Hearticulate by Ruchika Karnani

Ruchika Karnani Portfolio Case Study (April 2021)

Title: Hearticulate (Previously known as WomenToHeart) Project Sponsor: Student Service Design Challenge 2020, organized by Service Design Days, Philips Experience Design, IBM, Ellen McArthur Foundation Team members: Ruchika Karnani, Maria Domeyko, Laura Duarte, Katerina Shikhotova, Angela Tam Project Duration: 5 months My role: Design researcher, Design Strategy, Graphic Designer and Prototyping

The challenge Hearticulate is an online tool to help women understand and identify their early warning signs of a heart attack and communicate their symptoms via metaphors, rather than the traditional pain scale. This project was designed as part of the Student Service Design Challenge 2020. The brief focussed on improving the heart health of people in Europe that are ‘invisible’, neglected, underserved, forgotten or overlooked. As a team, we narrowed on women’s heart health. Heart disease is the no.1 killer in women. However, only one in three women are aware of it. Women's heart attacks do not ﬁt the stereotype of the middle-aged man suffering severe chest pain. Women's pain can be mild and they can often experience early warning signs for months. Moreover, slow-onset symptoms, such as indigestion, anxiety, nausea can present themselves months prior to the actual cardiac event. This may delay seeking help and easily go undiagnosed, as women often have trouble concisely describing their symptoms, that would alarm their doctors of a possible heart attack. Moreover, existing pain scales are not accurate. Therefore, women need to be aware that they can have a heart attack. They need to be able to recognize their symptoms to then seek help on time. Finally, women need to be able to communicate it effectively and help doctors give an accurate diagnosis.

Ruchika Karnani | Hearticulate case study

Heart disease is the #1 killer of women worldwide. WomenToHeart is an online tool to help women identify and communicate their symptoms via metaphors, rather than the traditional pain scale, as heart attack survivors intuitively do. Our empowering approach helps women understand their early warning signs and slow on-set symptoms in order to seek help sooner.

Methodology and Process The Student Service Design Challenge 2020 was driven by an amalgamation of several design frameworks such as Cocreate by Philips Experience Design, The Double Diamond, Design Thinking and Enterprise Design Thinking by IBM. The challenge was divided into four main rounds namely: 1) Identify & Explore, 2) Empathise & Discover, 3) Frame & Deﬁne and 4) Ideate & Develop

Identify & Explore

Desk Research Surveys Short Interviews Cultural Probes

Empathise & Discover

In-Depth Interviews Expert Interviews Participatory and Non-Partocipatory digital Ethnography Co-Discovery Journey Mapping

Frame & Deﬁne

Clustering Insights Journey Map Personas Partnership and Competitive Research

Each round was assessed by the jury from Philips, IBM, Service Design Days and Ellen McArthur Foundation.

Ideate & Develop

Ideation Concept Testing Prototyping and Testing Value Proposition Business Model Canvas Service Blueprint

We began the project in January 2020 and things were mostly smooth sailing until the pandemic wreaked havoc in our lives. Overnight, our team of 5 moved back to their home countries dividing us across four different time zones. We had to pivot time and again to catch up with the uncertainty the world was thrown in. Our target audience became hard to reach as countries went into lockdown and we were not allowed to meet people in person. Like the rest of the world, we switched to working online, using tools like Miro and Trello to work collaboratively on Zoom. We adapted our tools and found new ways to conduct research to interact with our audience. We invented and reiterated new ways to reach out to all stakeholders. Despite the challenges we have managed to maintain a human-centred, iterative and collaborative approach throughout the project. Screenshot of a video conference as the team was split across 4 timezones

Ruchika Karnani | Hearticulate case study

PHASE 1

Identify and Explore During the ﬁrst round, we explored the wider context of the challenge. We identiﬁed potential users and problems related to heart health, focused on the gender disparity and tested some assumptions about women’s perception of heart attacks through several cultural probes. We also gained a deeper understanding of the systemic issue through secondary research. Through our desk research we found the following problem areas: Heart disease kills more than twice as many women in the UK as breast cancer1

However, it is not commonly known that so many women are affected by this problem. Historically, heart disease has been perceived as a "male disease". Because of this discrepancy, many women are unaware of their risks and how heart attack symptoms may be presented in their own bodies.

