Assessment of Physician and Patient Attitudes

Toward Direct-to-Consumer (DTC) Promotion of Prescription Drugs

PATIENT SURVEY

I. SCREENER

INTRODUCTION: Hello, my name is
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ calling on behalf of
the U.S. Food and Drug Administration. The FDA is conducting a survey
about advertisements for drugs. Your answers will be kept strictly
confidential. We do not know anything about you. Your phone number was
called at random and no record of your phone number will be kept. Your
participation in this study is completely voluntary and is very
important in order for the study to give useful results. This survey
will take about 15 minutes.

Q1. What year were you born?

Year \_\_\_\_

If Year is \> 1983 (Terminate) Thank you, but we need to speak to
someone 18 or older. Is there anyone at home over 18 that we can speak
with?

DO NOT READ Don't know 8 (Terminate)

DO NOT READ Refused 9 (Terminate)

Q2. How long has it been since the last time you saw a doctor, a nurse
practitioner, or a physicians assistant where you talked about a health
condition or concern [of your own]{.underline}, not for a child or
parent or someone else? Were interested in your last [non-emergency
room]{.underline} visit.

Within the last week 01 Continue

1 to 4 weeks ago 02 Continue

5 weeks to 3 months ago 03 Continue

4 to 6 months ago 04 (Terminate)

7 to 11 months ago 05 (Terminate)

1 year ago 06 (Terminate)

More than 1 year ago, or 07 (Terminate)

Never 08 (Terminate

DO NOT READ Dont Know 98 (Terminate)

DO NOT READ Refused 99 (Terminate)

Main Survey

II\. AWARENESS OF PRESCRIPTION DRUG ADVERTISING

Q3. I'd like you to think about prescription drugs; that is, drugs you
can only get with a doctors prescription. In the last three months, do
you recall seeing or hearing any advertisements for prescription drugs?

Yes 1

No 2 (skip to Q16)

Not sure 3 (skip to Q16)

DO NOT READ Dont Know 8 (skip to Q16)

DO NOT READ Refused 9 (skip to Q16)

Q4. As best you can remember, what were the names of those drugs?
\[precoded list\]

Not sure 96

Don't remember 97

DO NOT READ Dont Know 98 (skip to Q16)

DO NOT READ Refused 99 (skip to Q16)

Q5. In your own words, tell me how you knew they were ads for
prescription drugs. \[precoded list\]

DO NOT READ Dont Know 98

DO NOT READ Refused 99

Q6. Have you seen or heard any ads for prescription drugs in any of the
following ways: (Read all possibilities and circle all that apply.)
\[Randomize\]

Yes No Not Sure

On television 1 2 3

On the radio 1 2 3

In a magazine 1 2 3

In a newspaper 1 2 3

On the Internet 1 2 3

In a letter, flyer or announcement you got in the mail 1 2 3

On an outdoor billboard 1 2 3

In a grocery store or pharmacy 1 2 3

ALWAYS LAST Anywhere else? (please
specify)\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ 1 2 3

DO NOT READ Dont Know 98

DO NOT READ Refused 99

Q7. Im going to read you a list of different types of information that
may or may not appear in [television]{.underline} ads for prescription
drugs. As I read each one, please tell me if youve seen TV ads for
prescription drugs with that type of information. (READ WITH FIRST ITEM,
REPEAT AS NECESSARY:) Have you seen TV ads that contained information
about  (READ LIST, RANDOMIZE)

The benefits of the drug 01

The condition the drug treats 02

Directions for use of the drug 03

Who could take the drug 04

Questions to ask a doctor about the drug 05

What to do in case of overdose 06

The risks or side effects of the drug 07

Who should not take the drug 08

How to get more information about the

drug or the condition it treats 09

DO NOT READ Have never seen TV ads for prescrip. drugs 10

DO NOT READ Dont Know 98

DO NOT READ Refused 99

Q8. I'd like you to think about advertisements for prescription drugs in
magazines and newspapers. These advertisements usually have small print
information on the page following the main ad that gives more details
about the drug. How much, if any, of the small print information would
you say **you** **usually** read? Would you say you:

Read all of the information 1

Read almost all of the information 2

Read about half of the information 3

Read only a little of the information 4

Read none of the information 5

Didnt even notice the information was there 6

DO NOT READ Have never seen magazine / newspaper ads 7

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q9. How much of the main advertisement would you say **you usually**
read? Would you say you:

Read all of the information 1

Read almost all of the information 2

Read about half of the information 3

Read only a little of the information 4

Read none of the information 5

Didnt even notice the information was there 6

DO NOT READ Have never seen magazine / newspaper ads 7

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q10. Have you ever seen an advertisement for a prescription drug you
were especially interested in?

