ux in mobile health

UX

MARATHON OCTOBER 28, 2010

UXinMobileHealth

Sheetal Dube [email protected]

Designing for improving outcomes

2© 2009 EVANTAGE CONSULTING

Introductions

• My background and why mobile is so exciting• An overview of what we will cover today

• Buzz in the industry• Mobile health context and how it is unique• Design process for UX in mobile health• Skills and tools for designing mobile health solutions• Looking ahead


Key Definitions

• User Experience – Includes ease-of-use to experiencing value• Healthcare – Involved the complete well being of an individual• Mobile – Cell phone, tablets, wireless devices


The mobile healthcare industry


is booming with new technology and ideas.


The marketplace is evolving rapidly.

Source: http://www.flickr.com/photos/blakespot/

85%Americans have a cell phone

6000Mobile health apps in the Apple store


However the adoption is low.

Source: http://www.pewinternet.org/Reports/2010/Mobile-Health-2010.aspx

17%Used a cell phone to look for health or medical information

9%Downloaded a mobile health application


The outcomes are unknown.

% who improved health?


The industry trends are similar to the internet boom of 1990’s.

10© 2009 EVANTAGE CONSULTINGSource: http://www.flickr.com/photos/gdsdigital/

But we probably don’t want to go there again.


So what can we learn from the companies that survived.


Helping people make more-informed health decisions


Helping patients get answers from medical professionals


# 1 Key learning

Source: Flickr

Identified customer needs and built product & services to meet those needs


# 2 Key learning

Source: Flickr

Customers found value and used the product & services repeatedly.


The Mobile Health Context


Healthcare Consumer and Mobile Device characterizes

• Being healthy is a basic need for all people• People have varied levels motivation to take care of their health• Compliance with a care plan has been a key issue in healthcare• Making individuals responsible for their health helps compliance

• Mobile provides the value of anytime, anywhere healthcare• Mobile is a personal device that allows for high engagement• New devices are breaking past barriers like screen size and processing power


Making individuals responsible for their healthJane’s – Aware to Engaged

1. Jane tracks health data – indicating she is aware of her heath information

2. She learns that coffee consumption impacts her blood pressure

3. She reduces her coffee consumption to keep her blood pressure under check – thereby engaging with her health


ResponsibleRepeated use triggers behavior change – improved outcomes

Concept for Designing Healthcare Solutions

Mobile HealthSolution

AwareGain information about their health

EngagedCorrelation between their actions and health condition


UX in Mobile Health

ResponsibleRepeated use triggers behavior change – improved outcomes

Mobile HealthSolution

AwareGain information about their health

EngagedCorrelation between her actions and health condition

User CenteredDesign Process

Research

Design

1. Identifying customer needs

2. Designing to engage & motivate

3. Encouragingbehavior change

Key tasks for designing mobile health solution

What are they trying to accomplish?

What information, tactic will make them take an action?

What strategy should be used to repeat positive actions and sustain new behavior?


Skills Required

#1. Identifying key customer needs #2. Designing to engage and motivate #3. Designing to encourage behavior change#4. Learning the tools for mobile prototyping #5. Staying updated with the industry trends


#1 Identifying key customer needs (mobile context)

Case Study: Extension of an existing solution• Client expressed interest in doing a mobile

version of an existing patient website.• Assumption was that we already know the

customer needs (existing website).• UX role emphasized the need to ‘reprioritize’

customer needs for the mobile context. • This helped create a more useful solution and

differentiate from competitors.


#1 Identifying key customer needs

Case Study: New Product Category• The clients definition of the value proposition

did not meet the customer expectations.• Focusing on customer needs helped redefine

the target customer for the product.

Sensor(Implantable

device)

Smartphoneused to read

sensor and track vital signs


#1 Identifying key customer needs

Key Benefit:• Helps to keep focused on customer needs within the mobile context

When is this used:• Research and Design

How is this done:• Understand the value proposition and how customers manage tasks today• Identify needs for the mobile environment

Why is this important to mobile health:• Small screen size • Customers ‘on the go’ demands higher prioritization• Ensures that technology does not become the main focus


Skills Required



#2 Designing to engage and motivate

Example 1: Nike + GPS

Quotes from iTunes highlighting ‘engagement’

• Get the most out of every run – Track where you go and motivate to go further• Real time GPS feedback – motivates use• Message to challenge yourself and connect with community



Example 2: Mobile Therapy (manage stress of everyday life)

• Drag a little red dot around that screen to indicate current mood.

