008 (in millions of dollars) Products HoMedics, Inc. Overview Performance Sleep Product Portfolio Johnson & Johnson Overview Performance • Figure 5-4: Total Johnson & Johnson’s Tylenol PM Sleep Aid IRI-Tracked Sales, 2004-2008 (in millions of dollars)
  • 11. NBTY, Inc. (Nature’s Bounty) Overview Performance Sleep Product Portfolio Chapter 6: Trends: Challenges and Opportunities Forces Are Converging on the Sleep Products Market Dangers of Sleepless Nights: Short Term Average Weeknight Sleep is Six Hours and 40 Minutes Dangers of Sleepless Nights: Long Term Increase in Stress-related Ailments Affects Sleep Stress in America by the Numbers: 30% Extremely Stressed Economic Woes Taking Their Toll Economy Raising Stress Levels across Generations • Table 6-1: APA’s Top Stressors by Generation, 2008 (percent) High Debt Stress Causes Sleep Trouble Women More Likely to Be Stressed • Table 6-2: APA’s Top Stress Symptoms, Female vs. Male, 2008 (percent) The Effects of Stress on Sleep Smoking and Drinking Part of Negative Cycle Time for Sleep Awareness A Nation of Aging Boomers Better Sleep Council Survey Mattresses Age Too Changing Behavior Identifying the Problem (Non)-Risky Business Women Have Special Sleep Challenges Menopausal Sleep Issues Under-Diagnosed Sleep Apnea May Appear Due to Hormonal Changes Effects of Poor Sleep on Women’s Cardiovascular Health Only 20% of Children Get Optimal Sleep Media Overload Leads to Overloaded Kids How Much Sleep Is Needed? • Table 6-3: Average Recommended Sleep Requirements Cut Back the Kids’ Caffeine Increasing Childhood Obesity Equals Increasing Sleep Issues Additional Health Risks: Elevated Blood Pressure Sticking to a Schedule The City Never Sleeps…And Neither Do City Kids Environmental Cause: Urbanization Clouds Rest
  • 12. Busy Urban Days Lead into Busy Urban Nights Urbanites Want to Take Back the Night Travel Products Impacted By Recessionary Slump in Travel Trend toward Self-Care to Enhance Sleep Aids Market • Table 6-4: American Consumer Level of Health-Consciousness, 2008 vs. 2004 (percent) Consumer Health Information Websites See Increasing Activity • Table 6-5: Top 10 Health Information Sites by Unique Visitors of Total U.S. Home/Work/University Locations, July 2008 vs. July 2007 • Table 6-6: Top 10 Health-Related Searches Conducted Using Major U.S. Internet Search Engines, Q1 2007 (in millions) Consumer Interest in Complementary and Alternative Medicine Emerging CAM Treatments Utilize Improved Technology Comprehensive Surveys Find More Than One in Three Use CAM • Figure 6-1: Complementary and Alternative Medicine Use by U.S. Adults, 2002 (percent) Use of CAM for Specific Conditions • Figure 6-2: Conditions Most Commonly Treated by CAM*, 2002 (percent) Reasons for Using CAM • Figure 6-3: Reasons People Use CAM, 2002 (percent) The Spa Spawns Cultural Imperative to Relax Increased Medical Costs • Figure 6-4: Cumulative Percentage Price Index Increases for Medical Care Services, Medical Care Commodities and Annual Average of Median Weekly Earnings for All Wage and Salary Workers Research Is Ongoing Is The Medical Community Fully Aware of Sleep Issues? Sleep Centers: Challenge or Opportunity? Sleep Centers Already Offering Alternative Product Health Savings Accounts (HSAs) May Be a Boon About HSAs HSA Growth HSA Growth Leads to More Spending Chapter 7: Product Trends and Innovations
  • 13. 2008 Sleep-Related New Product Introductions • Table 7-1: Selected New Product Introductions, 2008 Upscale Was Top Package Tag Alternative Delivery Systems Maximum Benefits: Functional, Sensory, and Emotional Alternative Therapy Products Aromatherapy Has Long History in Sleep Aromatherapy Often In Bath and Body Products Color Therapy: Pseudo-Science or Chakra-liscious? Modern Color Therapy Selected Color Therapy Product Listen Up to Sound Therapy Sound Therapy in Practice Natural Sounds Inherently Relaxing The Light…It Burns! Next Up, Holograms? Food and Beverage Sleep Aids Alternative Beverages for a Refreshing Sleep A Plethora of Drink Products Opportunities in Food Medical and Hi-tech Crossover Bringing the Doctor’s Office In-home Biofeedback and Ion Machines Products That Readjust the Body Clock A Clock for the Clock Consumer-centric Product Innovations Women-Focused Products Abound Menopause a Cause Beauty and Spa Crossover JNJ’s Stress Relieving Skin Care Pillow Cases That Do More Than Just Cover Kid-Friendly Products Music to Sooth Little Ears Sound Oasis Sleep Bear Other Baby Products Products for Aging Population Travel Products Made for Sleep Better Sleep During Travel Pillows for Support Sound Conditioners on the Go Green/Natural/Organic Influenced Market Conscientious Consumerism Driving Force Sleep with the Environment in Mind Supplement Marketers Make Most of Green/Natural/Organic Trends
  • 14. Demand for Green Products Is There Buckwheat Pillows Are O.K.! Chapter 8: Marketing and Retail Dynamics Marketing and Retail Trends Overview Despite Economy There Is Opportunity for Marketers to Engage Loyal Consumers and Innovate Down Time Good Time for Positioning Major Marketers and Retailers A Threat? Just the Beginning of Rollouts From Majors Competition Is Complimentary DMA Reports Uptick in Direct Expenditure Despite Economy Direct Response TV Trends Upwards in Health and Fitness Arena Consumer Direct Marketing Concerns Internet Technology Changing Outreach Could Recession Be a Boon for Internet Retailing? Just Give Me the Bottom Line CPG Growth in Search Functions CPG Consumers Comfortable with Search Behavioral Targeting Perfect for Diversified Sleep Market Targeted End-User Marketing in Debate Outside Pressure on Potential Google and Yahoo! Search Partnership Sleep Marketers and Etailers Can Make Best Use of Alternative Medias Evolving Media Consumption Opens Up Opportunities Online Shoppers Still Need Wooing Company Ethics Important to Consumers Importance of Added Values Word-of-Mouth: Added-Value for Marketers and Consumers WOM a Real Business Proof in the Numbers Does WOM Need The Human Touch? The Ultimate WOM: Celebrity Sleep Holdings, Inc. on “The Rachael Ray Show” Homedics and Sharper Image Deal Harbinger to Increased Licensing? Sleep Innovation Should Open Eyes to Licensing Retail Issues Sleep Product Retail Distribution Overwhelmingly Diverse Think Non-Traditional: Specialty Outlets vs. General Market Retail Space Further Challenged By Influx of Durable Medical Equipment Chapter 9: Looking Ahead Converging Trends Mean Opportunities in Sleep & Stress Relief Short-Term Success Tied to Economic Trends Sleep Aid Customization Sleep Aids with Multiple and Higher Value Benefits Appendix: Addresses of Selected Marketers Available immediately for Online Download at