With 2.7 million visitors in 2015, girlshealth.gov is the only federal online resource providing trustworthy, robust health information specifically for 10- to 16-year-old girls. To ensure continued value of its girls’ health resources, the HHS Office on Women’s Health set out to redesign girlshealth.gov by applying a 5-stage, mobile-first approach, which includes engaging the target audience in web-based research activities to gain an understanding of what they look for in a health information website. OWH plans to launch the updated girlshealth.gov in summer 2017. This presentation will leave participants with a better understanding of using a mobile-first approach to web design when targeting teen girls, and the importance of continued audience research in developing websites. Participants will also learn how to use our 5-stage, mobile-first approach to web design.
5. Web Design Goal
Find a balance between the designs of adult health sites
and a health site geared toward teen girls…
to launch a new girlshealth.gov
that girls will look to as a trusted
resource they want to engage with.
6. 5-stage Mobile-first Approach
1.Content audit and site map
development
2.Copy development, mobile
wireframes, and branding
(style tiles)
3.Mobile design and desktop
wireframes
4.Desktop design and
refined deliverables
5.Development and launch,
with continued evaluation
and maintenance
7. Target Audience Research Panel
• Panel of nine 14- to 15-year-old girls
• Four activities over several months (Jan.–Sept. 2016):
– One-on-one web-based card sorting exercise
– Online focus group to test style tiles in mobile view
– One-on-one mobile wireframes usability testing
– Online focus group to test enhanced style tiles with health
content in mobile view
9. Card Sort Findings
• Expected: Topic cards could be grouped into clear categories
• Unexpected: Girls tend to group topics together based on
positive and negative behaviors
• Existing topics covered on girlshealth.gov are the kinds of
health information girls seek
• Update existing site map:
10. Top Navigation Categories
• Know Your Body
• Emotions & Stress
• Sex & Health
• Fitness & Nutrition
• Your Relationships
• Safety & Independence
• Drugs, Alcohol, & Smoking
• Illness & Disability
12. Content Strategy Goals
• Establish girlshealth.gov as a
trusted, go-to source for
health information.
• Encourage visitors to
recommend girlshealth.gov
to friends and family.
• Apply new knowledge to
their lives.
• Show versus tell.
• Set and meet expectations
for girls.
• Redirect users to their
specific health information
when appropriate, as quickly
as possible.
13. Strategic Content Recommendations
• Incorporate empowerment
and storytelling
• Use small, digestible content
chunks
• Use short sentences and
sections
• Provide clear, descriptive
share links
• Improve readability
• Avoid fluff language
• Add resource pages
• Include traffic drivers, such
top 10 lists
14. Style Tiles and Branding
• Online focus groups
Style Tiles
Design #1 Design #2 Design #3
Branding Logos & Marks
15. Mobile Wireframe Testing
• Can the target audience find the
information they’re looking for?
• Does the structure of the
website appeal to them?
18. Thank you!
• Questions?
Ann Abercrombie
Program Manager
Office on Women’s Health
U.S. Department of Health and Human Services
E-mail: Ann.Abercrombie@hhs.gov
Websites: www.womenshealth.gov | www.girlshealth.gov
twitter.com/girlshealth
Editor's Notes
Hi everyone. Thanks for joining us this morning. I’m Ann Abercrombie, and I am program manager at the U.S. Department of Health and Human Services Office on Women’s Health, or OWH. In addition to our many women’s health resources, OWH provides accurate, reliable information and resources that help girls lead healthy lives. In 2015, our website for girls, girlshealth.gov, had 2.7 million visitors, and it’s the only federal online resource providing trustworthy, robust health information specifically for 10- to 16-year-old girls. To ensure continued value of our girls’ health resources, working with our contractors, Hager Sharp and Palladian Partners, we set out to redesign girlshealth.gov by applying a 5-stage, mobile-first approach.
Teens are savvy Web users. Nearly 75% of teens have or have access to a smartphone (Pew), and 94% of these teens go online daily or multiple times a day (Pew). Girlshealth.gov has observed a similar trend among users. In 2012, only 33% of users viewed the site on a mobile device. By 2013, this number increased to 43%. It grew to 72% in 2014, and 73% in 2015. These shifts in mobile usage need to be considered when developing online content for this audience. Thoughtful mobile-first approaches to website design, content, and user experience are imperative.
On the left is an old desktop view of girlshealth.gov. While updating the look and feel was definitely on our list, we knew we needed to start by making the site more accessible to all of our mobile users. In 2013, we relaunched the site in responsive design, pictured on the right.
After making the site more mobile-friendly, we wanted to tackle the overall redesign. In 2015, we began our research journey.
We started by conducting quantitative and qualitative research with a panel of nine 14- and 15-year-old girls to explore what health information is personally relevant, interesting, and exciting for girls and how girls want to receive this information. We used our findings to develop and launch a refreshed homepage, pictured here. This was just an interim stage to give the site a more updated look and feel.
