POLIPILL | MEDICATION MANAGEMENT APP

CONTEXT

Postgraduate diploma project

RESPONSIBILITIES

User Research

Competitive analysis

User interviews

Empathy Maps

Personas

User journeys

Mockups

Usability testing

YEAR

2023

Overview & Problem area

PoliPill is a mobile app designed to support users in managing their medication routines by offering personalized reminders, intake tracking, and educational resources. It integrates with multiple wearable devices and allows multiple users to manage an account, providing flexibility and convenience.

The app addresses the issue of medication non-adherence, a common problem that persists despite technological advances, where many still rely on paper, SMS, and email for medication management. By improving adherence, PoliPill aims to prevent health complications and enhance communication between patients, caregivers, pharmacists, and doctors.

Methodology: Design Thinking

  • Userflow

  • Wireframes

  • Mockups

  • Prototype

  • Problem Statement

  • Personas

  • User Scenarios

  • Research

  • Competitor Analysis

  • User Interviews

  • Empathy Map

  • Usability tests

Research | Global Medication-taking rates

Medication compliance among patients with chronic diseases averages around 50%. This issue is expected to grow as the global burden of chronic diseases rises. Factors affecting whether patients follow their prescribed treatments range from forgetfulness to personal beliefs.

Not following medication instructions properly is linked to worsening health conditions, increased hospitalizations, and higher mortality rates.

30 - 40% Medication adherence for blood pressure

40 - 70% Medication adherence for depression

28% Maintenance medication adherence for asthma

Competitor Analysis

User Interviews

To better understand the complexities of medication management and identify viable solutions, we conducted interviews with a diverse array of stakeholders. This group consisted of:

  • two pharmacists,

  • two physicians,

  • two individuals suffering from chronic disease,

  • one elderly user,

  • one young user.

During interviews with participants, key issues identified included confusion with multiple medications, fear of side effects, and inconsistent reminders. Users expressed a strong need for a simple interface with clear alerts. These findings directly influenced the design of a streamlined dashboard and customizable notification system.

Insights: reasons for not taking medicines

Empathy Maps

Empathy maps revealed that users felt overwhelmed and anxious about managing medications. Key insights included: ‘I’m scared I’ll forget a dose,’ and ‘It’s hard to understand my treatment plan.’ These emotions informed our decision to include visual treatment timelines and an easy-to-read medication guide, providing reassurance and clarity.

This empathy map is based on interviews conducted with two doctors and highlights patient struggles with medication adherence. Patients often forget doses, misunderstand instructions, or find schedules too complex. Emotional barriers like fear of side effects and skepticism add to the challenge. To achieve the goal of improving adherence, doctors suggest clear communication, emotional support, and practical tools.

Says

  • “Apps are the future, if from a download, a doctor can access all information.”

  • “It's important to be accompanied by someone who is healthy and capable.”

  • “There are a lot of intoxication due to mistakes using pillboxes.”

Does

  • Reduces technical terms.

  • Explains how the medications is going to help.

  • Explains the possible side effects, so that patients are not caught by surprise and abandon the treatment.

  • Uses a patient oriented approach.

Thinks

  • “How can I explain things clearly in a way that is understandable to both literate and less literate patients?”

  • “It's almost impossible to check the patient's compliance to medication after an emergency episode.”

Feels

  • It is hard for some patient to understand why a medicine/dosage are being prescribed.

  • Difficulty in checking adherence to meds.

  • It is easy to get the patient to take medication when they are looking for something to relieve pain or illness.

This empathy map derives from patient interviews and reveals diverse challenges with medication adherence, including reluctance due to perceived "chemical" nature, embarrassment or financial constraints. Chronic patients typically adhere well but may forget during changes, while occasional patients struggle due to lack of habit. Confusion about pill purposes, frustration with similar medications, and reliance on memory are common issues.

Says

  • “In a weaning situation it is hard to follow the treatment instructions.”

  • “It is annoying the amount of pharmaceuticals making the same pills.“

  • “Sometimes people memorise the brand instead of the name of the medication.”

Does

  • Chronic patients sometimes forget to take the meds when their routine changes.

  • Occasional patients forget to take their meds because they are not used to.

  • Some patients do not take their meds because they can’t afford them.

Thinks

  • “If symptoms disappear I will probably stop taking medication.”

  • “If I don’t feel any improvement after starting the meds, I might stop taking them.”

  • “Sometimes I don’t even know what each pill is for.”

Feels

  • Reluctant to take “chemical” medication.

  • Chronic patients feel no difficulty taking medication due to established routine.

  • Embarrassment to show medication they take.

Problem Statement

Current medication management tools are often confusing, leading to missed doses and improper adherence. Users struggle with complex schedules, lack of reminders, and difficulty tracking progress. This project aims to create a user-friendly app that simplifies these tasks, ensuring users can manage their medications effectively and improve their health outcomes.

Personas

Sebastião is a dedicated teacher and the main caregiver for his mother who has chronic health issues. Balancing these roles has been a challenged and deepened his appreciation for effective health management and technology that simplifies daily life.

SEBASTIÃO

Age 37 | Occupation Primary school teacher | Caregiver

Education Master’s Degree | Location Porto, Portugal

I like routines and schedules. They help me stay organized and efficient, but I am struggling to find an effective strategy to care for my mom’s medical conditions in the best way possible.
— Sebastião

Goals

  • Provide the best possible care for his mother, ensuring she takes her medications on time.

  • Achieve a healthy balance between being a caregiver and a teacher.

Pain Points

  • Keeping track of his mother's complex medication regimen.

  • Struggles to find time for his personal interests.

