Case Study: Switch Resistance in Sleep Disorder Treatment

Understanding the dynamics that shaped dosing habits

Line drawing of a person sleeping or resting on a pillow

A once-daily treatment promised better rest, yet many patients and clinicians stayed with twice-daily routines. What truly prevents switching treatment and how do we build trust in change? 

The Challenge

The Level 5 team conducted qualitative research with patients and clinicians to explore the emotional and practical barriers to switching. Through message and conversation testing, we uncovered where hesitation lived and how to resolve it.

The Approach

The Breakthrough

“Convenience” wasn’t the issue, control and confidence were. Patients feared losing stability in routines that made them feel safe; even if routines didn’t yield the best results, they feared risking worse results

  • Clinicians wanted tangible guidance, not persuasion.

  • Simple, transparent communication eased both emotional and logistical friction

The Impact

Level 5 findings reframed the narrative from “it’s easier” to “keep your control.” This shift informed new HCP and patient tools, onboarding materials, and patient stories that built reassurance and confidence in switching—ultimately driving higher intent to recommend and greater patient openness to change.

A man and a woman are sitting in a room near a large window, engaged in a conversation. The woman, with red hair tied back and wearing a striped shirt, seems to be listening, while the man, with dark hair and beard, is holding a pencil and speaking.

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