Research surrounding cardiovascular diseases has primarily focused on men for many years2

“Only one third of cardiovascular clinical trial subjects are female and only 31% of cardiovascular clinical trials that include women report results by sex”- 2014 Brigham and Women’s Hospital report

To corroborate these ﬁndings and to test our assumptions we created cultural probes. We asked women, what they thought a heart attack looked like? Almost all of them clutched their chest and dropped to the ﬂoor. This is the classic “Hollywood symptoms” often showing up in middle-aged men. Proving that there indeed is a lack of knowledge of the various symptoms of a heart attack. TOP HEART ATTACK SYMPTOMS IN WOMEN ONE MONTH BEFORE A HEART ATTACK

DURING A HEART ATTACK

Unusual Fatigue (71%)

Shortness of breath (58%)

Sleep Disturbance (48%)

Weakness (55%)

Shortness of breath (42%)

Unusual Fatigue (43%)

Indigestion (39%)

Cold Sweat (39%)

Anxiety (36%)

Dizziness (39%)

Heart Racing (27%)

Nausea (36%)

Arms weak/heavy (25%)

Arms weak/heavy (35%)

Source: Circulation 2003, Vol. 108, p 2621

(b)

Images (a) and (b) are snippets of women showing what they think a heart attack looks like. (a)

To gain a deeper of people’s knowledge on heart attacks and its’ symptoms, we conducted a survey on Instagram.

Women do not have a clear understanding of the symptoms of a heart attack and doctors often struggle trying to identify one with such vague symptoms.

Men and women can suffer from different heart attack symptoms and these symptoms can present months prior to the actual cardiac event in women.

Women with heart attacks can more often receive wrong diagnosis and poorer aftercare3

According to the research of the British Heart Foundation, women are 50 per cent more likely to receive a wrong initial diagnosis when they are having a heart attack. That increases their risks of dying by 70 per cent.

Ruchika Karnani | Hearticulate case study

PHASE 2

Empathise and Discover

Total no. of interviews/online stories:

heart attack survivors (Ages 29 to 58)

medical professionals

The goal of this round was to dive deeper into the problem by becoming immersed into the world of the people involved. Around this time, countries went into lockdown and accessing women became difﬁcult. We reached out to communities online- Facebook groups, Heart Health Forums, Doctors and even our personal contacts. We also connected with heart attack survivors and searched for their stories online as we felt they would be able to share the gaps in the system from their own ﬁrst hand experience. We used online stories to get more information and also spoke to medical professionals to gain deeper insights.

Apart from in-depth and expert interviews, we also created cultural probes. We asked women and heart attack suvivors to Write a letter from their heart, maintain a photo diary, ﬁll in a journey map to identify habits and barriers towards identifying a heart attack. And to understand what women wish to know about heart health.

Through our interviews we gained the following insights: Heart Attacks can often present as less severe conditions in women, such as heartburn3 and panic attacks, and can be misdiagnosed by women themselves AND doctors. Women can exhibit low level symptoms for months leading up to a heart attack. “My mom, who had a heart attack, experienced her angina in between her shoulders. Her work was very physical, taking care of horses! She thought the pain was due to her job and so did I” Dr. Darcy Nielsen (Doctor living with a heart disease condition) It is common for women to experience angina4 while resting, and not just while exerting themselves physically. Women who experience classic symptoms seek help sooner than those who experience vague and slow-onset symptoms, increasing their risks of heart damage. “Heart attack symptoms in women are often built slowly and unfortunately, heart attacks depend 100% on how long a person waits to get treatment. The faster you react, the less your heart dies”. Isidora López (Chilean nurse) DIFFERENCE IN VOCABULARY

“For years I had massages for this pain in my rhomboid muscles. I deliver babies so I thought it was just muscle pain. A year ago, I started feeling that pain when I was walking uphill but the massage therapist couldn’t ﬁnd the knot. It was only after that I realized it was my angina.” - Darcy, 63 Canada

