Problem Space

Empower people with scoliosis (whose spine curved sideways) to improve quality of life.

Scoliosis often leads to physical discomfort such as chronic backache, fatigue, and even inconvenience in mobility. In this project, I explore how people manage their condition with a self-care approach, which is conducting rehabilitation exercise program at home.

Design Question

How might we help people with scoliosis adhere to home rehabilitation exercise program?

"Successful outcomes for home exercise program are directly correlated to the patient’s adherence." - Christopher Vara, MD 2019

Solution Overview

A super notebook for manage exercise goals, collect exercise instructions, and grow exercise knowledge.

I proposed a mobile app that help people set feasible exercise goals, manage exercise tasks, and get access to supportive online community to received feedbacks to learn and discuss exercise with fellow scoliosis warriors.

Goal tracker

Setting feasible exercise plan and reflect on how well you achieve it.

exercise instructions

Access exercise database and follow the correct ways of conducting exercises

online community

Taking advice to alleviate doubt in exercise efficacy.

See Design ProcessSee Final Design

Here comes my design process : )

Research

Consult with physician to understand current home exercise program

I reached out to physical therapy at UM to understand how current home rehabilitation exercise program works. Below is the general process of home exercise program.

Approach to people with scoliosis and find out why it is hard to adhere to rehabilitation exercise

Online Survey
The survey asked about scoliosis experience, general exercise habit, and the challenge when they conduct rehabilitation exercise.

Semi-Structure Interview
With contact information in the survey, I reached out to 3 people to join telephone interviews and help me contextualized the challenge they are facing.

Study apps that support home exercise

Since there weren't existing solution supporting home exercise program specifically for people with scoliosis, I studies 4 apps - BackExercises, TrackActiveMe, Workout, and HealthySpine - which aim at providing home exercise for people with chronic backache.

Synthesize

User Journey map to recap all the challenges & identify design opportunities before and after using competitor's product

I synthesized all the findings in the research into a user journey map and identify the design opportunities (black) based on it.

Design Opportunity

Help people set feasible exercise plan and encourage them to stick to it.

Find a way for people to efficiently collect customized exercise content.

Provide a way to receive advice to alleviate doubt in exercise efficacy.

Ideate

Brainstorm design solution with storyboard

Based on three design opportunities above, I brainstorm ideas with 3 storyboards and brought them back to the users for feedback. I choose the ones that most users thought work best for them as the design concept.

Set-up feasible goal and stick to it
" I like it, it is straight forward and easy to understand."
"I don' want to compromise with other's time, I had tried before, but didn't work."
"Unless i like the reward very very much or it won't work for me."
Efficiently Collect Customize Exercise
"I trust the suggestion from the person who have similar experience with me."
"The constraint I think of is whether my insurance cover this."
As long as I know all the new exercise suits me, this is nice."
Received advice to alleviate doubt in exercise efficacy
"I personally don't want my scoliosis record to be shown like this in a public space."
"I'd love to see how people conduct the exercise and know what works for them. It might be a great exercise for me as well."
"I like the idea I can get various opinions from people who also have scoliosis."
Materialize

Information architecture as blueprint of the app

Having design directions in mind, I create information structure for the app to order my thought about the product. Then I create low-fi prototype and conduct 3 usability tests to get feedback for improvement. The questions asked in the testings focus on validating the structure of the app and finding the missing elements in user flow.

Iteration

Usability test & design refinement

I adjusted the structure of the app by dividing content within the profile tab into other tabs. Then I renamed and adjusted the icons for better understanding and visual consistency.

I added a message icon on the first screen so that users who already built relationship with the community can directly send a message to people they know.

I added history tracker to help users better compare the completion rate of each exercise goal.

I adjusted the UI elements for the usability.

I also explore the color variation for indicating daily exercises.

Spend a day with Lily, a 36 year-old working mom who have been manage her scoliosis with home exercise program for 10 months.

Final Design

A system that guide users set feasible goals, reflect the goals, and stick to the goals.

set goals

Think about the feasible start & end date of the plan, exercise duration, and time to receive reminder.

Goal tracker

Reflect on how you keep up with the goal and compare the current tracker with your history trackers.

Keep track on the goal

If interrupted by other tasks, you can quickly set up reminder and come back to the exercise session later.

A community to learn & grow exercise knowledge with fellow and customize the exercise collection.

Learn from the community

Share thoughts through words, pictures, videos, and the exercise instructions. Save the ones that are helpful.

Ask fellow scoliosis warriors

When finding people with similar experience, add them to message list and ask questions through private message.

customize exercise

See exercises suggested by trust-worthy people and quickly add it to your daily exercise collection.

My Learning

Don't hesitate to borrow a couple of extra eyes

The idea of sharing design that is not perfect was nerve-racking to me. However, when I showed my design and asked for feedback, I always felt enlighten by the feedback and appreciate the perspectives come from people with different standpoints and backgrounds. I learned that borrow a couple of extra eyes can encourage me to reflect on each of design decision and make sure the design proposal is more well-rounded and unbiased.

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