Foward

Guide problem-solving training step-by-step for individuals with traumatic brain injury

Overview

This project, in collaboration with TIRR Memorial Hermann, focused on developing an e-health product to help individuals with traumatic brain injury improve their problem-solving skills and cognitive abilities.I designed a chatbot app that integrates the original phone-based and paper-based training process, making it clearer and easier to follow.

My Role

I was responsible for transforming the traditional training process into a digital format, creating wireframes and prototypes, and designing AI-driven conversations for a more natural user experience during problem-solving training.

Background

The traditional process is time-consuming and depends on professional staff for coaching. It also requires scheduling, which limits flexibility. When people use a workbook for training on their own, they often lack sufficient guidance. Additionally, there is a need for a system to better organize and track training sessions.

Proposal

The stakeholders suggested creating a gamification-like app to make the process more engaging and less monotonous for users. I proposed two ideas: one was a chatbot app with a game-like conversational tone, and the other was a survey-like app featuring different game-like interfaces at each step of the training process.

The stakeholder preferred the chatbot version because it offers more interactions with users, helps manage their impulsivity, and prevents them from jumping straight to solutions.

Research Process

I researched papers on problem-solving training and reviewed materials provided by the stakeholder, including a workbook, sample worksheets from individuals in training, and an audio recording of a coach explaining the process. To gain deeper insights, I also interviewed a coach to better understand the common challenges individuals encounter during training.

Users Tend to Jump to Solutions
Individuals often dive into solutions without fully exploring all options, which can lead to ineffective or incomplete solutions.
Difficulty in Setting Goals
Individuals frequently struggle with setting clear, actionable goals. They may not know how to define a goal that is specific, measurable, achievable.
Challenges with Goal Feasibility
Individuals sometimes set goals that are unrealistic or beyond their control. This can hinder their progress and lead to frustration.
Emphasis on Developing Independence
The training aims to improve  Individuals' independence, so they need to develop their problem-solving skills and not rely solely on the coach's answers.
Avoiding Overwhelm
To prevent individuals from feeling overwhelmed, choosing to "do nothing" is always presented as an option when addressing problem-solving.
Focus on One Task at a Time
It is more effective for individuals to concentrate on one task at a time rather than juggling multiple tasks, which can lead to better outcomes and reduced overwhelm.
Planning Development Through Calls
Individuals typically consult with a coach by phone to make plans. This indicates a need for more advice during the planning process.
Weekly Evaluations
Individuals evaluate their progress on a weekly basis. This regular check-in helps them assess their effectiveness and adjust their strategies as needed.

Ideation Process

I divided the design into two parts: the user interface and the conversation design. At first, I focused on making it easy for users to record and review their training progress. For the gamification aspect, I suggested using a fictional, cartoon-like character to make the conversation more engaging during training.

Persona

My inspiration for creating the persona came from the movie *Finding Nemo*. One of the memorable characters, Dory, has a short-term memory deficit, which parallels some of the challenges individuals with cognitive impairments face. This led me to develop Mr. Ray as a persona, drawing on Dory's traits to make the character both interesting and relatable.

Wireframe

The design features a chat page, menu, milestone page, history page, PST info page, and help page. With my background in healthcare, I understand that people often feel apprehensive about transitioning from paper to digital formats and prefer familiar structures or additional guidance. To address this, I incorporated more guidance based on their original worksheets to make the shift smoother.

After discussions with stakeholders, I realized that a low-fidelity design would be more effective for feedback. I also decided individuals should focus on the conversation rather than the process status, so I moved the status feature below the message area.

Low-Fidelity Prototype

Prototyping Process

Conversation Design

I iterated the chatbot design from a rule-based system to a hybrid approach, combining both rule-based and AI-powered elements. The rule-based system maintains the structured steps familiar to users, while the AI component adds emotional responses to create a more natural, empathetic interaction. This approach not only helps users feel understood but also offers personalized suggestions for goal setting and plan development.

I broke down each step into smaller, more detailed chunks to ensure effectiveness and clear goals. For example, in assessing a problem, I divided it into three parts: (1) defining the problem, (2) expressing feelings and context, and (3) evaluating its importance. The first part helps stakeholders identify common issues without accessing confidential information. The second allows individuals to share feelings without judgment, while the third reinforces the purpose and importance of the training.

User Interface Design

I focused on simplifying features and ensuring buttons and icons were visible and easy to interact with, leading to a one-page  for the web version. I also replaced the coach icon with images of real people, as users prefer interacting with real individuals.

Mobile Version Design

Audio Support Onboarding

During onboarding, users can select their coach, and a brief audio greeting is provided. This allows users to choose a voice they feel comfortable with.

Review and Catch up on Home Page

On the homepage, users can review their weekly tasks and see reminders or advice from their coach. The large user and coach icons allow for easy access to settings.

Prompt in the Message Area

To provide users with direct guidance, a prompt in the message area always informs them of the next steps to continue the process. Additionally, I designed many questions with button-based answer selections to help reduce mental workload and make the process easier to navigate.

Status of the Training Process

The archive allows users to review their previous training and track the percentage of the process they’ve completed.

Web Version Design

Bento Box Design for Web Screen

I divided the screen into sections to fit all features on one page, making it easier for users to view all elements at once and navigate without fear of getting lost.

Larger Button Interaction Area

Larger buttons enhance accessibility for users with visual or physical impairments.

Next Steps

  • User-Testing: Developers are currently working on the product and will conduct testing with participants to assess the training's effectiveness.
  • Balance of guidance and independence: While the training aims to foster independent thinking, users often seek additional guidance to help them think and evaluate more comprehensively.
  • Sharing Format: Participants expressed a preference for receiving training summaries via email. However, I'm still considering which sharing style would be most feasible and organized for both web and mobile versions.
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