“With two boys to look after and a busy teaching job, feeling a bit worn out wasn’t unusual. But I started to feel extra tired when I fell pregnant for the third time” Bronnach, 34 UK

“I felt sick, but it wasn’t a normal sort of nausea. It was a sickness which left me panting and breathless”. Kathleen, 29 UK

WOMEN “I kept saying I couldn't breathe and no one was really listening to me because I just kept emphasizing that I couldn't breathe, I had no idea that I was having a heart attack.” - Yessenia, 44 USA

15% Extreme Fatigue Shortness of breath 40% Pain/numbness in jaw 15%

20% Upper Back or Shoulder Pain

20%Heartburn

During the morning I started feeling as if I had indigestion. As I left work, I realised the indigestion wasn’t going away. In fact, it was getting worse.’The pain got worse. Sweaty and clammy, I couldn't open the window.” Carol, 48 UK

Chest Pain 45%

20% Cold sweat

Pain/numbness in left arm 35% Nausea 25%

“My ﬁrst symptom was an odd squeezing sensation in my chest, as if someone reached out and grabbed my heart and squeezed it a few times” - Debra, 42 USA

I ﬁrst experienced a weird tingling in my jaw. It was just so strange, an unusual numbness. Initially, I thought I had a toothache, but then the pain spread to my shoulder” Bronnach, 34 UK

Journey Map

Ruchika Karnani | Hearticulate case study

Letter from the heart

“I began to normalize them even as they grew increasingly debilitating: This must just be what acid reflux is like. How can other people with acid reflux stand this? Acid reflux is BRUTAL. Where’s my Gaviscon?” Carolyn Thomas, Canada

““I felt an odd numbing/tingling sensation move up my arm, which immediately made me worry and was the reason I went to the ER, as I knew this was a classic heart attack symptom” Debra, 42 USA

Difﬁculty to breath Air missing

Upper back between shoulder blades ache Pain in breast bone Heavy chest Pain in the arm, going to the jaw Muscle Pain Pain under my left breast area Pain in the back/shoulders Heavy beats in skull Tingling Body aches. Neck pain. Arm pain Numbness in jaw Sharp pain in my back Felt extra tired Exhausted Fluctuating blood pressure Blood pressure going high and low Numbness Clammy Hot ﬂashes Cold sweating Sweaty Squeezing heart sensation Crushing chest pain Radiating Chest Pain Feels like indigestion Vomits Diarrea Nausea Pain in the stomach

Shortness of breath

DOCTORS

Pain in the left superior extreme of your body, that can irradiate towards your jaw, stomach and shoulder on the back

"Die sensation" you literally think you are going to die Generalized weakness Tiredness Strong cold sweating

Ischemic chest pain, as if an "elephant is standing over your chest" Vomits Nauseas Diarrea Stomach Pain

Vocabulary used by women to describe symptoms and pain often contributes to the communication gaps that can delay a diagnosis. “Women use descriptive language to describe their heart attack symptoms, whereas men’s symptom vocabulary was generally more succinct. I had observed physicians asking: ‘So tell me about your chest pain’, and the woman responded: “Well, I don’t really have chest pain. I have discomfort, it’s more like pressing. I wouldn’t call it chest pain, I would describe it more as a bad ache and to my amazement, I would observe the physician/resident record in the patient’s notes, ‘No CP’ – meaning no chest pain!” - Dr. Catherine Kreatsoulas, Canadian epidemiologist at Harvard School of Public Health.

PHASE 3

Frame and Define During this phase we distilled our insights and deﬁned our problem area. The goal was to identify the gaps and emerging patterns in the current user journey. The main goal of this round was to narrow our insights by ﬁnding correlations and patterns that could be connected to opportunities. Through mapping, we were able to make connections and understand our insights within the context of a system that must support women’s heart health.(system map)

AREAS OF OPPORTUNITY

Once we were able to narrow our areas of focus, we clearly saw several areas of opportunities that we could act within.

