A groundbreaking pregnancy risk assessment tool

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Preterm births are significantly increased in pregnant women of color and women who have lower incomes because of how poorly the healthcare system supports them. Naima Health sought to address this issue by creating a mobile application intended to make it easier for women to record and maintain information about their pregnancy, choose how it is shared with their doctors, and easily access helpful and authoritative information. A prototype of the app had been built and tested with a small group of women. It proved to be promising so Naima Health came to Joybyte for the next step. Our* task was to make it possible for Naima Health to scale the app to a larger group by improving the interface design, expanding existing features, and introducing new ones.

*This work was done while working at Joybyte as the Director of Design. Many people were involved in this project and all are credited where applicable.

Client: Naima Health
Deliverables: iOS and Android mobile app, web app
Role: Creative Director, Product Designer
Year: 2019

Process

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Research

Market Analysis

Naima Health saw a future where their mobile app would be the preferred tool for hospitals and clinics around the country to connect with pregnant women. To facilitate this, we created our iterations and new features with leading pregnancy apps in mind.

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Iterating Existing Features

 Simplifying the user journey

Many of the features in the application took several taps to access. We consolidated several screens to provide a more fluid and accessible navigation.

Creating a dynamic home screen

The existing home screen was static and only served as navigation. Along with consolidating the navigation, we iterated the home screen to a more dynamic version which would frequently update based on responses to quizzes, daily logs, and phase of pregnancy.

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Responding to user input

Responses to input on quizzes and daily logs were filed away in another area of the application so it felt to women that the application was only taking information and not giving anything back. We revised the workflow to show responses immediately after submitting a quiz or daily log. This encouraged engagement and was critical for warnings that required swift medical attention.

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Taking a harm reduction approach to substances

Alcohol, drug use, tobacco use were all marked as negative, regardless of the amount. We introduced logic that would also show a positive response if alcohol, drugs, or tobacco were used less when compared to previous reports. We know that completely abstaining from alcohol, drugs, or tobacco may be difficult or impossible for some women, so it was important to us to take a harm reduction approach and support positive changes.

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Improving the user interface

The original interface was a fantastic way to prove the viability of the product. However, in order to scale and compete with leading consumer pregnancy applications like Sprout, Ovia, or Glow, the UI needed a refresh. We expanded the color palette, revised the typography, and improved iconing.

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Introducing new features

Adding additional quizzing

We introduced the ability for Naima health to add additional quizzing to test for depression and intimate partner violence (IPV). This allowed Naima Health to continue using the application to analyze the links between these factors and birth outcomes. This functionality would be later used to introduce quizzing around COVID.

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Creating a new physician dashboard

Women in the test pilot had to bring the app to their doctors appointments to share information they recorded with their doctor. The new web-based physician dashboard allowed doctors to get alerts on potentially dangerous factors in-between appointments.

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Key areas of the application

Home screen

The home screen is used to track daily progress and record daily health logs. It features a dial which can be scrolled to view health progress over time for a variety of factors like weight, mood, or supplement use.

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Home screen

The home screen is used to track daily progress and record daily health logs. It features a dial which can be scrolled to view health progress over time for a variety of factors like weight, mood, or supplement use.

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Daily log

This log helps women track a variety of metrics daily. These metrics were mood, stress, weight, sleep, vitamin use, symptoms, substance use, baby activity, and relationships. Not all metrics are asked about on every single daily log. For example, questions around substances are only asked daily if a woman reportes that she uses substances in her onboarding. If she does not, the substance question is only asked once monthly.

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Kick counter

This allows women to track kick sessions which measure a baby’s activity. After a kick session, women get immediate feedback indicating that the baby was appropriately active or if they needed to contact their doctor because of low or no activity.

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Contraction counter

When women start having contractions, they can use this tool to identify if their contractions are Braxton Hicks contractions or if they are heading into labor.

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