The big problem with using media measurement to gauge media consumption is that we can really only measures access, not consumption. The advertising world is built around impressions for that reason; there's an implicit assumption that some percentage of "impressions" will go unnoticed. Measuring that and trying to get your ads in a format where they will be consumed more often when they are shown is pretty much the focus of the entire advertising industry. For a very concrete version of this, think of how DVR users skipping commercials has led to an increase in product placement within shows.