Qualitative Research

From Data to Dialogue: The Power of “Peer Pathways” in Elevating Brand Adoption

By Noah Pines

The appetite for quantitative insight from ATU (Awareness, Trial, and Usage) and AAU (Awareness, Attitudes, and Usage) studies has always been strong in the pharma and biotech world. What’s changed is that, at ThinkGen, we’ve seen a dramatic upsurge in clients coming to us -- some before launch to develop a baseline, others transitioning in-line brand ATUs to us from other long-time vendors -- because they trust our ability to bring renewed relevance and strategic depth to their tracking work.

What separates the good from the great in conducting ATU/AAU studies isn’t just statistical rigor or longitudinal tracking. It’s relevance: the ability to connect metrics with the issues of the day. The "hot topics." Our clients look to us not just for a dashboard, but for a diagnosis and a path forward. And increasingly, that means complementing our quantitative research engagements with qualitative investigations that reveal the “why” behind the numbers.

The Missing Link: From Metrics to Meaning

A strong ATU tells you what’s happening with your brand. But it often leaves an equally critical question unanswered: why is it happening? Why are some HCPs regular users and loyal advocates while others remain skeptical, hesitant, or disengaged?

That’s where our qualitative “offshoot” studies come into play -- short, targeted programs designed to dig beneath the surface of tracking data. Among these, one qualitative approach has consistently yielded deep, actionable insights for our clients: the “User vs. Non-User Comparative Study.”

This methodology focuses on illuminating the differences between HCPs who are high users of a brand and those who are low users or non-users. Over the years, we’ve refined this into a structured, iterative process that not only identifies barriers to adoption but also builds a bridge -- a communication strategy rooted in real-world experience -- to help convert skeptics into believers.

We call this approach Peer Pathways™.

Introducing Peer Pathways™: A Real-World Approach to Influence

At its core, Peer Pathways™ is built on a deceptively simple idea: that the most persuasive voice for an HCP is another HCP. Rather than relying solely on theoretical message testing or internal hypotheses, this process helps to construct a practical, peer-informed narrative for brand conversion.

Here’s how it works, essentially and back and forth process:

  1. Phase 1 – Understanding the Advocates We begin by identifying and recruiting HCPs who represent high users of the brand: those who understand its role in patient care and who have integrated it meaningfully into their practice. These first 3–5 depth interviews aren’t just about exploring perceptions; they’re about exploring and uncovering the journey to adoption, including the promotion and other influences that "got them there."
  2. Phase 2 – Listening to the Skeptics Next, we move to a batch of low users or non-users: another 3–5 depth interviews. These conversations focus on surfacing key barriers, hesitations, and competing priorities that stand in the way of adoption. During the session, we introduce the “peer narrative” developed from Phase 1 and observe how these messages land. What resonates? What falls flat? Where are the emotional or cognitive disconnects? We listen intently.
  3. Phase 3 – Refining the Narrative Through Dialogue Equipped with a clearer picture of the objections, we return to a second group of high users. Their task: evaluate these objections and explain how they personally overcame them. This often leads to powerful, peer-tested counterarguments -- grounded in authentic clinical experience and relevant non-clinical factors rather than marketing language.
  4. Phase 4 – The Final Validation Finally, we loop back to a new set of low users to test a more fortified and refined narrative -- one that now combines the persuasive elements from high users with realistic answers to the barriers identified earlier.

Why Peer Pathways™ Works

Traditional message testing often treats communication as a one-way street: the brand speaks, the audience reacts. Peer Pathways™ transforms that into a conversation.

By alternating between high and low user groups, we create and facilitate a sort of 'dialogue' that evolves naturally, with each round of interviews iteratively informing the next. The result is a final narrative that is not only resonant but also credible, because it is built from the voices of peers, not abstract marketing assumptions.

In practice, this methodology has helped our clients:

  • Identify specific knowledge gaps that impede adoption.
  • Uncover psychological and behavioral triggers that differentiate high users from low users.
  • Develop peer-informed messaging frameworks that align with real-world clinical logic.
  • Strengthen field force communication, giving reps more authentic, evidence-based talking points.

Designing the Study: Sampling and Timing Considerations

While Peer Pathways™ is rooted in qualitative methodology, its impact depends on disciplined study design.

Sampling: Recruitment is everything. We work closely with clients to define clear behavioral criteria for “high” vs. “low” users, often grounded in prescribing data, CRM segmentation, or ATU-derived usage tiers. Ensuring balance across specialties, practice settings, and geographies helps maintain representativeness while avoiding echo chambers of opinion.

Timing: Peer Pathways™ studies work best as an offshoot of an active ATU/AAU program. This timing ensures that the insights are both contemporaneous and contextualized within the quantitative data. In most cases, we recommend conducting the study shortly after an ATU wave, while fresh data still guides the qualitative inquiry.

Integration: One of the most powerful outcomes of Peer Pathways™ is its seamless integration back into quantitative frameworks. The qualitative findings often inform refinements to message testing modules, segmentation logic, or future survey wording -- creating a virtuous cycle of learning between quant and qual.

From Insights to Action

The true value of Peer Pathways™ lies in its actionability. The narratives that emerge from this process can directly inform:

  • Field sales and MSL training modules
  • Brand story development and promotional messaging
  • Peer-to-peer education content
  • Patient journey modeling and behavioral segmentation

In essence, the insights move beyond PowerPoint slides; they become the blueprint for influence.

Closing Thoughts: A Human Approach to Brand Health

In an era where AI, dashboards, and analytics dominate our conversations about “data-driven decision-making,” Peer Pathways™ reminds us that understanding human drivers remains central to brand growth.

By blending quantitative discipline with qualitative depth, we create not just reports, but relationships -- between data and dialogue, between insights and influence, and most importantly, amongst peers.

That’s the future of impactful market research: not just counting opinions, but connecting them.