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Helio Mobile App

Helio is an experimental Android app that helped patients make positive lifestyle changes to improve their health

PROJECT OVERVIEW

Helio is a disease management app for patients with Chronic Obstructive Pulmonary Disorder (COPD). 

Novartis approached INVIVO to design and develop Helio as a pilot project for their patient support initiative. The goal was to create an app where patients could self-track symptoms and habits to improve their quality of life.

Volunteer patients who spent six weeks with Helio were motivated to make positive changes to their lifestyle, and gained a better understanding about their health.


ROLE AND KEY TASKS

UX designer at INVIVO Communications

  • User research and personas
  • Hypothesis formulation
  • Information architecture (IA) definition
  • User flows and interaction design
  • Created wireframes and lo-fidelity prototypes
  • Functional specification documentation
  • Organized team meetings and collaboration
  • Client and stakeholder presentations
  • Revised concepts to incorporate feedback
  • Functional application testing

PROJECT TEAM

Novartis (client), account director, project manager, creative director, medical content writer, visual designers, technical lead, developers, quality assurance tester

AWARDS

  • EyeforPharma award for the Most Valuable Patient Initiative
     
  • MM&M finalist in the Best Health & Wellness Digital Initiative for Consumers category

DISCOVERY

Understanding Our Client's Needs

  • Novartis hoped to increase prescribing and adherence rates of their COPD treatments by developing patient support tools, such as Helio.
     
  • With this project, they hoped to build an Android app for volunteer patients, and apply learnings from the study to future digital projects. 
 

Understanding COPD Patients

  • Due to the sensitive nature of this project, our team was unable to contact patients, but background research was provided from Novartis. Additionally, I also reviewed COPD forums online to gain a first-hand view of patient perspectives.
     
  • After combining the research, I created personas to inform my design decisions and convey user needs to the team.
 
 
Living with COPD has been hell on earth.
Had I known how bad it would be, I would have quit smoking ten years ago when the doctors told me to quit.
 

Research Insights for Helio:

  • COPD is an incurable lung disease caused by long-term smoking or air pollution. Patients expressed guilt and frustration about their condition, which prevented them from living more enriched lives. 
     
  • Patients felt it was difficult to communicate the severity and frequency of symptoms to physicians and caretakers.
     
  • Patients wanted more empathy and continuous encouragement to maintain positive habits that would slow the effects of the disease, such as smoking less and exercising more.  
 
 
I’m beating myself up over the fact that I can’t seem to stop smoking when I have so much to live for. I’ve tried a lot of times but I get too depressed.
 

HYPOTHESIS

"If Helio rewards COPD patients for entering health data, and provides them with valuable health insights to stay informed... then patients will be motivated to track their symptoms and persevere with positive lifestyle changes."

Gamification and Health Insights

After conducting a review of similar mobile apps, we decided to combine two engagement techniques:

  • Gamification with in-app achievements can help set good habits with new users, and improve monotonous tasks such as recording health data.
     
  • Health insights (e.g. trends and visualizations) based on the data will be particularly valuable to patients taking preventative measures to manage their disease.
     
  • Since gamification is not a feasible long-term solution, Helio needed to continuously provide useful health advice.

COLLECTING HEALTH DATA

Designing Helio Check-Ins

  • Novartis wanted patients to use daily Helio "Check-Ins" to track seven aspects of their health, such as smoking and exercise. 
     
  • Since data entry can be a boring task, my goal was to design efficient Check-Ins that provided patients with a sense of accomplishment upon completion. I also hoped to incorporate some playfulness into the interactions.
 
  • I used paper sketches for brainstorming visuals and gestures, and flow diagrams to determine Check-In steps. Concepts were tested with my team using wireframes and lo-fidelity prototypes.
     
  • My solution consisted of Check-Ins as separate questions with image-based interactions to enter responses. Patients had the flexibility to complete Check-Ins throughout the day. 

REVIEWING HEALTH DATA

Designing the Architecture

  • Patients needed a way to view their health information in Helio after it had been collected with the Check-Ins. I designed Helio's sections to serve different purposes based on user tasks to review information, such as:
     
    • High-level information for personal progress and health insights
       
    • Granular health information from a specific time frame
       
    • Helio achievements
 

The Feed

  • Helio's Feed home screen was organized into four scrolling time frames (today, yesterday, week, month), to help users see short and long-term progress.

  • I felt that displaying quick pieces of dynamic information would be more valuable to the patient, rather than day-by-day details.

Snapshots

  • In contrast, Snapshots contained all health data recorded in Helio. I used the same time frames as the Feed for consistency, but gave users the ability to view data from a specific time frame or date of their choosing.

Achievements

  • Helio's reward system emphasized good habits to motivate patients. This section showed unlocked/locked achievements of varying levels and future challenges.


RESULTS

Novartis recruited 23 volunteer patients from Brazil, Spain, and Netherlands to take part in the 6-week study to evaluate Helio. While patients were encouraged to use Helio daily, they were given free range on how they interacted with the app. Novartis held focus groups at the end of the study to gather feedback on Helio’s design and functionality.

 
I noticed that I was smoking less because of the app, because I wanted to stay below this number of cigarettes, and that was really exciting.
 

Feedback Insights

  • Most patients felt that Helio had a positive impact on their lifestyle, giving them a better understanding of their daily behaviours and overall health.
     
  • Some patients reported behaviour changes, including:
    • Smoking fewer cigarettes
    • Drinking more water
    • Recognizing the importance of physical activity
       
  • Most patients made Helio a part of their daily routine, usually spending at least 2-5 minutes with the app.
  • Helio’s design was described as: helpful, motivating, supportive, fresh, and fun.
     
  • Half of the patients were interested in sharing information with their caretakers. They felt that caretakers would listen to their concerns more seriously since they had recorded data into Helio.
     
  • Additional features and customization would encourage more patients to continue to use Helio past the 6-week period.
 
I was badly congested several days in a row, and I could look at the graphs to see what the causes could be. You get a better sense of things related to your health.
Very often the doctor doesn’t take you seriously, but now they can see how fatigued you really are. It comes across better with the information in the app.
 

FUTURE PLANS

Our team created a list of improvements and new features based on the results from the study. We worked with Novartis to create a new app version, named Volari, which included some of these features:

  • Allow patients to enter information for previous days instead of the current day only
     
  • Add more flexibility to Check-In responses, such as specifying the intensity of exercise
     
  • A wider variety of content, such as daily challenges and health tips

Credit: Visual mockups - INVIVO