Yes 1

No 2 (skip to Q15)

DO NOT READ Don't Know 8

DO NOT READ Refused 9

Q12. As best you can remember, how much, if any, of the main
advertisement did you read? Would you say you:

Read all of the information 1

Read almost all of the information 2

Read about half of the information 3

Read only a little of the information 4

Read none of the information 5

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q13. As best you can remember, how much, if any, of the small print
information following the main page in that advertisement did you read?
Would you say you:

Read all of the information 1

Read almost all of the information 2

Read about half of the information 3

Read only a little of the information 4

Read none of the information 5

Didnt even notice the information was there 6 (skip to Q15)

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q14. How much of that small print information was understandable? Would
you say:

All of the information 1

Almost all of the information 2

About half of the information 3

Only a little of the information 4

None of the information 5

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q15. Thinking about the ads you have seen both in print and on
television, has an advertisement for a prescription drug ever caused you
to look for more information, for example, about the drug or about your
health? \[INTERVIEWER: If asked, we mean broadcast or print ads.\]

Yes 1

No 2 (skip to Q18)

DO NOT READ Dont Know 8 (skip to Q18)

DO NOT READ Refused 9 (skip to Q18)

Q16. Did you look for further information: \[rotate, read list: circle
all that apply\]

In a reference book 01

In a magazine 02

In a newspaper 03

On the Internet 04

By asking a friend, relative, or neighbor 05

(ask: does this person work in a medical profession?) Yes/No

By calling the 1-800 number in the ad 06

By talking to a pharmacist 07

By talking to your doctor 08

By talking to a nurse 09

By talking to a doctor other than your own doctor 10

ALWAYS LAST By doing something else (specify) \_\_\_\_\_\_\_\_\_\_\_\_\_
11

DO NOT READ Dont Know 98

DO NOT READ Refused 99

Q17. What information did you look for? \[precoded list\]

DO NOT READ Dont Know 98

DO NOT READ Refused 99

Q18. Has an advertisement for a prescription drug **ever** caused you to
ask a doctor about a medical condition or illness of your own that you
had **not** talked to a doctor about before?

Yes 1

No 2

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q19. In the last month, how many **different** prescription drugs do you
recall seeing advertised in any form? \_\_\_\_\_\_\_\_\_\_\_\_\_

DO NOT READ Dont Know 98

DO NOT READ Refused 99

III. INTERACTION WITH DOCTOR

You mentioned previously that you have visited a doctor, physicians
assistant, or nurse practitioner in the last 3 months about a health
condition or concern. Id like to ask you some questions about those
visits. When I say doctor in these next few questions, Im referring to
the health care provider you visited. Remember, your answers are
completely confidential.

Q20. At any of the visits to your doctor in the last three months, did
you talk about a prescription drug?

> Yes 1 (Id like you to think about that [particular visit]{.underline}
> when answering the following questions.

IF MULTIPLE VISITS VOLUNTEERED: \[If a drug was discussed at more than
one visit, think about the most recent visit at which a drug was
discussed)

> No 2 (Id like you to think about your most [recent visit]{.underline}
> when answering the following questions)

DO NOT READ Dont Know 8 (Id like you to think about your most [recent
visit]{.underline} when answering the

following questions)

DO NOT READ Refused 9 (Id like you to think about your most [recent
visit]{.underline} when answering the

following questions)

Q21. For that visit, did you see your doctor for any of the following
reasons? Was it because: (Randomize list: circle all that apply)

You had a sudden symptom or illness? 01

You had not been feeling well? 02

You wanted a prescription for a drug you saw advertised? 03

It was time for a checkup? 04

A family member or friend suggested you should go? 05

You needed to get a prescription refilled? 06

You saw or heard an advertisement for an over-the-counter drug? 07

You read or saw something? 08

(if yes, follow up: What did you see or read?
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_)

You had a question you wanted to ask your doctor? 09

You saw or heard an advertisement for a prescription drug? 10

A drug you were taking (or supposed to be taking) wasnt working for
you? 11

You saw or heard an advertisement for a dietary supplement or herbal? 12

LAST Were there any other reasons you went to see the
doctor?\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ 13

DO NOT READ Dont Know 98

DO NOT READ Refused 99

Q22. Before you went to see the doctor for that visit, did you read,
hear or see anything that made you think about a **question** you wanted
to ask your doctor?

