Orthopal

HAND ORTHOPAEDIC SOLUTION

A mobile app to bridge the gap between patients living with Carpel-tunnel syndrome and their doctors.

Improving the relationship between doctors and patients living with carpel-tunnel syndrome.

I worked alongside three amazing individuals to bring this product to life. This product is a collective effort of all four of us. With each person working diligently to maximize the opportunity to better the healthcare community.

Summary

I established design quality benchmarks, and a continuous research practice at the company.

I created strategy required to hire participants and interviewing strategies, and leveling frameworks for the product, this includes UX research, and marketing.

Drove revenue growth by influencing product, marketing and customer support functions as a key member of the leadership team.

Created a design system to unify components, styles, grids, typography, and iconography to improve the efficiency of design delivery.

Role

Product Designer

Core Responsibilities

Worked as a product designer on a team of 4, product strategy, research, IXD, visual design, illustrations/icons, A/B testing (Split testing).

Timeline

3 months

Overview of problem

A lot of people, especially those that work on desks or engineers or gamers or anyone that uses their hands regularly in everyday activity have been said to have pains in their hand and this pain could be associated with Carpel-Tunnel Syndrome (CTS).

CTS is pressure on the nerve in one’s wrist. It causes tingling, numbness, and pain in your hands and fingers. In order to better understand the problem, we looked at some secondary research.

Project objectives

To design a digital product that helps patients living with Carpel tunnel syndrome whilst bridging the gap between the patienst and doctors.

Early insights

To better understand the problem, there was a need to look at what other people have done and the sort of data that have been processsed about hand pain is a great deal.

Carpel-tunnel syndrome affect both the old and young.

A lot of people suffer from CTS, 4-10Million people in the US only.

CTS is the third most common work-related injury.

There is no current digital means of diagnozing CTS

If restriction of joint movements can be captured accurately and digitised, it will add significant value to diagnostics and in determining treatment for different musculoskeletal conditions.

Dr. Shreeram Deshpand

Consultant Orthopaedic Surgeon at RWT Wolverhampton 

& Nuffield Health Wolverhampton Hospital

User survey

After the initial research, there was a need to speak to actual people. To get an understanding of what is going on in the health sector and how best we can solve it. We spoke to two different classes of potential users; The Medical practitioners and the patients that suffer or likely to suffer from CTS.

Some doctors would love to have a way to monitor their patients conditions remotely.

Even though patients could treat themselves and better their conditions by doing exercises, there is no digital way to track progress or monitor it.

There is no current digital means of diagnozing CTS

Problem redefined

Patients diagnosed with hand-related conditions or injuries are advised to perform extensive physiotherapy for their recovery where many patients fail to commit to regular in-person physiotherapy sessions due to many internal and external factors like distance, lack of time, affordability, inconvenience, work commitments, lack of motivation etc that results in delay in recovery.

Many of them find it challenging to track their progress systematically and take informed decision. People who try to explore possible causes behind their symptoms online, face information overload. Orthopaedic experts predominantly inspects patients range of movement for diagnosis with physical examination and personal judgment however this technique does not present any accurate metrics which can be quantified or compared.

Hypothesis

We believe by building all round solution that serves people dealing with hand related conditions or injuries will eliminate delay in recovery or decision making. A handy mobile application, recommended by orthopaedic experts which contains physiotherapy exercises can enable patients to practice physiotherapy remotely and also keep a tab on their progress. Trustworthy and up to date resources around hand orthopaedics will guide users to take informed decision. Simple guided tests can help orthopaedic experts as well as patients to track range of movement and accurately quantify the result that improves the line of treatment.

Who are we designing for

From the initial research, we had a clear view of our audience group; the patients suffering from CTS or any hand/wrist pain and Doctors looking to treat their patients as fast and comfortable as possible. Using this profiles, it was easier to break it down into smaller groups that were considered for personas and scenarios, in order to gain an insight into how to design better for users and where it is most needed.

Target audiences profile 1

Patients suffering from CTS or any hand/wrist pain

Target audiences profile 2

Doctors treating these conditions

From the profiles, I created the personas below

Scenario and HTA

Scenario 1

One of James’ patients is experiencing thumb pain. James examines their hands using traditional, physical methods but he is unable to obtain an accurate, measurable result. He discovers OrthoPal, an app capable to capture and record the range of thumb movement. James now uses OrthoPal to assist his patients better by integrating the new data and produce more accurate diagnosis. He guides user to perform a simple interaction to capture his range of movement and utilises that metric to diagnose and define the line of treatment. He then recommends his patients to perform the same interaction at home regularly while OrthoPal keeps a track of progress which James is able to review.

Scenario 2

Chase is overwhelmed about his condition because of all the information he has found online. He discovers OrthoPal’s resources which he found quite concise and insightful so he decides to explore further. He notices that the app is backed by Orthopaedic experts so he is persuaded to start using it to address his pain and discomfort. He has now gained knowledge of hand related conditions, its implications and ways to deal them.

Scenario 3

Jenny has been diagnosed with Carpel Tunnel Syndrome and needs guided physiotherapy sessions but she finds it inconvenient to travel physically for frequent sessions. After her diagnosis, her doctor recommended her to use OrthoPal app as it provides specially designed physiotherapy exercises the help to treat Carpel Tunnel Syndrome. With the help of her doctor, she learnt how to access the exercises content within the app and track her condition.

Scenario 4

Maria is recovering after a wrist operation and she is looking for a reliable and advanced rehab program that she can do remotely. She is advised to download OrthoPal by her orthopaedic surgeon and she starts her rehab program right away setting into motion her recovery. She has been able to accommodate this program around her routine comfortably. She also tracks her progress in between and shares her progress reports with her doctor on her follow-up post-op appointments.