• Add energy levels, sleep patterns, activities, foods eaten and more.

• The app offers "therapeutic exercises“ ranging from "breathing visualizations to progressive muscle relaxation”.

• Everyone reduced stress level AND described new insights about their emotional variability.

Dr. Margaret Morris, Intel



Key Benefit:• Encourages positive action to improve health

When is this used:• Research & Design

How is this done:• Learning about customers current behaviors, lifestyle & health needs • Identifying instances for engagement – feedback (real time) to encourage action

Why is this important to mobile health:• Mobile device provides the best opportunity to engage people in their health


Skills Required

#1. Identifying key customer needs #2. Designing to engage and motivate #3. Designing to encourage behavior change#4. Learning the tools for mobile prototyping#5. Staying updated with the industry trends


#3 Designing to encourage behavior change

Example 1: Healthseeker on Facebook• Part of everyday life

• Step by step guidance to improve health

• Provides rewards for engagement

• Uses social networks for reinforcing goals

• Uses game theory for continued interest –

increases game level and rewards with time

Diabetes hands foundation, Joslin Diabetes Center

Tactics used



Example 2: Zamzee



Example 3: Pedometer functionality on Smartphones• There’s a generation of 75-plus

people who only use their mobile phones to call their kids and then they turn it off and put it back in their purse.

• Smart services can add value when the phone isn’t being used - pedometer functionality is typically pre-installed on some smartphones that are sold to seniors in Japan.

http://3gdoctor.wordpress.com/2010/02/18/ntt-docomo/



Key Benefit:• Make people responsible for their health • Provide long term benefits to an individuals health

When is this used:• Research & Design

How is this done:• Learn about current lifestyle, health needs and the barriers to change • Learn from other behavior change projects – medication adherence via SMS• Test concepts for extended period of time with target customers – beyond

traditional usability testing

Why is this important to mobile health:• It could help tackle the biggest issue in healthcare


Skills Required



#4 Learning the tools for mobile prototyping

Prototyping• Variety of methods and tools

Identify the purpose before creating the prototype• Sharing ideas within a small team• Discussing ideas with dispersed teams• Getting executive buy in• Demo at a conference or trade show• Getting feedback from customers • Communication tool with development



Sketches

Key Benefit:• Sharing ideas within a small team

When is this used:• Research, Early Design

Tools:• Paper, white board



Wireframes

Key Benefit:• Discuss detailed functionality• Defines navigation and work flow• Details the features and screens

When is this used:• Design

Tools:• Visio, Axure, Omigraffle

Lastname FirstnameActivity related to the health condition, heart rate, weight, Blood pressure

11-Nov-2009, 11:18 PM

Lastname FirstnameHealth condition information

11-Nov-2009, 11:18 PM

Members

Lastname FirstnameActivity related to the health condition, heart rate, weight, Blood pressure 11-Nov-2009, 11:18 PM


11-Nov-2009, 11:18 PM


11-Nov-2009, 11:18 PM

>

>

>

>

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11-Nov-2009, 11:18 PM

Member Information

Report >

Weight Heart rate

Blood Pressure

Battery

PatientInformation

Clinic Information

Write Note?

>

>


11-Nov-2009, 11:18 PM

Information

PatientInformation

Weight

Clinic Information

Write Note?

Date: 08-Oct-2007 15:42:57

Lastname FirstnameActivity related to the health condition, heart rate, weight, Blood pressure11-Nov-2009, 11:18 PM

>

Lastname FirstnameActivity related to the health condition, heart rate, weight, Blood pressure

11-Nov-2009, 11:18 PM


11-Nov-2009, 11:18 PM

Members

Lastname FirstnameActivity related to the health condition, heart rate, weight, Blood pressure 11-Nov-2009, 11:18 PM


11-Nov-2009, 11:18 PM


11-Nov-2009, 11:18 PM

>

>

>

>

>


11-Nov-2009, 11:18 PM

Member Information

Report >

Weight Heart rate

Blood Pressure

Battery

PatientInformation

Clinic Information

Write Note?

