nuSoma Concept
Final Product
Prototype
Role
UX Designer
UX Researcher
Responsibilities
Landscape Research
Secondary Research
Contextual Inquiry
Empathy Map
Affinity Diagram
Co-Designing Workshops
Storyboards
Prototypes
Presentation
Duration
4 weeks
Overview
The Space
I really thought a lot about back health growing up, partly because my twin sister has scoliosis but also because everyone complained about their backs so much on TV. It didn’t take much for me to think that this was a real problem and that a new solution was due.
The Challenge
That same twin sister who has scoliosis? Well, she got her massage therapy license and she really played a role in helping me realize that the only way to work on your back health is to work on your back health. The challenge then is how I can build something that might help with that. I didn’t want to go off on a hunch here.
The Users
I could easily say everyone would be a user but when your users are everyone, your users are no one. I decided to focus on those who would readily use some sort of technology for their ergonomic health. I honed in on the different industry trends that might be relevant to these users.
The Design Process
Informal Market Research
To kick off this project, I decided to try and pick up some signals from the universe. Because we were stuck in quarantine though (COVID-19 was going on), I had to send out some signals to get some back. I texted 20 of my friends to fix their posture. Here are some of their responses - my favorite is the one friend who thought I was watching them!
I also enlisted the help of Instagram and put out a poll to see who was slouching. I realized that there was a good amount of data that I could gather from this. In 6 hours, my Instagram story gathered 254 views and 60 responses, of which 75% (45 people) were slouching.
Secondary Research
The informal market data was a green light but my guerilla-style data collection was still very limited in scope, so I looked to the professionals. I took a peek at what the academic literature was saying about back health and posture.
What impact does posture really have on our bodies and our health?
It can increase your energy.
“The acts of sitting up straight, looking upward, and performing skipping movements tend to raise subjective energy, as long as the movements are not slouched.” - Peper & Lin, 2012
It can better your breathing.
“Adapting a slouched position reduces the ability of the diaphragm to generate appropriate force for contraction. This attributes to restriction imposed by the abdominal cavity.” - Albarrati et al., 2018
It can give you higher confidence in your thoughts.
“We found that the effect of the direction of thoughts (positive/negative) on self-related attitudes was significantly greater when participants wrote their thoughts in the confident than in the doubtful posture.” - Briñol et al., 2009
It can provide you with better recall of positive memories.
“87% of the students reported that it was easier to recall/access positive images in the erect position than in the collapsed position.” - Peper et al., 2017
But who how many of us have really bad posture?
“65 million Americans report a recent episode of back pain. Some 16 million adults — 8 percent of all adults — experience persistent or chronic back pain, and as a result are limited in certain everyday activities.” - Georgetown Health Policy Institute
Landscape Research
It’s also worthwhile to know what people are doing or using out there. The easiest place to get a quick signal on this was, of course, Amazon’s marketplace. The number of reviews, which kind of represents the number of consumers, gave me insight on how interested the market is in posture correction. Possibly over 19,000 people are walking around with that patented back brace!
I also found a variety of other products on the market, from wearables like UpRight and LumoLift (they shock you into correct posture?!) to posture pillows and other chiropractic tools.
UpRight
Posture Pillow
Back Braces
Neck Sling
Lumo Lift Wearable
Yoga Strap
The Trends
As a side note, I wanted to be able to forecast a future for this concept. I wanted to understand where the industry was heading and what sort of medium I should envision the concept through. A lot of the trends I saw mentioned ubiquitous interaction and user autonomy. These pushed me to think about a household item that we use to assess some aspects of our health - can you guess what it is?
Trends 2020, Frog
“... with the unbundling of healthcare, patients gain autonomy, simplicity and convenience over their care.” —Renee Chang, Senior Visual Designer, frog New York
2020 IIT Institute of Design Report
“A new phase of technological evolution is dissolving the border between our physical and digital worlds and making the internet disappear into virtually everything we do.”
Tech Trends 2020, Deloitte
“As devices become seamless and ubiquitous, they and we are becoming increasingly inseparable. Imagine a future world where tiny, connected, context-aware devices are embedded throughout the office, home, and beyond, functioning as part of the background.”
Contextual Inquiry
Next, I roped in some users that were concerned about their back health and conducted six interviews over Zoom (still in quarantine). The discussion guide I put together was focused on feelings and perceptions of posture correction, with an observation component where I asked users to show me how they adjust and aid their posture. From yoga straps to standing desks and yoga balls to back braces, people were buying the solution but they still felt like there was something missing. I transcribed the interviews and conducted open coding to pull out some of the themes (seen below in the Affinity Diagrams).
“I think good posture is like good health. I think like someone slouching could look as bad as someone like eating 10 pizzas.”
“It needs to be something that should be like somewhat subconscious and passive rather than like, if I need to like actively think about it or actively do something, I can’t like, I don’t think that’s very habit forming.”
Aggregated Empathy Map
To sort the raw data from the interviews, I made use of an Empathy Map. This part really helped me in forming a well-rounded view of potential users. One participant said they’d “undergo invasive surgery honestly,” highlighting a possible desperation with this topic. Another said they noticed a lot of posture pillows and back braces at work, products that promised change. There was also a lot of talk about finding a holistic solution overall, one that would answer other health challenges as well.
