Painfree APP

OverviewDiscoveryResearchInsightConceptIterationPolish
Overview
Design is providing care and helping people in need. Nowadays, many people are suffering from back pain in varying degrees. It's eating away peoples' lives physically and mentally. PainFree addresses this by offering an all-in-one platform to help people manage back pain and their lives with back pain.

We worked closely on research and usability testing. And I took the primary responsibility for prototyping and UX/UI design.

Norman Su mentored this course project in the IUB HCId program.
Contributors

YUE, TENG ME

XINYUAN, ZHANG

DISCOVERY
RESEARCH
INSIGHT
CONCEPT
ITERATION
POLISH
The effect of back pain on people's life has been far-reaching.

As for worldwide, back pain has been the single leading cause of disability, preventing many people from engaging in work and other daily activities [1]. Most Americans have experienced low back pain, and approximately 1/4 of U.S. adults have experienced low back pain lasting at least one day in the past three months[2].

31
MILLIONS
60
%
-
70
%

The amount of Americans who experience low back pain

The lifetime prevalence of non-specific low back pain

Problem: Prevention and treatment of back pain are global issues.

People who have suffered from back pain might lack enough knowledge about effective prevention and treatments. Figuring out what they need to relieve the back pain and how to help manage their life with back pain is the most crucial challenge we face.

Based on our initial observation and research, we find some basic questions that exist in people's minds when they feel back pain:

#1 DISCOVERY

How did we get closer to the problem?

Through secondary research, we fill the knowledge gaps about professional treatment guidelines, stakeholders in the industry, and existing solutions.

Self-management + treatments: there are ways to manage pain.

We looked for existing research and study about the preventions and treatments of non-specific low back pain from The Lancet, which helped us gain a general view about the current research results and challenges from professional practitioners' perspectives.

Low back pain afflicts all ages, especially for the working population.

Rubin(2017) mentions in his study 'Epidemiology and risk factors for spine pain' that it is estimated that 15% to 20% of adults have back pain during a single year, and 50% to 80% experience at least one episode of back pain during a lifetime. Low back pain afflicts all ages, from adolescents to the elderly, and is a major cause of disability in the adult working population." [2]

According to the study of Nadine et al.(2018): evidence about prevention, mainly primary prevention, is inadequate.[3] And they list most of the widely promoted interventions and their effect:

The preventive effect of exercise and education was significant.

Nadine et al.(2018) also summarize critical recommendations of the clinical guideline for the management of low back pain[4]:

For treatments, greater emphasis is now placed on self-management, therapies, and some forms of complementary medicine.

We consider to collaborate with health centers and health care providers to give primary support.

We conducted a stakeholders analysis to get buy-in from all key players in this field. There're several stakeholders groups related to back pain. Figuring out their value to back pain sufferers gives a deeper understanding of what we could do in this field.

- Patients
- Family members/Friends
- Communities

- Clinicians
- Health systems
- Professional organizations and training institutions

- Insurance companies
- Health products manufacturers and retailers

- Researchers
- Policymakers

We kept looking for existing solutions.

There have been many products for the prevention and treatments of back pain, which provide many insights into people's mental models in existing products.

#2 RESEARCH

How did we dive deeply into the problem?

Secondary research is not enough to gain a comprehensive view of the problem that back pain patients are experiencing. We need an overall understanding of the user group.

We narrowed the user groups to '20-40-year-old working populations'.

As we intended to focus on adult working populations, we defined our users as:
20-40-year-old people who have experienced/are currently experiencing acute or chronic back pain.

The user groups were still vague, so we narrowed them down based on literature research and reasonable presumptions.

Interview: to be a nice person, rather than to do the right thing.

Providing care means building empathy with our users - people struggling with back pain.

Research Goal

- Gain a more clear picture of the user population.
- People's mental model of back pain.
- Challenges that we might face.

Recruiting Questionnaire

As back pain might be related to private issues, we sent out a survey to collect respondents' feedback if they are willing to accept an interview invitation.

Among 22 respondents(17 Female, 5 Male), 21 have experienced back pain, with 10 experiencing it very often. 65% reported chronic back pain of over 6 months.

In terms of severity, almost half reported the pain over 6 on a scale from 0 - 10. Among people who experienced back pain, 52% have consulted a professional. We assumed that people trust experts when facing conditions such as back pain.

Interview Participants

We interviewed people who experienced back pain at least every week with a long history of back pain. The demographic:
- N = 6 (5 Female, 1 Male)
- 2 Americans, 1 from Taiwan, 3 from mainland China
- 4 students, 2 working people

Interview Protocol

We also iterated our interview questions with the interviews in progress. Our final version of the interview protocol is as follows.

Interview Protocol
Go deeper. Go broader.

