
How Cadense Markets a DTC Brand to Seniors: 750 PTs, Linear TV and a Call Center
How do you market a DTC brand to older adults? Johannes Sauer, CEO and co-founder of Cadense, sells an adaptive sneaker to a customer base that skews 60 and up. His answer has been physical therapist referrals, linear TV and a call center, with Meta still doing the heavy lifting online. Cadense makes a sneaker with nylon pads on the sole that let the foot slide over a snag instead of catching, built for people who trip after a stroke, with multiple sclerosis or Parkinson's, or simply with age. It looks like a regular athletic shoe on purpose. Johannes says Cadense passed ten million dollars in lifetime sales within 28 months of launching on pre-order from its own site. He walks through the clinician program that replaced a failed affiliate pitch, an eight-question checkout survey that 75% of buyers finish, and the channels that come next: senior living, retail and Medicare Advantage. Get the DTC Newsletter: https://directtoconsumer.co WHAT YOU WILL SOLVE You want to test demand before committing to a production run. Cadense opened pre-orders on its own Shopify product page in September 2023 and had sold two-thirds of its first container by the time it shipped the following March. Pre-orders cash-flowed new colors and sizes for the first year and a half. You're about to send launch traffic to Kickstarter. Johannes has run three Kickstarters and skipped it this time, so Cadense kept the analytics and a direct relationship with every early buyer. Your ads can't promise what the product does. Cadense is a class one medical device, so early ads showed walking patterns like shuffling and let people recognize themselves. A recent retrospective study of 705 customers found an 87% drop in self-reported monthly falls, and Cadense always presents it that way. Your affiliate offer gets turned down. Eleven of the first twelve physical therapists Johannes pitched said they'd happily recommend the shoe but wouldn't take a commission. Cadense sent them a sample pair and a postcard with a tracked QR code and discount code instead. More than 750 PTs in the US now recommend it. Nobody finishes your post-purchase survey. Johannes opens with gender and an age bracket before asking anything that takes thought, and 75% of buyers complete all eight questions. The last one asks people to describe what bothers them about their walking, and the answers become ad copy. Your customers aren't reachable online. Cadense runs 60 and 120-second spots on remnant linear TV that send viewers to an outsourced call center. One in five of those callers has no email address. You assume the adult kids are the buyers. Johannes expected a 50/50 split between customers and caregivers. It's closer to 70/30 in favor of people buying for themselves. Your audience isn't on Instagram. Facebook takes around 80% of Cadense's Meta spend. Nobody searches for your product. Cadense spends on Meta top of funnel to create its own Google demand. AppLovin matches Meta on ROAS at a small slice of the budget but hasn't scaled past that. DTC alone won't get you to a billion. Cadense is moving into senior living, specialty retail and Medicare Advantage, using its DTC track record as the proof point. The pitch to insurers: Johannes puts the cost of a fall to a health plan at $20,000, against a $200 shoe. ABOUT THE GUEST Johannes Sauer is CEO and co-founder of Cadense, which he built with Dr. Tyler Susko, whose gait research at MIT led to the shoe. https://cadense.com STAY CONNECTED DTC Newsletter, daily ecommerce marketing and ecommerce growth tactics: https://directtoconsumer.co YouTube: https://youtube.com/@dtcnewsletter LinkedIn: https://linkedin.com/company/directtoconsumer TIMESTAMPS 02:00 How Cadense created its innovative footwear 06:00 Launching a DTC brand with pre-orders 13:00 Building a referral network of 750+ physical therapists 19:00 Increasing post-purchase survey completion rates 25:00 Reaching older consumers through TV advertising















