BACKGROUND

Physical therapy patients aren’t consistently completing their home exercises

I've been a physical therapist for over a decade and I know that along with a personalized skilled treatment plan, the home exercise program given to patients is essential for full recovery following an injury or surgery. However, according to the Journal of Medical Internet Research, as many as 50% of physical therapy patients do not complete their home exercises on a consistent basis. With this project, I sought ways to improve patient home compliance through the use of an interactive companion app.


PROBLEM

Patients aren’t engaged in their treatment plan at home

Patients state that their motivation to participate is limited by a lack of interaction and feedback when using their current home exercise program.


SOLUTION

Patient engagement and feedback are key

A physical therapy companion app that motivates patients to complete their home exercises and become active participants in reaching their therapeutic goals

PT partner homepage mockup

USER RESEARCH: INTERVIEWS

Interviewees would be more likely to complete their home exercises if they felt accountability and involvement in their plan of care.

  • I performed interviews with 6 previous physical therapy patients to evaluate the patient physical therapy perspective, their goals, needs and frustrations.

  • A primary user group I found was patients who are motivated but feel disconnected to their own care. 

  • This research confirmed my hypothesis that patients would appreciate more involvement in goal setting and their plan of care. Other prominent issues noted were lack of time, forgetfulness and lack of feedback.

  • I created empathy maps for each participant to highlight the major insights.

  • I came back to the user interview insights throughout the design process to maintain perspective.

Empathy Map 1
empathy map 2

USER RESEARCH: PAIN POINTS

PAIN POINTS

pain points

PHYSICAL THERAPY PATIENT PERSONA

I created personas to highlight the target user for the PT partner app.

Showcased here is Lindsay who is motivated but frustrated by her home program.

lindsayrichardson persona

USER JOURNEY MAP

Mapping Lindsay’s user journey revealed how useful a physical therapy app could be as a companion to care.

user journey map

DESIGN: PAPER WIREFRAMES

Iterating on the design of the homepage helped me to discover the easiest to navigate user flow. The homepage serves as a dashboard and link to the most important items on the users journey.

ITERATIONS

paper iterations 1

CHOSEN DESIGN

paper iteration chosen

DESIGN: DIGITAL WIREFRAMES

Screen designs were based directly from research performed and interviews with patients. They want to be more engaged in their recovery.

low fi mockup

It was important for the navigation to be intuitive and easy to use to increase compliance with exercise program. Challenges add a competitive element that keeps patients engaged.

low fi mockup 2

LOW FIDELITY PROTOTYPE

lowfi prototype

The prototype highlights the user flow for completing an exercise in a patient’s home exercise program.


USABILITY STUDY

I conducted usability studies to determine if patients can complete their home exercise program and obtain useful feedback from the app.

usability study findings

MOCKUPS

The early design had all the necessary elements of the home page but after usability studies I added additional cues, personalization and labels for easier navigation and a more pleasant experience.

BEFORE USABILITY STUDIES

mockup pre usability

AFTER USABILITY STUDIES

mockup post usability

I wanted to make it clear to users where they go to provide feedback and where they will be sent if they decide against leaving feedback.

BEFORE USABILITY STUDY 2

mockup pre usability 2

AFTER USABILITY STUDY 2

mockup post usability 2

MOCKUPS OF MAIN USER FLOW

mockup4
mockup2
mockup1
mockup3

HIGH FIDELITY PROTOTYPE

PT PARTNER HIGH FIDELITY PROTOTYPE


ACCESSIBILITY

Accessibility Considerations

accessibility considerations

TAKE AWAYS

Impact


”It’s a good tool for self pacing and self care, It keeps you on track for what you are supposed to be doing at home”
— Study Participant

What I learned

Throughout this project I learned how important personal motivation is to therapy outcomes and patient engagement. I learned that making a physical therapy companion app easy to use and interactive can increase program adherence.


NEXT STEPS

What’s left to do…

next steps

Let’s Connect!

Thank you for reading! 


If you would like to discuss this case further or are interested in working with me, please reach out. 


Email: ndmhowe@gmail.com

Next
Next

BREATHE