Awareness:

SYSTEMS MAP

Awareness

To be able to act on their symptoms when having a heart attack, women need to be aware that they can actually have one and that a heart attack is not an “old man thing”. It can happen to anyone even if they are healthy, at any age and without having a family history of heart attacks.

3 Stronger “atypical” symptoms Experiencing “atypical” symptoms such as extreme fatigue, nausea and heartburn that overlap with symptoms of non-life-threatening diseases, can cause women to delay seeking help in order to avoid “overreacting” or acting like a hypochondriac.

TWO BIG THEMES

Clustering Insights on Miro Ruchika Karnani | Hearticulate case study

When a woman has been misdiagnosed, her conﬁdence tends to reduce which impacts her ability to trust her body and communicate how she feels. It can also increase the fear that they are “overreacting” or acting like a hypochondriac. In the end, this can cause delays in seeking help the next time they experience symptoms.

Family, friends and partners play a key role in aiding women to avoid delays when seeking help. Women may not know how to communicate their symptoms effectively, or partners may not raise alarm bells when their female counterparts express pain. In both cases, communication/language used to describe symptoms can be the key to close the gap and mobilize support.

Women can exhibit low level symptoms for a week or months leading up to a heart attack and may get used to the pain and or justify it, which causes a delay in seeking help and impacts their ability to know and trust their bodies

Rejection/Misdiagnosed

Reach out for help

First signs of symptoms

- Awareness Campaigns addressing myths, fear and lack of knowledge. - Showcase heart attack survivor’s stories.

4 5 Take action (ER)

If a woman successfully gets herself to the ER or GP appointment, she then needs to communicate her symptoms to the attending doctor. At the same time, doctors will have to ask the right questions to give a proper diagnosis.

We worked collaboratively on Miro and clustered our insights. Through analyzing correlations , we were able to identify two overarching themes that were popping up again and again while mapping: Awareness & Communication Our question was: What about these two big themes we want to focus on? We had many ideas and areas to focus, so we decided to cluster them in three subgroups for awareness and two subgroups for communication. By doing this we were able to narrow our areas of focus, reduce the overlap between them and see the information in a way that can facilitate ideation.

Others: - Address ﬁrst signs of symptoms by creating a tool that facilitates identifying heart attack symptoms when one searches online for explanations of their symptoms. - Empower women to “self-test” easily at home for heart attack symptoms. - Connect women to provide emotional support and encourage them to trust their bodies and take action

Communication: - Metaphors to describe symptoms - Scale of pain using metaphors - Create a consistent, non-medical language that doctors and women can use to convey symptoms based on doctor & heart attack survivors shared knowledge. - Combine in one place patient information about family history, risk, medicines that can support a faster diagnosis.

Once we mapped out our opportunities, we decided to research existing services and campaigns in the market. Our goal was to build the basis for a strong project that could incorporate the successes and lessons of existing solutions. Exisitng Services

We started by researching Phillips as well as other health-related services. Our intention was to understand if our solution could be integrated with any of their products and services.

Impactful Awareness Campaigns

We also identiﬁed that campaigns for breast cancer, anxiety & depression, seat belt usage, drinking and driving, mental health and others are widely known and have changed the narrative around these important issues. 6

PHASE 4

Ideate and Develop The ﬁnal stage was dedicated to the solution. The insights were changed into ideas and prototypes. Ideas were tested for both human and business value and iterated according to results.

We began creating, testing and re-iterating prototypes on Miro. The goal was to create tools that help women communicate their heart attack symptoms via metaphors.