Affinity Diagram
High-level themes also came out of the interviews. I was able to gather a lot about users’ influences and current solutions and I was also able to pull out some of their desires when it came to a solution. They want something motivational and intuitive, that supported habit-formation but had minimal interaction - another huge clue for what I ended up conceptualizing!
More secondary research… but on mirrors!
From reading through the trends report and listening to the users, I saw the need for the concept to be ubiquitous somehow, so I did some further digging to see what sort of smart devices have been successfully integrated into a user’s environment. My inklings of a concept were realized - MIRRORS! Mirrors jumped out as something that was particularly useful for those looking to improve their health, for checking form while exercising or providing psychological validation. Here’s what the academic literature says:
It can be used to treat body image disturbance.
“The Mirror Exposure group showed significantly greater improvement than the Non-Directive group in body checking, body image avoidance, concerns about weight and shape, depression, and self-esteem.” - Delinsky & Wilson, 2006
Its use can decrease negative emotional and cognitive responses.
“Body exposure is a promising technique to overcome negative body-related emotions, but additional cognitive techniques are necessary.” - Vocks et al., 2007
It can also decrease judgement in users.
“When the mirror was revealed, rather than concealed, participants considered stereotyping to be less appropriate.” - Macrae et al., 1998
The mirror increased the soothing effects of self-compassion.
“Participants generated four phrases they would use to soothe and encourage their best friend… repeat[ed] the four phrases to themselves while looking at the mirror… The mirror enhances the efficacy of this self-compassion manipulation in activating the soothing affect system connected with parasympathetic nervous system activity.” - Petrocchi et al., 2016
Participatory Design Workshop
With mirrors decided upon, I gathered the same participants again and had them conceptualize a solution for themselves. I pushed them to imagine a product that might not yet exist but would meet and exceed their needs. Some of their designs can be seen below, with two designs showing a tri-fold mirror. All of the designs included posture analysis but the participants also added various features that would be helpful to their day-to-day life, such as weather reports, alerts, music, and a weighing scale.
Sketches & Mock-Ups
From the storyboard, an application was imagined and I sketched it out before wireframing it in Figma. I also gave it a name at this point - nuSoma (nu for new and Soma, as in the Ancient Greek word for body). I quickly tested this app for usability and found that it was pretty intuitive in terms of user flow.
Final Prototype
Here it is in high-fidelity! The look and feel are pretty neutral because I wanted to focus on the visualization of the solution rather than the actual visual design. In testing it with some users, I got pretty good feedback! Now I just need to build that smart mirror…
Prototype Link: Figma
Final Thoughts
This was a fun one (as it was meant to be since this is side project born out of quarantine boredom) and I’m looking forward to actually building the smart mirror one day when I can afford this being more than a side project. The cost actually pushed me to imagine this concept as a feature to be integrated into a suite of tools that encourages holistic health monitoring as a means of empowering users to lead healthy lives. I definitely support the rise in life-centered design with ubiquitous computer extending our reality past its limit, so I’d love to see how health might be positively impacted by this. This little project definitely encourages me to explore these topics in the future!
References
Albarrati, A., Zafar, H., Alghadir, A. H., & Anwer, S. (2018). Effect of Upright and Slouched Sitting Postures on the Respiratory Muscle Strength in Healthy Young Males. BioMed Research International. https://doi.org/10.1155/2018/3058970
Briñol, P., Petty, R. E., & Wagner, B. C. (2009). Body posture effects on self‐evaluation: A self‐validation approach. European Journal of Social Psychology, 39(6), 1053 - 1064. https://doi.org/10.1002/ejsp.607
Delinsky, S. S., & Wilson, G. T. (2006). Mirror Exposure for the Treatment of Body Image Disturbance. International Journal of Eating Disorders, 39(2), 108-116. https://doi.org/10.1002/eat.20207
Macrae, C. N., Bodenhausen, G. V., & Milne, A. B. (1998). Saying No to Unwanted Thoughts: Self-Focus and the Regulation of Mental Life. Journal of Personality and Social Psychology, 74(3), 578-589. https://doi.org/10.1037/0022-3514.74.3.578
Peper, E., & Lin, I. (2012). Increase or Decrease Depression: How Body Postures Influence Your Energy Level. Biofeedback, 40(3), 125-130. https://doi.org/10.5298/1081-5937-40.3.01
Peper, E., Lin, I., Harvey, R., & Perez, J. (2017). How Posture Affects Memory Recall and Mood. Biofeedback, 45(2), 36-41. https://doi.org/10.5298/1081-5937-45.2.01
Petrocchi, N., Ottaviani, C., & Couyoumdjian, A. (2016). Compassion at the mirror: Exposure to a mirror increases the efficacy of a self-compassion manipulation in enhancing soothing positive affect and heart rate variability. The Journal of Positive Psychology, 12(6), 525-536. https://doi.org/10.1080/17439760.2016.1209544
Vocks, S., Legenbauer, T., Wächter, A., Wucherer, M., & Kosfelder, J. (2007). What happens in the course of body exposure? Emotional, cognitive, and physiological reactions to mirror confrontation in eating disorders. Journal of Psychosomatic Research, 62(2), 231–239. https://doi.org/10.1016/j.jpsychores.2006.08.007