Yes 1

No 2

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q23. Think about what it was that you read, heard or saw that made you
think about that question. I'll read a list of 9 possibilities, and you
can say yes to more than one. Was it because of: (randomize list, circle
all that apply).

Something in a reference book 01

An advertisement on TV or radio 02

(ask: was this an ad for: a food (Y/N), an over-the-counter drug (Y/N),
an herbal or dietary supplement (Y/N),

a prescription drug (Y/N)

An advertisement in a magazine 03

(ask: was this an ad for: a food (Y/N), an over-the-counter drug (Y/N),
an herbal or dietary supplement (Y/N),

a prescription drug (Y/N)

A news or educational program on TV or radio, or mention in a talk show
04

Something you received in the mail 05

Something a friend, relative or neighbor said 06

(ask: does this person work in a medical profession? Y/N) 07

A talk you had with a doctor other than your own doctor 08

Something you read on the Internet 09

LAST Something else (specify)
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ 10

DO NOT READ Don't Know 98

DO NOT READ Refused 99

Q24. How would you describe your general relationship with your doctor
before this visit?

Excellent 1

Good 2

Fair 3

Poor 4

Had not seen this doctor before 5

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q25. Are you currently taking one or more prescription drugs?

Yes 1

No 2

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q26. Did you come to this visit expecting your doctor to one of the
following things (you may say yes to more than one): (read list, circle
all that apply)

Add a new drug to your current treatment 1

(ask: did you get a new drug at this visit? Y/N)

Switch you from a drug you were taking to a different drug 2

(ask: were you switched to new drug at this visit? Y/N)

Give you a new drug for a new condition 3

(ask: did you get a new drug at this visit? Y/N)

I did not expect my doctor to prescribe something for me 4 (skip to Q28)

DO NOT READ Dont Know 8 (skip to Q28)

DO NOT READ Refused 9 (skip to Q28)

Q27. What was it that made you expect your doctor to prescribe
something? Ill read a list of 9 possible things, and you can say yes to
more than one. Was it because of: (rotate, read list: circle all that
apply)

Something in a reference book 01

An advertisement on television or radio 02

An advertisement in a magazine 03

A news or educational program on TV or radio, or mention in a talk show
04

A previous prescription for the same condition 05

An article in a magazine or newspaper 06

Something you received in the mail 07

Something a friend, relative or neighbor said 08

A talk you had with a doctor other than your own doctor? 09

Something you read on the Internet 10

LAST Something else
(specify)\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
11

DO NOT READ Dont Know 98

DO NOT READ Refused 99

Q28. At that visit, did **you** ask whether there might be a
prescription drug to treat your condition?

Yes 1

No 2 (skip to Q35)

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q29. At that visit, did you ask about a specific **brand** of
prescription drug?

Yes 1

No 2

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q30. Did you come to this visit expecting your doctor to prescribe the
drug you asked about?

Yes 1

No 2

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q31. Did you mention an advertisement you saw or heard for a drug or
bring information about the advertised drug with you?

Yes, I mentioned an ad I saw or heard 1

Yes, I brought something about the drug with me 2

Yes, both 3

No 4

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q32. Which, if any, of these possible reactions did your doctor have
when you asked about the drug? You may say yes to more than one.
(Rotate, read list. Circle all that apply)

He/she seemed to get angry or upset 1

He/she seemed to react like it was an ordinary part of the visit 2

He/she seemed to welcome my question 3

He/she discussed the drug with me 4

DO NOT READ Dont Know 8

DO NOT READ Refused 9

\[***NOTE: NO PARTICIPANT SHOULD HAVE BOTH 1 AND 2 CIRCLED IN Q33***\]

Q33. Did your doctor do one or more of the following: \[read list:
circle all that apply\]

Give you the prescription drug you asked about 1 (read Q33a)

Not give you the prescription drug you asked about 2 (read Q33b)