Prototyping Ideation on Miro

Grouping Ideas

After several individual and group ideation sessions, we grouped our ideas into the following categories: Awareness, Toolkits, Platforms/Features, Technology We ﬁnally had our breakthrough during one of the many in-depth interviews with Carolyn Thomas, a Mayo-clinic trained women’s heart health educator, heart attack survivor, and writer of a hugely successful women’s heart health blog, Heart Sisters. She said, “There will always be people doing awareness and there are lots of existing forums out there too, but there is no organization I’ve seen that is giving women tools to better communicate their symptoms.” - Carolyn Thomas

Re-iterating prototype after feedback

We tested the prompts with medical professionals and heart attack suvivors. 95% of women experience early warning signs, also called prodromal symptoms, in the weeks or months prior to a heart attack. In fact, women who experienced one or more of ﬁve most common prodromal symptoms are FOUR TIMES more likely to have an adverse cardiac event. Therefore, our main service not only works for women at high risk of having a heart attack but for those who are experiencing these symptoms while continuing on with their lives.

Testing with Medical Professionals

Testing with a heart attack suvivor

Through everything we learned, we recognized a system that needed to be addressed in order to change the current trajectory of women’s heart health for the better. With COVID-19, the propensity for delay seeking help behaviour has grown even more, and the need for early detection is greater than ever. Ruchika Karnani | Hearticulate case study

Prompts

Insights to Action Most women are unaware they can be at risk for a heart attack and what the symptoms could look like

Awareness mainly through apps and gadgets embedded in their current lifestyle

Women tend themselves

underdiagnose

- Online checkup with videos and statistics of real women heart attack survivors describing their symptoms - Prompts to help women use metaphors to communicate their pain or discomfort level

Doctors often miss ﬁrst signs of heart attack in women due to overlapping of prodromal symptoms and other disease

- A journal to build awareness of their bodies and help to communicate systems to doctors - Prompts to help women use metaphors to communicate their pain or discomfort level

overexplain

their

symptoms

and

Final Deliverables

EXPERIENCE PROTOTYPES

Landing page

Terms and conditions

Choose symptoms

Know more about your symptoms

Learn to tell about your symptoms

Explaining the rights of the user and opportunities to help oser women

Personalisation element to decrease cognitive loading

Statistic and other women’s stories to help the user understand her symptoms better. Introduction of metaphores.

A framework to help a user communicate her symptoms

High Risk

ELLEN, 51

- BMI: 30.1 - Family history of heart disease - Diabetes - High cholesterol - High blood pressure - Diagnosed with depression - Exercise less often than once a month

While Ellen is experiencing severe symptoms and fully aware of her risk factors. She has not yet correlated those with a heart attack which is preventing her to seek help. She hasn't felt the clutching chest pain.

Medium Risk - BMI: 24 - Family history of heart disease - Complications when pregnant - Exercise once a week

ALICE, 37 While she is experiencing prodromal symptom and slow onset symptoms of a heart attack. she is still hesitant to seek help. Alice correlates these symptoms with non-life threatening diseases and is unsure of some of her risk factors.

Low Risk

Introduction of the service, creating a sense of community

Do you want to calculate your risks?

Report

Overview

Answer later

Step-by-step plan to act Risk factors

Answer now

Allow a user to choose if she wants to act immediately or learn more

Age, BMI

Health history, mode of life

Risk factors

Analysis

Symptoms explained through metaphors

- BMI: 26.2 - Exercises once a week

ROSIE, 27 Rosie, aware of her own body, has started feeling unusually tired lately. She decides to actively look for explanations to her symptoms.

Ruchika Karnani | Hearticulate case study

Collect an information about risk factors

Collect an information about risk factors Collect an information about risk factors

Service Blueprint Stage Timeline

Alice’s story

Channels and touchpoints

Alice’s needs Emotional journey Front stage actions Backstage actions

Support process

Sustainability actions

awareness

˛ȲȺɈ ȺɯǿȯɈȌǿȺ

ƮƊɯ ׁ

ƮƊɯ ׂׄ‫ ׅׄب׉ خ‬w

ƮƊɯ ׂׄ‫ ׀׀ب׀ׁ خ‬w

Alice starts seeing heart attack related awareness messages pop up on her Apple watch - it’s interesting because she had never thought of heart attacks before

Alice experiences her first symptoms. She is not sure what is wrong but she feels unwell.

She searches her symptoms and finds Women to Heart, an online heart health check-up. The search result catches her attention. She remembers the notification on her phone.

