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Gait Going: the resource app to increase independence at home (UPDATED: User Journey and Wireframes).

Gait Going empowers the advocate by providing assessment tools to assist them with identifying healthcare needs for their loved ones.

Photo of Joy_Chokchai

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Who is your idea designed for and how does it enable older adults to live their best possible life by preventing falls?

The target audience for my product's use would be Care Advocates, those that are looking for resources to support their loved ones (e.g. family, friends, members of the community) in reducing fall risk and improving their activities of daily living. The questionnaire used will assist the Care Advocate to not only identify a healthcare need but connect them to resources based upon their loved one's insurance eligibility and any community programs that might be available.

Thinking Proactively

The healthcare services industry can be a very confusing and exhausting sea of information to navigate. When you interact with someone who is concerned about their loved one's risk for falls or decreasing ability to remain independent, they usually do not have the time nor energy to conduct extensive research and connect with providers or services that can meet their loved one's needs. Unfortunately, there are too many occurrences that we see this need for outreach happening as a reactive task instead of a proactive solution. 

Gait Going will alleviate some of the legwork in finding providers and community resources based upon the assessments that the Advocate completes with their loved ones. I hope that it will also encourage proactive use within the aging community; if a user thinks they are at risk for falls, they can also complete the questionnaire and learn about the interventions that can help prevent falls.  


Gait Going Features Overview (Updated)

Product Feature Mind Map:

  • The Care Advocate would utilize the questionnaire to identify if there is a need. The questionnaire will be comprised of 10 questions that a Care Advocate or someone who is at risk for falls can use. The app will provide instructions on how to complete the questionnaire and would be appropriate for a non-clinical user to complete. Based upon the questionnaire results, the Care Advocate can review and provide interventions that are available on the app. This can include removing throw rugs, ensuring loved one is wearing proper footwear, or checking for adequate lighting, etc. They will also be able to document other entries like a fall incidence, health log, and medications list. 


  • The Fall Prevention Toolkit is a feature of the app that will house fall prevention checklists and interventions that are available as a visual and audio guide. The user can review a room-by-room checklist to make their home environment as safe as possible. 


  • The Care Advocate can also look for providers that will contact the Care Advocate regarding Physical/Occupational/Speech therapy or Nursing services, based upon their loved one's insurance eligibility. A Physical and Occupational therapist can provide a more in-depth assessment of safety and be able to provide a client specific care plan to prevent falls and increase independence in the home. If loved one is uninsured or underinsured, app will assist Advocate with getting in contact with any available public or community programs. There are many community ideas on this challenge right now that I would include as a resource in a heartbeat!   


  • The Care Advocate can also search for equipment vendors based on zip code or GPS to find prices and availability of assistive devices. 


Gait Going Wireframes (Updated)

Advised by Justin Zupnick, who is an OpenIDEO Community Prototyper, we collaborated on a few versions of the key product features of Gait Going. Below are mock-ups after a few iterations:







User Journeys for the Gait Going App (Updated)





OpenIDEO NYC Chapter Refinement Pop-Up #1 Feedback 5/5/2017

I received helpful feedback from the great attendees and hosts of the NYC Chapter. I showed an interactive prototype of the app during this session (Blog Post on the NYC Chapter website). 

Feedback included:

  • Don’t use words like "Assessment" makes it too clinically focused. 
  • Confusing use of two log-ins, one for caregiver and one for loved one. It is better to have one log-in and then the ability to add more profiles within the app. 
  • In-app messaging button was confusing, could be used incorrectly.
  • Define the user base with User Journeys.


OpenIDEO NYC Chapter Refinement Pop-Up #2 Feedback 5/25/2017

The NYC Chapter met up again to share more insights of the three refinement contributions. 

Feedback for Gait Going this round included:

  • Questionnaire needs to be more human-centric, avoid using questions that are too clinical still - maybe people 65+ can be in denial about their condition. Suggested that there be a leading question that branches out so you can select whether you are a caregiver or loved one. @Bettina suggested that the caregiver might not know a lot about their loved one’s condition so try to create questions that might allow someone to answer it without in-depth info. 
  • Suggested future features: balance/strengthening videos, games, something that will let the user come back to use the app and not just a one time use deal, using the camera to detect fall risk items in the room. 


What early, lightweight experiment might you try out in your own community to find out if the idea will meet your expectations?

I am working on a mock up so that volunteers can provide feedback. I would also like distribute the fall risk assessment at senior community centers and document the usage and participant reactions.
I believe that evidence-based assessments are key in preventing falls and we should educate non-clinical healthcare advocates to conduct appropriate tests and take part of their loved one's safety needs.

What skills, input, or guidance from the OpenIDEO community would be most helpful in building out or refining your idea?

Thank you for reading this far into my post. I would love feedback to any aspect of this idea. Do you think it's beneficial? What other assessments would you like to see?

How long has your idea existed?

  • 4 months - 1 year

This idea emerged from

  • An Individual

Tell us about your work experience:

I am insatiably curious about the world and how we interact with it and each other.
Design thinking keeps me on my toes.
For this project, my experience as a nurse has allowed me to conduct fall risk assessments, teach interventions and work along side many patients, families and clinicians.

How would you describe this idea while in an elevator with someone?

The Gait Going app provides Care Advocates (caregivers) and their loved ones the ability to be proactive in preventing a fall by providing them with a plethora of possibly life-saving resources at their fingertips.

How does your idea demonstrate our Criteria of Affordability?