Recommend a different prescription drug 3

Recommend an over-the-counter drug 4

Recommend no drug 5

Recommend that you make changes in your behavior or lifestyle 6

ALWAYS LAST Something else (specify) \_\_\_\_\_\_\_\_ 7

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q33a. How did you feel about your doctors decision to prescribe the
drug you asked about? Were you:

Very pleased 1

Pleased 2

Neither pleased nor displeased 3

Displeased 4

Very displeased 5

No opinion 6

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q33b. How did you feel about your doctors decision not to prescribe the
drug you asked about? Were you:

Very pleased 1

Pleased 2

Neither pleased nor displeased 3

Displeased 4

Very displeased 5

No opinion 6

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q34. Did your doctor tell you why he or she didnt prescribe the drug
you asked about?

Yes 1

No 2 (SKIP TO Q35)

Was it because: \[rotate, read list: circle all that apply\]

The drug was not right for you 01

The doctor wanted you to take a different drug 02

The drug had side effects you were not aware of 03

You did not have the condition the drug is used to treat 04

A less expensive drug was available 05

The doctor said you didnt need a prescription drug 06

The drug was not covered by your health plan 07

The doctor said you could use an over-the-counter drug 07

ALWAYS LAST Some other reason? (specify)
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ 08

DO NOT READ Dont Know 98

DO NOT READ Refused 99

Q35. Overall, how would you rate the quality of your visit with your
doctor?

Very positive 1

Somewhat positive 2

Somewhat negative 3

Very negative 4

DO NOT READ Don't Know 8

DO NOT READ Refused 9

Q36. To what extent did you relationship with your doctor change as a
result of this visit?

Much more positive 1

Somewhat more positive 2

Somewhat more negative 3

Much more negative 4

Did not change at all 5

DO NOT READ Don't Know 8

DO NOT READ Refused 9

(ASK IF Q28=2)

Q37. If you saw an advertisement for a drug that treats a condition that
was **bothering** **you**, how likely would you be to talk to your
doctor about the drug?

Very likely 1

Somewhat likely 2

Neither likely nor unlikely 3

Somewhat unlikely 4

Very unlikely 5

DO NOT READ Dont Know 8

DO NOT READ Refused 9

IV\. ATTITUDE QUESTIONS ABOUT PRESCRIPTION DRUG ADVERTISING

\[If Q3=2, skip to Q53\]

Now Im going to read some statements about prescription drugs and
advertising for prescription drugs. For each of them, please tell me
whether you agree strongly, agree somewhat, neither agree nor disagree,
disagree somewhat or disagree strongly. There are no right or wrong
answers. We want to know what **you** think. I will read the possible
responses again after each question.

\[RANDOM BEGINNING and ORDER\]

Q38. I like seeing advertisements for prescription drugs.

Agree Strongly 1

Agree Somewhat 2

Neither Agree nor Disagree 3

Disagree Somewhat 4

Disagree Strongly 5

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q39. Advertisements for prescription drugs help make me aware of new
drugs.

Agree Strongly 1

Agree Somewhat 2

Neither Agree nor Disagree 3

Disagree Somewhat 4

Disagree Strongly 5

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q40. Advertisements for prescription drugs do not give enough
information about the possible benefits and positive effects of using
the drug.

Agree Strongly 1

Agree Somewhat 2

Neither Agree nor Disagree 3

Disagree Somewhat 4

Disagree Strongly 5

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q41. Advertisements for prescription drugs make the drugs seem better
than they really are.

Agree Strongly 1

Agree Somewhat 2

Neither Agree nor Disagree 3

Disagree Somewhat 4

Disagree Strongly 5

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q42. Advertisements for prescription drugs do not give enough
information about the possible risks and negative effects of using the
drug.

Agree Strongly 1

Agree Somewhat 2

Neither Agree nor Disagree 3

Disagree Somewhat 4

Disagree Strongly 5

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q43. Advertisements for prescription drugs make it seem like a doctor is
not needed to decide whether a drug is right for me.

Agree Strongly 1

Agree Somewhat 2

Neither Agree nor Disagree 3

Disagree Somewhat 4

Disagree Strongly 5

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q44. Advertisements for prescription drugs give enough information for
me to decide whether I should discuss the drug with a doctor.

Agree Strongly 1

Agree Somewhat 2

Neither Agree nor Disagree 3

Disagree Somewhat 4

Disagree Strongly 5

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q45. Advertisements for prescription drugs help me make better decisions
about my health.