ȁƊɨǞǐƊɈƵ ƊȁƮ ƵɮȯǶȌȲƵ

Alice clicks on the Women to Heart Checkup link and decides to give it a try

Alice watches the video and agrees to the terms and conditions

Alice fills in the form and realise that she actually has 2 risk factors

Energetic Surprised

Alice select her symptoms. She strggles to remeber if she has experienced other symptoms in the past month

Alice reads the statistic and plays the videos. She starts to think she might be at risk of having a heart attack

Alice answers the prompts and fill in the blanks . Some of them are difficult to answer. She wonders if she should tell her partner how she’s been feeling

Women to Heart website

Understand why she is feeling these symptoms and what she can do to address them.

Tired Unwell Concerned

Find trustworthy information that she can use to understand what to d oin relation to her symptoms.

Hesitant Curious Reflective

Decide quickly if she can trust this site. Understand what is this site about.

Hesitant Curious

Understand general steps of the process. Understand how her data will be used.

Impressed Curious Reassured

Be able to easily answer questions. Understand why questions are being asked.

Curious Concerned

Easily comprehend the language. Remeber any other symptoms she might had experienced in the last two weeks.

See videos quickly. Trust the statistics. Make connections between her symptoms and the experiences of the women in the videos.

See all the symptoms that she selected and respective prompts. Be able to fill in the prompts.

Surprised Interested Reflective Curious Alert

Place website link in the top of searching results.

Make the website visible.

Show a video and a terms and conditions box.

Show questions.

Show symptoms options. Show a chatbot tool.

Show statistics and display videos.

Show selected symptoms. Display prompts to be filled

Partner algorithm to identify Alice as a target user with her health data and find ideal time to push notifications

SEO plan to push website to top results with any heart attack symptoms

Domain and hosting fees updated

Run interactive clickable video. Save Alice’s data

Fetch questions from the server. Save selected data.

Fetch symptoms options from the server. Save selected data.

Pull from database to return symptom video URL to the browser to display

Save Alice’s answers in the database

Publish content in websites

Personalisation of content for key partners Incentive plan for businesses to align CSR business strategy to address women heart health Reuse existing solutions rather than creating new ones Partner with companies and organisations that believe and apply circular economy and sustainability principles (check on lists like www.cdp.net)

SEO plan: partnership with high-rated and trusted sites, Google trends keyword search. Push web-content about all heart attack symptoms. Blogs, interviews, articles, videos.

Domain, hosting fees and general site upkeep plan Create an attractive and user-friendly site (UX/UI) Showcase partnerships, disclaimers, sponsors Prodromal symptoms messages plan

Store in database privately

Calculate Alice’s BMI with her height and weight

Implement a chatbot tool

Based on symptoms: - pull appropriate statistics from database, - customised text - change infographics to display the relative symptoms

Keep risk factors list of questions updated according to new research findings

Keep symptoms list of questions updated according to new research findings.

Keep video URL updated functional. Add new symptoms. URL to the database.

Program server to analise Alice’s answers

Keep statistics database updated. Check sites sources for updates. Post video in YouTube with our site username to generate traffic

Procure a chatbot tool

Collect more people’s symptoms stories in video Code and graphic optimisation for making a website fast and less energy demanding Check and improve a carbon footprint of the website on https://ecograder.com/ or https://www.websitecarbon.com/

Digest easily these results. Know where her results are coming from. Save a copy of her prompt answers and her report. Download the symptom journal with additional prompts.

Surprised Worried Empowered

Alice shares her results with her partner and he asks her about the site legitimacy. Alice uses the prompts to explain how she’s been feeling. He agrees her symptoms are unusual and suggests her to book a doctor appointment

Alice starts filling her symptom journal. She recalls more instances of symptoms and adds everything she now remembers and ignored before. She also includes new symptoms she notices doing day-to-day activities

Alice sets up an appointment with her GP. She brings her symptom journal and explains her symptoms using prompts. Her GP is concerned and orders some heart tests

Digital or printed report

Digital or printed journal

(ǞǐǞɈƊǶ ȌȲ ȯȲǞȁɈƵƮ ǯȌɐȲȁƊǶ

Share her feeling with her partner. Be sure that her partner supports her in using Women to Heart website.