Behaviours

  • Actively seeks out and adopts new technologies.

  • Follows a structured daily routine to manage his teaching responsibilities and caregiving duties efficiently.

Antónia is Sebastião's mother. She remains lucid and takes pride in managing her own affairs, but as her health has declined, she has come to rely more on her son. Her health issues require a complex medication regimen, which can be confusing and challenging to keep up with.

ANTÓNIA

Age 74 | Occupation Retired housemaid

Health situation Chronic patient | Location Porto, Portugal

I don’t want to bother my son with this. I’ve been managing fine for years, but every now and then, I slip up.
— Antónia

Goals

  • Take her medications on time to manage her health well.

  • Understand better her health conditions and the medications she is taking.

  • Be independent, seeking assistance only when absolutely necessary.

Pain Points

  • Sometimes misinterprets the schedule, leading to missed or incorrect doses.

  • Understanding medical instructions and navigating the healthcare system.

  • Sees the benefits but finds it hard to adapt to new technologies.

Behaviours

  • Uses written notes to keep track of medications & appointments.

  • Keeps open communication with her son about her health & any challenges she faces.

User Journey Map

An episode about a routine doctor's appointment in the life of a chronic patient and her caregiver.

User flow

UI Iterations

Key moments

The app simplifies prescription input. By scanning a code, the prescription, along with medication details and dosing times, is automatically added. If there's just one medication, you can scan its box. You can manually input medication details through guided steps.

Easy prescription input:
Scan, Box Recognition or Manual Entry

The app notifies users to take medication at scheduled times, creating schedules based on dosage intervals (e.g., every 8 or 12 hours) and adjusting according to user dosing habits through AI. Additionally, it sets alarms for low medication levels, reminding users the need to refill.

Automatic alarms

Easily track daily prescribed medications and their intake times. Quickly edit medication details or toggle alarms on and off. Once the first medication is added, this becomes the main screen. Use the "+" button to easily add more medications if needed.

Medication calendar

Usability tests | Unmoderated tests

Users focused on screen information and guidelines, providing written comments on its relevance. The results provide clear and actionable feedback. The recommendations offer concrete directions for improvement, and the identification of the most and least relevant information helps to prioritize what content should be emphasized or downplayed in the user interface.

Data

  • Number of participantes: 35

  • Task completion: 100%

  • Average time on task: 1m25s

Recommendations

  • Register previous doses

  • Improve graphics and communication

  • Reduce the interval to 5-minute increments

Most relevant information

  • Dosage

  • Medication name

Least relevant information

  • Shape of the pill

  • Colour of the pill

Usability tests | Moderated tests

Users navigated both functions while communicating their experience via guided instructions by a moderator, following a think-aloud protocol with subsequent inquiry to identify areas for enhancement. The goals were to assess task completion, to test functionalities and workflow and check the relevance of the copy.

INSIGHTS

MARIA

Age 59

Occupation Baker

Education 4th grade

Location Viseu, Portugal

I find it easier to write things down and use a paper calendar. The automatic scan felt like magic but was a bit confusing for me. I’d appreciate clearer instructions.
— Maria

RAFAELA

Age 38

Occupation Pharmacist

Education Bachelor’s Degree

Location Lisbon, Portugal

The color confusion between pills and the package is something that definitely needs addressing for better clarity.
— Rafaela

LARA

Age 32

Occupation Product Designer

Education Bachelor’s Degree

Location Braga, Portugal

I like the automatic features, but there’s room for improvement in terms of clarity and functionality. Expanding medication forms and revising the copy will enhance the overall user experience.
— Lara

FRANCISCO

Age 33

Occupation Fulfilment Manager

Education Bachelor’s Degree

Location Ovar, Portugal

Automation is great, but when it fails or isn’t clear, it becomes frustrating. Ensuring the system works seamlessly and improves clarity will make it more effective.
— Francisco

Flow: Scan Prescription

Flow: Scan Medication

Flow: Scan Medication

Usability tests | Preference test

12 users compared two different screen designs and chose the one they found more appealing and intuitive. The goal was to assess the intuitiveness of the interface design and copy. The results indicate a compelling preference for screen A.

Option B: 17%

Option A: 83%

Key differences between screens:

  • UI: How to select the beginning of the treatment (calendar appearance)

  • UX: Information hierarchy

  • Copy: Example “Duration” or “End date”

Changes

After conducting several usability tests, we carefully analysed the feedback and integrated the insights into a new iteration of our design.

  • Removing unnecessary labels and redundant edit menus;

  • Eliminating toggles that cluttered the user experience

  • Adjusting the copy for clarity;

  • Introducing pill-shaped buttons, accompanied by clear color names to enhance accessibility;

  • Redesigning the calendar to be more intuitive, with uniform positioning across all screens;

  • Improving the layout to prioritise user interactions;

  • Adjusting the position of key fields for better navigation;

  • Revising the dock menu;

  • Emphasising time selection over toggles;

  • Making the overall design more user-friendly and efficient.

  • Deleted Tags

  • Deleted General Edit

  • Deteled Toggles

  • Copy adjustment

  • More pill shapes addes

  • Colours in text added

  • Calendar redesign for intuitiveness

  • Time with priority over toggle

  • Calendar redesign for intuitiveness

  • Copy adjustment

  • Fields repositioned

What I would do differently

If I were to approach the case study again, I would refine the problem statement to focus more on specific user pain points and how the app uniquely addresses them. Enhancing the User Journey Map with detailed emotional insights and decision points would make it easier to empathize with users' challenges. Simplifying the User Flow to better cater to diverse needs and providing a deeper, actionable analysis of usability tests would also be a priority.