It usually means a lot of work when doing an affinity diagram. OMG. The challenges we faced while we were doing the affinity diagram were these participants had different causes and symptoms of back pain, which made us feel hard to cluster. However, they do share the same feeling and faith, that is: helpless, but positive.

#3 INSIGHT

What did we find through out the research?

We got exciting insights from the primary/secondary research and summarized the back pain sufferers' mental model, journey map.

Mental model from unconsciousness of back pain to no pain.

When thinking about back pain, the participants recall the frustration and would like to be pain-free. We summarized their needs hierarchy and rehabilitation steps in the following diagram.

Journey map

This map was a breakthrough and drove us to empathize with back pain sufferers. We defined every touchpoint when they feel back pain and seek help.

We transformed insights into possible design opportunities.

Insight #1

People feel uncertain when dealing with back pain.

Opportunity #1

Provide a sense of certainty for back pain sufferers.

Insight #2

People feel hard to normalize their life with back pain.

Opportunity #2

Help people adapt to life with back pain.

Insight #3

Information is repetitive and hard to sieve through when experiencing back pain.

Opportunity #3

Help people find the information precisely and effectively.

Insight #4

People are willing to give back to the community when they discover new things or make progress.

Opportunity #4

Help build positive relationships among back pain sufferers.
#4 CONCEPT

A. How can we provide certainty for back pain sufferers?

They need to know the certain cause, treatments, and solutions to back pain.

Takeaways

People need certainty on every touchpoint when asking for help from other people, materials, and products. They need to make sure they get the correct understanding of symptoms, cause, and treatment.

A.1. People don't know what's happening. They need the certainty of symptoms.

Concept

To increase the certainty of symptoms, we provide a standard system to build correct awareness of back pain symptoms and help people self-diagnose.

Wireframes

After registration, finishing self-diagnose by answering carefully-designed questions helps people build a knowledge base about the symptom and receive professional treatment suggestions.
To provide a professional experience and avoid misleading people, we used a pain scale assessment tool, Wong-Baker FACES[5], and elaborated the system to help people communicate their pain.
A.2. People don't know how to deal with back pain. They need the certainty of treatment.

Concept

We are trying to create a flow of symptom-treatment-routine to help people build an effective mindset to deal with back pain.

Wireframes

After registration, people could view suggested treatments and choose one to try. When finishing the setting, routines will show as a reminder on the home page.
A.3. People try various treatments and feel sometimes helpful, sometimes not. They need the certainty of effect.
Concept
We help people evaluate and keep a record of every treatment they try. They could keep track of their life with back pain in the long run.

Wireframes

People evaluate the treatment after both each routine and the whole treatment. They can also see evaluations from others under each treatment.
#4 CONCEPT

B. How can we help people adapt to life with back pain?

They need to come to terms with having back pain and adapt to a lifestyle with back pain.

Takeaways

People need mental support to relieve their frustration. They need to accept pain and adapt to the lifestyle with back pain.

B.1. People feel frustrated when having back pain. They need psychological support.

Concept

Build a community for people to communicate with other people who experience the same health conditions and find ways to live with the pain, talk about the experiences, and feel less frustrated.

Wireframes

People could explore treatments feedback, personal journey, and article comment from others. They are encouraged to leave comments and vote for each content they read.
B.2. People know workouts could sometimes relieve the pain but feel hard to adhere to. They need a sense of faith.

Concept

We help people build faith by showing pain changes after each routine and providing motivation to adhere to the daily routine.

Wireframes

After each routine, people will feel motivated when seeing the positive changes in the back pain scale. And we also provide a more intuitive way to help them get detailed visualized feedback after adhering to suggested treatments after a while.
#4 CONCEPT

C. How can we help identify information?

They need support when sieving through numerous repetitive information.

Takeaways

People go through numerous repetitive information and need to find the correct information efficiently.

C.1. People feel confused when looking for numerous information regarding the cause and the treatment. They need an effective way to find information.

Concept

Show treatments and articles that match users specific needs based on self-diagnosed symptoms and evaluations from the community.

Wireframes

People could explore more treatments and articles provided by professional practitioners. We will collaborate with them to generate content constantly.
#4 CONCEPT

D. How can we help build a positive relationship in the community?

They need a way to give back to the community and help each other.

Takeaways

People are willing to give back to the community when they discover new things or make progress. Even though they are not getting better, they want to share with people in similar situations.

D.1. People need to help each other. They need to build a positive attitude to contribute to the community.

Concept

Show the value and impact that people have created on the community. Provide the positive motivation to those people who are willing to give back to the community.
Wireframes
‍‍
There should be more concepts here, but we just want to run fast to evaluate our design.
There are some blockers we need to remove.