Be able to write the evolution of her symptoms. Add past events she is now remembering.

Be able to explain effectively her symptoms and be understood. Share her symptoms journal easily with her GP. Know in advance course of action.

Confident Challenged Supported

Confident Reflective Aware

Confident Nervous Reassured

ƮƊɯ ‫ׂׅ‬

The tests show that Alice’s heart arterial walls are 45% obstructed. Alice’s doctor diagnoses her with non-obstructive heart disease

Alice receives a follow-up email from Women to Heart. She is thankful for the service and how it empowered her to seek diagnosis and treatment. She decides she want to allow her data to feed back into the service to help fututre women IȌǶǶȌɩٌɐȯ ƵǿƊǞǶ‫ ة‬àȌǿƵȁ ɈȌ RƵƊȲɈ ɩƵƦȺǞɈƵ‫ ة‬ ǏƵƵƮƦƊƧǲ ǏȌȲǿ

Trust her doctor and her diagnosis. Be informed so she can trust.

Relieved Appreciative

Give back to Women to Heart and share her new knowledge and experience.

Thankful Empowered Helpful

Surprised Worried

Push notification to a device or an app. Marketing email from a partner.

Partnership with key health apps or devices, frequently used websites, key brands and influencers

Alice reads her results carefully. She clicks in the link to understand what “prodromal symptoms’ are. She writes down a list of actions for her to take (symptom journal, talk to friends, call a doctor)

ȲƵ˜ƵƧɈ ƮƊɯ ׄ‫׃‬

ƮƊɯ ׂׄ‫ ׁׅب׀ׁ خ‬w

Smart watches, fitness braceletes. Key apps.and websites. Be informed about general aspects of her health. Be informed of potential health risks in order to take responsibility for her health.

ɈƊǲƵ ƊƧɈǞȌȁȺ

Show report page and links

Follow-up email to Alice asking how she is feeling and if she has completed the actions from recommendation report. Ask what her diagnosis is, if the Women to Heart website helped her, and if she would be willing to have her answers feed back into the database to improve the results

Create a PDF report with her answers

Coolect and analyse prompts answers Create a plan to use data to contribute to women's research heart health

Create “what if” scenarios for report permutations Create an accurate logic tree based on data input. Partner with doctors for this task. Create and update frequently journal template based on use cases

Monitor email actions to improve UX Create and update frequently report template based on use cases

Make sure files are compatible to different devices

Automatic email reminder to pushout follow-up emails one week after completing the checkup. Generate link that takes them to a customised feedback form

Release the locked private data from Alice’s report into the database whaen she opts in. Database sorts new info and adds to statistics.

Monitor user cases and UX experience

Generate feedback database to improve report accuracy

Make sure results page is updated with new statistics and studies about women’s heart health from high autority

Prioritise electronic documents to reduce amount of used paper

The journal improves chances of a correct diagnosis from the first time, so time and energy are saved

Improved diagnosis reduce healthcare services usage

Outcomes The project won the ﬁrst place in Student Service Design Challenge 2020 The team presented the project at the Dutch Design Week 2020 The team continued working on the project during the Design in Residence programme with support of Philips Experience Design

References 1. British Heart Foundation: UK Heart & Circulatory Diseases Factsheet - January 2021 https://www.bhf.org.uk/-/media/ﬁles/research/heart-statistics/bhf-cvd-statistics-uk-fa ctsheet.pdf

2. Representation of Women in Randomized Clinical Trials of Cardiovascular Disease Prevention https://www.ahajournals.org/doi/full/10.1161/CIRCOUTCOMES.110.868307

3. Heart attack gender gap is costing women's lives https://www.bhf.org.uk/what-we-do/news-from-the-bhf/news-archive/2019/septemb er/heart-attack-gender-gap-is-costing-womens-lives/

Ruchika Karnani | Hearticulate case study