However, we knew this was just the tip of the iceberg. Building upon our research findings from 2015, we launched into a strategic approach to redesign girlshealth.gov in a way that is relevant and engaging for the target audience.
The formative research provided a solid foundation for the redesign process, revealing thoughts and preferences in terms of self-perception, messaging, design, and functionality. From this, we established our Web design goal: to find a balance between the designs of adult health sites and a health site geared toward teen girls.
This summer, we expect to launch a new girlshealth.gov that girls will look to as a trusted resource they want to engage with.
OWH launched a 5-stage, mobile-first approach to the website design, with several Web-based research activities with the target audience planned throughout. This approach includes the following:
Content audit and site map development—including a Web-based card sorting exercise with the target audience.
Copy development, mobile wireframes, and branding with style tiles—all tested with the target audience.
Mobile design and desktop wireframes.
Desktop design and refined deliverables.
Development and launch, with continued evaluation and maintenance.
We recruited a panel of nine 14- to 15-year-old girls. For us, it made the most sense to use a convenience sample, as it was extremely fast, easy, readily available, and cost effective. However, we ensured that the girls we engaged were racially, ethnically, and geographically diverse. Throughout these five activities, we are working with the same group of girls, which we’ve found to yield great results. Participants build confidence and become invested in the project, providing more robust feedback.
Using Web-based tools, our research panel meets with us to provide feedback throughout the redesign process. We’ve completed all four activities, and the resulting data have been analyzed and used to inform and refine our branding and website designs.
We started with a card sort exercise. This was necessary to shape the information architecture and determine labeling for the website. It provided information about how teenage girls expect to see content organized on a health and well-being website for girls, and their understanding of the topics.
The card sort activity was structured into two parts:
First, we conducted an open one-on-one card sort using Optimal Workshop’s web-based card sorting tool called OptimalSort. This tool allowed girls to participate from their computer or mobile device.
Participants were asked to organize 55 words and phrases into categories that make sense to them and to label each category.
Some examples of topic cards include acne, periods, depression, and sleep.
Examples of possible categories include “relationships,” “emotions and moods,” and “sex and sexuality.”
We selected the list of topic cards based on questions that arose from the content audit, popular website topics, and topics that represented major content areas.
Then we asked debriefing and open-ended questions to learn more about participants’ preferences and needs for girls’ health information.
For example, we asked questions like, “Where do you go to find health information?” and “What health topics do you search for most often?”
We also asked questions to gauge their understanding of the topic areas and if they thought the topic areas were appropriate for a girls’ health website. For example, we asked if there were any words or phrases that seemed confusing or unclear, and if any of the topics didn’t belong. We learned, for example, that most of the girls were unfamiliar with douching, and many didn’t connect caffeine with health.
Expected findings:
For the most part, participants agreed that the topic cards we selected could be grouped into clear categories.
There were some exceptions, but we weren’t surprised by them. For example, we knew girls would have trouble deciding where to put “Protecting the environment.”
Overall, participants tended to group topics together in categories that we expected.
Unexpected finding:
Girls tended to group topics together based on what they perceived to be positive and negative behavior.
For the most part, results indicate that the existing topics covered on girlshealth.gov are the kinds of health information girls are looking for.
Girls said they would likely visit a website that covered the topics presented. They felt a website that had these topics would be a place where they’d be able to find information that is relevant to them.
Next steps: The card sort findings then served as a roadmap for developing the new site map.
Based on findings from the card sort, we decided on eight top navigation headings for the redesigned website. The current girlshealth.gov has 11, which exceeds best practices for the number of top navigation headings. We capped top navigation at 8 topics for a couple reasons. First, having fewer topic areas helps people understand what content is most important—everything can’t have equal importance. Second, fewer topic areas are better for mobile devices because the navigation turns into a list and stacks. Your list can’t be too long because it requires the user to scroll too much.
Categories on the redesigned site will tentatively include:
Know Your Body
Emotions & Stress
Sex & Sexuality
Fitness & Nutrition
Your Relationships
Safety & Independence
Drugs, Alcohol, & Smoking
Illness & Disability
Applying best practices and information we gathered during the card sort exercise, we updated the site map for each category, such as the Your Relationships content area, shown here. In this example, the items in pink live in the “Your Relationships” section of the website. Then, the purple items are sub-categories within the “Your Relationships” section. With each category, we kept in mind:
The shape of content hierarchy. Even though it’s not visible to most audiences, it has a significant effect on the user’s experience.
Content is easier to find when it's not buried under multiple layers. We don’t want the audience to have to dig too deep into the website to find what they need.
The deeper a hierarchy becomes, the more likely visitors will become disoriented. This is also not mobile friendly.
Categories that are clear, concise, and do not overlap are the easiest to understand.
This is the best approach for younger audiences who want to find information quickly
It also supports plain language and 508 compliance
And is more mobile-friendly
Finally, content would be more easily searchable because of Search Engine Optimization
Next up is how we’re approached the actual health content on the website, with content strategy being at the heart of it.
Content strategy:
Helps identify and create the content your target audience actually wants.
