UX in Mobile Health

UX Marathon
OCTOBER 28, 2010
UXinMobileHealth
Sheetal Dube
sdube@evantageconsulting.com
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
6000
Mobile 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.

Source: 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 health
Jane’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

Responsible
Repeated use
triggers behavior
change – improved
outcomes
Concept for Designing Healthcare Solutions
Mobile
Health
Solution
Aware
Gain
information
about their
health
Engaged
Correlation
between their
actions and
health
condition

UX in Mobile Health
Responsible
Repeated use
triggers behavior
change – improved
outcomes
Mobile
Health
Solution
Aware
Gain
information
about their
health
Engaged
Correlation
between her
actions and
health condition
User Centered
Design Process
Research
Design
1.
Identifying
customer
needs
2.
Designing
to engage
& motivate
3.
Encouraging
behavior
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)
Smartphone
used 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
• Mobile device provides the best opportunity to engage people in their health

Skills Required

#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
• 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 Firstname
Activity related to the health condition,
heart rate, weight, Blood pressure
11-Nov-2009, 11:18 PM
Lastname Firstname
Health condition information
11-Nov-2009, 11:18 PM
Members
Lastname Firstname
11-Nov-2009, 11:18 PM
Lastname Firstname
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Lastname Firstname
11-Nov-2009, 11:18 PM
>
>
>
>
>
Lastname Firstname
11-Nov-2009, 11:18 PM
Member Information
Report
Weight Heart
rate
Blood
Pressure
Battery
Patient
Information
Clinic
Information
Write Note?
>
Lastname Firstname
Activity related to the health condition, heart rate,
weight, Blood pressure
11-Nov-2009, 11:18 PM
>
Lastname Firstname
11-Nov-2009, 11:18 PM
Lastname Firstname
11-Nov-2009, 11:18 PM
Members
Lastname Firstname
11-Nov-2009, 11:18 PM
Lastname Firstname
11-Nov-2009, 11:18 PM
Lastname Firstname
11-Nov-2009, 11:18 PM
>
>
>
>
>
Lastname Firstname
11-Nov-2009, 11:18 PM
Member Information
Report >
Weight Heart
rate
Blood
Pressure
Battery
Patient
Information
Clinic
Information
Write Note?
>
>
Lastname Firstname
11-Nov-2009, 11:18 PM
Information
Patient
Information
Weight
Clinic
Information
Write Note?
Date: 08-Oct-2007 15:42:57
Lastname Firstname
Activity related to the health condition, heart rate,
weight, Blood pressure
11-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, Design
Tools:
• 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
#4. Learning the tools for mobile prototyping and testing

#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
Patientslikeme
Real time data of Amyotrophic lateral
sclerosis (ALS) Patients on Lithium
Your.flowingdata.com
Track own health or biological data via twitter

Patient Self Management Tools
iTriage
Healthcare in your hand.
Diabetes Pilot
Track 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)

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 Dube
sdube@evantageconsulting.com
Questions?

UX in Mobile Health

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