Competitive analysis

Finalizing the problem helped us gain insights into the market and industry. It helped streamline products that could be considered competitors directly or indirectly but importantly helped to flush out the gap that we will bridge.

SWOT analysis

Insights from competitive analysis

Current solutions does not allow patients to track.

There is currently no digital solution to carpel tunnel syndrome.

Most applications are complex and might need the help of a profession before used.

Most applications are back-dated in terms of user interface and interactions.

Visual analysis of competitors

Solution redefined - Features

Designing with users - Card sorting with users

We validated our system’s model with user’s mental model.

We compared our information architecture with user’s mental model. We observed that maximum users sorted the cards in the categories that are defined in our information architecture.

Screenshot of categories and cards created
card sorting
Participants performing card sorting activity
Screenshot of one of the participant’s finished activity
Screenshot of result

Information architecture

Visual inspirations - Before paper prototype

Before designing, there was a need to sketch and let ideas flow as free as possible. But before that, we looked at some of the beautiful works that have been done and try to drive inspirations from them.

Accessibility inspirations based on WCAG 2.1

Also we looked at some products that follow WCAG 2.1 and how they have implemented these considerations.

Rapid prototyping using sketches

Bridging the physical world and the digital world - Transfer of knowledge

One of the main problems we solved visually was transferring the patient and doctor way of communication to their phone. One of the things patients could easily do while seaking to a doctor is point to the part of their body where they are feeling pain. Leveraging on some research and works, we were able to use sketches and illustrations to solve this by using red dots that will be clickable yet attached to a particular section of the palm. This way, patients could still address their pains as if they were talking to a doctor without the fear of under-explaining.

We wanted the home page to address the ‘experience’ part of the UX pyramid

More paper prototype

Low fidelity screens

Low fidelity prototype usability testing

One of the most important thing was to carry the users along the journey of designing and developing the solution. All through the process of ideation, users were carried along, making the journey more interesting and quick prototying was carried out to test the initial low-fidelity designs before carrying out and designing the high fidelity.

Feedback from the low fidelity user testing

Insights from low-fidelity testing

Users want to be onboarded as fast as possible

Users would love to have an overview of their progress over a period of time.

Users want to be able to track and share their results with Doctors

Design system

The design system was designed to fit the personas and their needs. The attributes for brand and overall feel and emotions are trust, safety, and relaxation.

Accessibility considerations (WCAG 2.1)

Finalised Solution

High fidelity wireframes - Key features

Solution 1

Userflow simplified

By replacing the onboarding and KYC with a contextual video, this helped reduce the time spent getting into the app.

Solution 2

Thumb range tracker

One of the main features of Orthopal is the ability to capture the stress level of the patient by gamifying the real-life scenario of how doctors diagnose patients.

Solution 3

Exercises & Resources

From the user-survey, user research, and most importantly UX-group sessions, it was paramount to provide users with the ability to exercise and learn more about their condition. Providing them with these options makes the applications to cater for a wide range of users.

Solution 4

Reports

For the sake of accountability, the feature was added to allow users track their progress as they use the app over a period of time and most importantly, they can share this reports with friends and family or even their doctors.

High fidelity prototype usability testing.

Improvement of design based on user feedbacks

One of the most important thing was to carry the users along the journey of designing and developing the solution. All through the process of ideation, users were carried along, making the journey more interesting and quick prototying was carried out to test the initial low-fidelity designs before carrying out and designing the high fidelity.

Improvement 1

Hand & test association

To eliminate the impression that hand illustration and test are related, we added background to hand and label to test.

Improvement 2

Icon + label approach

Participants were not able to identify what icons mean initially so we added labels to make meaning clear.

Improvement 3

Note section prominence

Participants could not understand the current status of sorting so we included a label.

Improvement 4

Sorting visibility

Participants could not understand the current status of sorting so we included a label.

Improvement 5

Test confused as exercise

Thumb range tracker test was confused as thumb exercises so we added an Infotip to explain the function of test

Reflections

Throughout this project, I observed how bias-for-action mutated into a bias-for-delivery. Our team disproportionately focused on measuring outputs, rather than learning and measuring outcomes due to the time limit. This inevitably led to short-sightedness and distraction for the team.

 

We let the question “how quickly can we build it?” define the it, more than we let our customers define it. We let the phrase “let’s just get something out there” define quality, more than we let our customer define quality.

If we had asked “are we building the right thing?” as much as we asked “are we going to meet our date?“, we would have launched a more reliable, intuitive and polished product, sooner.

Launching Is Only The Beginning

Viability should have been defined by our customers way before the technology and date already did.

I value simplicity, focus and utility. I aspire to make people happy by designing experiences that just get out of the way. Craftsmanship and carefully thought out details are important to me. I truly value health and care about helping people improve their lives.

At the time of this design, I had difficulty accepting the reality of this product, because I knew that Quality that should never be compromised, even in the first version of a product. Quality is the responsibility of an entire organisation and I have learned that magical experiences are only possible if the whole team truly shares in the same values and aspirations.

Fast forward to the present, and I realise that my satisfaction and insistence for quality does not seem to matter at all. The success of this product had nothing to do with how I feel, but everything to do with if and how the product is being used.

I am proud that the team is in a better position to learn, and that the development of this product needed to happen in order to expose how badly things were broken—both in the product and in the way we were working. I believe that great design takes time and wisdom, which is only possible if the entire team is in a position with an accompanying mindset to learn.

Today, I am more aware of the importance of carrying your users along your design journey and how important their influence is. User design has become a form of democracy for the users for me. And while I can’t prove how much the extra mile would have benefited our business, at least the product is not considered done.