It’s also the art and practice of understanding and presenting what your audience needs to know and delivering it to them in a concise, compelling way.
We set the following content strategy goals:
Establish girlshealth.gov as a trusted, go-to source for health information.
Encourage visitors to recommend girlshealth.gov to friends and family.
Apply the knowledge learned from the website in their lives.
Show versus tell. Where possible, we should avoid just presenting passages of content. Instead, we want to show girls the health information. We do this through graphics, visuals, video, and interactives.
Set and meet expectations for girls. Girls, like adult Web users, want to have quick access to accurate information. Presenting health information with strong content hierarchy and easy-to-grasp content areas helps girls know that they’re in the right place, and it’s a place they can rely on for trusted health information.
Redirect users to their specific health information when appropriate, as quickly as possible.
With these goals in mind, we made strategic content recommendations for girlshealth.gov overall as well as for each of the eight content areas. We are now in the process of updating all of the website copy with these recommendations in mind:
Incorporate empowerment and storytelling
Use small, content chunks, so that content is easier to digest
Use short sentences: They should be no more than 20 words in length for ease of use for teens on mobile devices.
Use no more than 350-400 words in a section, keeping in mind mobile scrolling which ideally would use 80-110 words
Provide clear, descriptive share links.
Improve readability
Avoid any fluff. Make sure the content is clear. Keep it real, no hype, fluff language.
Add resource pages to learn about specific topics
Include Top 10 lists and questions, which are proven traffic drivers, especially with teens.
To help guide the new look and feel of girlshealth.gov, we developed three style tiles that the girls could react to.
Style tiles are a design deliverable consisting of fonts, colors and interface elements that communicate the essence of a visual brand for the Web. Style tiles are similar to the paint chips and fabric swatches an interior designer gets approval on before designing a room.
We held two online focus groups to accommodate participant schedules. Each participant attended one of the two sessions. During these sessions, we explored participant feedback to both style tiles and the associated branding elements.
The goal of this testing was not to identify a “winner” but to understand what design elements girls do and don’t like when it comes to a health website, and what they think a health website they’d visit should look like. This is helping us refine the current designs and integrate preferences into a redesigned girlshealth.gov that fits girls’ needs, preferences, and expectations for a health information website. In our analysis, we focused on these priorities when categorizing qualitative feedback:
Does this website look like a trusted, credible source for health information?
Who is this website meant for?
What colors and design elements are most appealing?
Our next step was to develop and test the mobile wireframe. Wireframes exhibit the website organization, layout, and navigation. The mobile wireframe usability test determines if the target audience is able to find the information that they’re looking for, and if the structure of the website appeals to them.
We held one-on-one sessions with each of the nine participants. We showed girls two versions of the homepage wireframe and one version of three lower-level pages. During the session, we asked them questions to elicit their opinions about what they saw, and where they would click to find certain information. The questions were designed to help us understand how girls would use the website, and if the proposed layout facilitated a positive and frustration-free web experience.
Overall, participants liked the layouts proposed in the wireframe and were able to, for the most part, find the information they were asked to find. All of the participant said the amount of information on the homepage was about right. Participants said that the wireframe looked like it was for a website geared toward their age group, and all of the participants said they would return to this website.
Based on the information we gathered in the first round of style tile focus groups, we developed enhanced style tiles to get girls’ feedback on two revised designs. What made the style tiles enhanced? We added in some limited Web functionality so it looked and acted more like a live website that they could view on their phones. Our goal with this testing was to gather more feedback on which direction to pursue for the final girlshealth.gov website design.
In the interest of time, we held a single session with six participants. We explored participants’ likes and dislikes in response to the two revised style tiles, and we asked girls to answer the following questions:
1. Does this website look like a trusted, credible source for health information?
2. Who is this website meant for?
3. What colors and design elements are most appealing?
Participants unanimously chose Design #1 as their preferred health information website. They felt it was age-appropriate; it had a clean and organized layout; it looked interactive but not childish; and it used fun colors without being overwhelming.
This feedback helps us create mobile and desktop website designs that fit girls’ needs, preferences, and expectations for a health information website.
Thanks to the findings from these research stages, we refined the mobile and desktop designs and wireframes, and we’re currently focusing on development and launch. We expect the updated girlshealth.gov to go live this summer.
By employing web best practices and listening to the target audience to learn about their information-seeking behavior, we are able to adapt our content and approach to best reach teen girls with health information. Taking a mobile-first approach that is fueled by research will ensure increased and improved usage. Girls will consider girlshealth.gov a trusted source of health information that is written and designed for them.
I just shared in 20 minutes what’s we’ve been working on for several years, and I’m so excited to be talking about it with you as it’s coming to life.
Like I said, we’re planning to launch the updated site this summer, and we need your help getting it into the hands of those who need it. Girls are the next generation of women, and together, we can make sure that they have the information they need to make informed decisions about their health and wellbeing. If you have ideas on how we can work together or how to reach girls, please email me or talk to me after this session. Girlshealth.gov is your resource, too!