- Define different parts of "back" - Should we use jargon? How professional do we want to get?
- Where should we put the signup page? - Before or after quiz? How do we get users to register?
- How to make sure the users are correctly following the postures? - Front camera?
- How frequently should we ask users to evaluate a treatment?
- It's challenging to define community - In what way can we engage people and help those with similar problems?

#5 ITERATION

How do we move forward?
Run fast and keep moving.
Move fast to evaluation.
As we were still thinking about the challenges, we quickly stepped into evaluation. We conducted a quick heuristic evaluation to go through the pages and receive feedbacks promptly:
We quickly stepped into the usability test.
We asked participants to go through our wireframes and complete tasks through zoom. We also asked them to think aloud where they felt confused or unexpected.
Usability Test Protocol
We received many valuable feedbacks.

We provided the solution to each problem that participants mentioned and divided them into 4 types:
- Growth
- Feature Perfection
- Usability Issue
- Visual Improvement

Based on each feature's type, value, and effort, we prioritized them and finished the 1st prioritization. Other high-value features that need more action or seek additional resources or content strategies are marked as TBD. The last part, marked as Not Sure, requires further evaluation.

How do we iterate wireframes?

We gain deeper insights from usability test participants who are also back pain sufferers.

#1 Provide value before registration through preview.

This would be the first and most crucial page before registration, helping people make the final decision to continue or not. We provide more value to help people deal with back pain and attract their attention.

Before

After

- Self-diagnose visualization and connection with the community.

People could have a general overview of back pain data and their condition compared with the whole community.

- Provide more granular professional suggestions.

Based on the different symptoms, people could access different types of treatments. We will collaborate with professional institutions to produce reliable content for back pain sufferers.

#2 Create a seamless registration experience.

Usually, a horrible registration experience leaves a terrible first impression on people trying to use the product. We try to keep smooth running of the onboarding experience to reduce the bounce rate of this page.

Before

After

- Show the overview value of PainFree to encourage exploration.

Motivating to register is our first step. People will feel attracted when finding a possible solution for the back pain problem.

- Provide an easy and fast way to sign up

Besides email, people could use their social accounts to log in PainFree, making it easy and fast to move ahead.

#3 Help people adapt to life with back pain better.

It's also essential to make the homepage as helpful as possible. We made the best use of the routine section to help people get a quick preview of what they will do later and their progress today.

Before

After

- Avoid the concept of "treatments" in daily routine.

People need a normal life instead of doing treatments every day. We help them reduce the psychological load when dealing with back pain.

- Collaborate with professionals and produce videos to provide better guidance.

People need guidance when following the postures in each routine.

#4 Provide more intuitive evaluation processes for different purposes.

Currently, two evaluation pages, the "quick evaluation" and the "whole evaluation," provide different meanings even though they have the same features. It's not intuitive and also confuses people when they do evaluations. We need to differentiate different values and purposes in these two processes and meet people's expectations.

Quick Evaluation:

Before

After

- Design for "quick".

People make a quick evaluation after each routine, so it should be easy to complete. We removed unnecessary options to make the quick evaluation as easy as possible.

Challenge 1:

Consider having people compare the pain scale before and after each routine. And continue to evaluate the impact of this feature.

Challenge 2: 

Add emotional value to this page to provide psychological relief after each routine.

Whole Evaluation:

Before

After

- Motivate people to give high-quality feedback after trying a whole treatment

Show how many people will be impacted by this comment and give people a sense of value that the feedback is helping others.

Challenge 1:

How to evaluate the psychological load of helping others? Will people be unwilling to give feedback when it comes to impacting others?

Challenge 2: 

Is there any other way to motivate people to give genuine feedback?

- Make the user flow more intuitive

Based on our user test, people will be more willing to rate first and then write comments.

#5 Differentiate the value provided by exercises and consultations.

Exercises and consultations are different ways to deal with back pain. People need more clear guidance when following suggested treatments.

Before

After

- Iterate on information architecture

It would be easier for people to look for treatment through a transparent filter system.

- Provide more information related to consultations

People need to know the exact information and evaluations of the consultation.

#6 Provide a better way to help people digest professional knowledge.

Textual articles with various terms and professional knowledge are difficult to read and understand for most people. We plan to work with professional practitioners and influencers to produce videos.

Before

After

- Add videos.

Provide video-based knowledge.

- Remove articles' evaluations

Based on user tests, people don't need to evaluate the articles; instead, they prefer to evaluate an article based on the source and view numbers.

#7 Provide an easy way to help find relevant content in the community.

Looking for specific information in the back pain community seems not very easy now. People need to focus on personalized information and find a way to locate relevant content.

Before

After

- Organize information based on people's need

Provide recommended, following, and original content and help people browse information.

- Allow people to follow others

People need to connect with others experiencing similar situations and learn from others in the long run.

#6 POLISH

How do we bring all things to life?

The gallery below shows some of the app designs for PainFree.