Agree Strongly 1

Agree Somewhat 2

Neither Agree nor Disagree 3

Disagree Somewhat 4

Disagree Strongly 5

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q46. Advertisements for prescription drugs help me have better
discussions with my doctor about my health.

Agree Strongly 1

Agree Somewhat 2

Neither Agree nor Disagree 3

Disagree Somewhat 4

Disagree Strongly 5

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q47. Only the safest prescription drugs are allowed to be advertised to
the public.

Agree Strongly 1

Agree Somewhat 2

Neither Agree nor Disagree 3

Disagree Somewhat 4

Disagree Strongly 5

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q48. Advertisements for prescription drugs help make me aware of
potentially serious medical conditions.

Agree Strongly 1

Agree Somewhat 2

Neither Agree nor Disagree 3

Disagree Somewhat 4

Disagree Strongly 5

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q49. I would not talk with my doctor about an advertisement for a
prescription drug, because it would seem like I did not trust my doctor.

Agree Strongly 1

Agree Somewhat 2

Neither Agree nor Disagree 3

Disagree Somewhat 4

Disagree Strongly 5

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q50. Advertisements for prescription drugs make it seem like the drug
will work for everyone.

Agree Strongly 1

Agree Somewhat 2

Neither Agree nor Disagree 3

Disagree Somewhat 4

Disagree Strongly 5

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q51. Advertisements for prescription drugs make me worry about my
health.

Agree Strongly 1

Agree Somewhat 2

Neither Agree nor Disagree 3

Disagree Somewhat 4

Disagree Strongly 5

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q52. Advertisements for prescription drugs help remind me to take my
medicines.

Agree Strongly 1

Agree Somewhat 2

Neither Agree nor Disagree 3

Disagree Somewhat 4

Disagree Strongly 5

DO NOT READ Dont Know 8

DO NOT READ Refused 9

IV\. DEMOGRAPHIC INFORMATION

I\'d like to ask just a few more questions for classification purposes.
Remember, we are not keeping any record of your phone number, so this
information, as well as the rest of your answers, is anonymous.

Q53. Overall, would you say your health is:

Excellent 1

Very good 2

Good 3

Fair 4

Poor 5

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q54. How knowledgeable would you say you are about health and medicines?
Would you say you are:

Extremely knowledgeable 1

Very knowledgeable 2

Somewhat knowledgeable 3

Not at all knowledgeable 4

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q55. How many hours in a typical week do you use the internet or world
wide web? \_\_\_\_\_\_\_\_\_\_

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q56. In the last six months, about how many **different** prescription
drugs have you used (for women: including birth control pills)?
\_\_\_\_\_\_

DO NOT READ Dont Know 98

DO NOT READ Refused 99

Q57. In the last six months, about how many **different**
over-the-counter drugs have you used, including vitamins or nutritional
supplements? \_\_\_\_\_\_

DO NOT READ Dont Know 98

DO NOT READ Refused 99

Q58. Is your doctor part of either of the following health-care
arrangements?

A health maintenance organization or HMO 1

A preferred provider list or network of physicians 2

DO NOT READ Neither 3

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q59. What is your marital status? Are you:

Married 1

Single 2

Widowed 3

Divorced 4

Separated 5

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q60. What is the last grade of school that you completed? Was it:

Grade school or less 1

Some high school 2

Completed high school 3

Some college 4

Completed college 5

Graduate school or more 6

Other beyond high school 7

(business, technical, etc.)

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q61. Which of these best represents your ethnic group? (you may say yes
to more than one) Would you say you are:

American Indian or Alaska Native 1

Asian 2

Black or African-American 3

Hispanic or Latino 4

Native Hawaiian or other Pacific Islander 5

White 6

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q62. For classification purposes only, please tell me which category
represents your total household income last year before taxes. Was it:

Less than \$10,000 1

\$10,000 to \$20,000 2

\$20,000 to \$35,000 3

\$35,000 to \$50,000 4

\$50,000 to \$75,000 5

Over \$75,000 6

DO NOT READ Dont Know 8

DO NOT READ Refused 9

Q63. Respondent gender (DO NOT ASK: Record by observation)

Male 1

Female 2

Those are all the questions I have.

Thank you very much for your help participating in this survey.