>>


11-Nov-2009, 11:18 PM

Information

PatientInformation

Weight

Clinic Information

Write Note?

Date: 08-Oct-2007 15:42:57

Lastname FirstnameActivity related to the health condition, heart rate, weight, Blood pressure11-Nov-2009, 11:18 PM

>



Interactive - computer

Key Benefit:• Helps demonstrates the application • Ideal for a group setting (conference, demo)

When is this used:• Concept, Design

Tools:• More information on later slides



Interactive - phone

Key Benefit:• Closest to getting the ‘real’ feel• Ideal for one-to-one feedback sessions

When is this used:• Concept, DesignTools:• More information on later slides



Things to keep in mind while choosing am interactive tool• Ease of creating the prototype• Level of interactivity within the prototype• Ability to customize the design screens (color, fonts, images, icons)• Flexibility of creating prototypes iPhone, Android, BlackBerry, iPad• Ease of viewing the prototype on a Smartphone• Level of customer Support• Cost

Tools to consider• Axure: High level of interactivity, testing prototypes is a workaround• MobiOne: Cloud based, especially for mobile, test as you develop• Photoshop + HTML editor: High visual impact, effective for concepts (few screens)• more…

More information: http://userexperience.evantageconsulting.com/2010/07/mobile-prototyping-axure/


Skills Required

#1. Identifying key customer needs #2. Designing to engage and motivate #3. Designing to encourage behavior change#4. Learning the tools for mobile prototyping and testing #5. Staying updated with the industry trends


#5 Key trends for mobile health

Integration with medical devices: Asthmapolis

The Spiroscout is small, portable GPS receiver to track your inhaler use. It attaches easily to most asthma inhalers.

Sync with your computer, upload information to Asthmapolis. Record and review information on mobile phone.

By aggregating reports from individuals with asthma, epidemiologists and public health researchers can now access the latest, objective data on asthma in their community.

• Replaces daily pen and paper records

• Automatically track time and location where you use your inhaler

• Make use of day-to-day information on symptoms, triggers and medication use

Launching in Fall 2010



Unifying solutions: Nokia Wellness

• New features include - automatically tracking steps

• Integrating with scale and blood pressure devices

• Setting goals and sharing data with community and healthcare professionals

Current application Launching in Fall 2010



Data visualization

PatientslikemeReal time data of Amyotrophic lateral sclerosis (ALS) Patients on Lithium

Your.flowingdata.comTrack own health or biological data via twitter



Patient Self Management Tools

iTriageHealthcare in your hand.

Diabetes PilotTrack food, medication, glucose, workout, notes in one application.



Virtual Doctor Visits

Apple Facetime

Intel Health Guide

Launched in 2008

http://www.cultofmac.com/docs-use-iphone-4-facetime-for-medical-consultation/49881

Virtual doctor - patient visits to track symptoms for chronic conditions

University of Arizona surgeon David G. Armstrong, connected via FaceTime to give with Los Angeles Surgeon Lee Rogers’ a look at a patient who had undergone foot reconstruction at the University’s Southern Arizona Limb Salvage Alliance (SALSA)

• The need for virtual doctor visits will be met with applications like ‘Facetime’. (Telehealth gaining momentum, ‘Phone-doctor’ identified as a key mHealth sector bMcKinsey & Company)

http://redirectingat.com/?id=3964X639382&xs=1&url=http://diabetic-foot.net/CLEAR/Home.html&sref=http://www.cultofmac.com/docs-use-iphone-4-facetime-for-medical-consultation/49881


Looking Ahead

• Benefits outweigh the current challenges• More solutions geared towards managing chronic conditions • Increased opportunities to combine UX with social science, psychology, and

elements of game theory to drive behavior change.• Success stories within three years with new business models• Closer integration of health in everyday life


Questions ?

Sheetal [email protected]

Questions?

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