The cost of the actual app is free to the user, however in order to use the app, the user must have a device that can access the internet. If they do not have a smartphone, they will be able to access a web version of the app as well.

How does your idea demonstrate or plan to demonstrate scalability?

The Gait Going app has the potential for ease of scalability due to the product being an app instead of a physical product. The user base spans a large spectrum of ages and includes groups have the ability to obtain the free app. Looking to the future to encourage elders to age in place. If users are currently in their 50-60s that are aware of fall prevention and the cause of falls, the use of this app will only improve their chances of avoiding a fall as they age.

How do you plan to measure the impact of your idea?

Initial measure: Base upon user feedback - this would measure if the questionnaire, the fall prevention toolbox and the types of resources available is considered valuable to the caregiver or their loved ones.
Ongoing measures: View number of downloads to see if there has been an increase and in what areas of the world. See if Healthcare providers find increase offerings of services with app use. Look at data of recorded fall incidences within the app to see if interventions decrease incidence

What are your immediate next steps after the challenge?

Create a functional version of the the app with continual testing with user groups for UX/UI redesigns.
Develop a browser based site and have that available for testing.
Get in contact with like-minded individuals who want to contribute to building the entire app and website and stakeholders that would like to invest in the app's product features.

32 comments

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Photo of Bettina Fliegel
Team

Hi Joy.
The updates look great. I think that the Fall Prevention Checklist and Interventions being available as audio as well as a visual guide is a great idea!

Photo of Joy_Chokchai
Team

Hello Bettina!

Thank you for your feedback. I hope that having multiple options for the user will allow them to utilize the Fall Prevention Toolkit to it's utmost potential.

Photo of Kate Rushton
Team

Hi Joy

Thank you for all your hard work in this challenge and dedication.

All of the ideas posts are locked but the comments section is still open, so please feel free to look at other ideas and comment on them, seek feedback on your idea etc.

I know I have asked many ideators this question but I am asking again as some ideas pivoting in the challenge. Would you say your idea is Most Viable or Most Promising? How would the incentives associated with that Award (Most Viable/Most Promising) be helpful for you?

Photo of Joy_Chokchai
Team

Hello Kate!

Thank you for guiding us during these phases!

I believe that my contribution would be considered Most Viable. The incentives associated with the Award would assist me in finding a developer and providers to sign up to the in-app messaging service. I am in contact with a couple of interested candidates that would like to help create the app.

Photo of Anne-Laure Fayard
Team

Joy_Chokchai Great updates! I really find the personas useful and I love the wireframes. I'm wondering if you had a chance to test the idea with potential users to see what are the services they find most useful. Indeed reading your question about "what else to add?" I wonder "what should you keep for sure?". It seems that there are already a lot of information and services available at this point and if you were to pilot you might need to focus on one aspect first. What would it be? Regarding the questionnaire, I agree that you will need to put a lot of time in crafting it so that it does not sound too medical. Bettina Fliegel 's point about questions is important to keep in mind. It might be the care advocate is not aware of the needs and you need to help them figure it out. I remember Dawn Feldthouse and her team in a Design Jam we organized for this challenge had developed a questionnaire and they focused on how to frame the questions . Maybe she still have them. One more point: you mentioned that the app and I think it is important in order to make sure that everyone can use it. However, I wonder who would bear the cost of creating it and updating it. I'm glad the 2 refinement pop ups of NYC OpenIDEO Chapter  were useful. Sorry for missing the second one. Good luck with the next steps!

Photo of Joy_Chokchai
Team

Thank you Anne-Laure for the well wishes! Great questions, I'll try to elaborate more below:

As for as initial app features, the NYC OpenIDEO Chapter members at the meet-up definitely thought the questionnaire was valuable and that the questions will just need to be tailored so that it was more general user-centric. Along with the questionnaire, the Fall Prevention Toolkit and the Resource Search would be the features that I would be focused in creating for the first release.

For the cost, I would reach out and try to network with people that like to help fund the project. Or perhaps, I can find a developer that would like to work on the project as a collaborator. Updates to the Resource search would need to be completed within reasonable timeframes of funding.

Photo of Khuyen Bui Gia
Team

Hi Joy!
Congratulation for making this far! Have you had the chance to work on this idea, and if so what feedback have you got? You mentioned creating a mock-up - how could the community help you with that? I thought another easy next step is to include an user journey - you can read more about it here https://d3gxp3iknbs7bs.cloudfront.net/attachments/bda1f109-0466-4f8e-9699-1359e406df56.pdf

You might also want to look at the The 360/365 Caregiver Monitoring Model which also gears towards Care Advocates.

Photo of Joy_Chokchai
Team

Hello Khuyen!

Thank you for viewing my idea! I just updated the post with user journeys and wireframes and I hope to get feedback for the latest iterations.

Photo of Malvi
Team

Hey Joy!
i just loved the idea, its an absolutely amazing idea. I am waiting to get onto it. I am sure you would have thought of it in depth and you practically can not address everything here. But my little question was how do you plan to spread a word about this in the market? Like I got to know about this, here on OpenIDEO, but how would my other loved ones sitting back home get to know that this exists?

Photo of Joy_Chokchai
Team

Hello Malvi!

Thank you for checking out my contribution and for your question! I think that initially it would be helpful to introduce the app via AARP magazine, the AARP website, and once it is in the app store for Android/iOS/etc, it would get more traction in terms of exposure. I hope that after users get a chance to use it and see the benefits of the features that word of mouth will drive more downloads.

What would you suggest as other avenues of app exposure?

Photo of Kate Rushton
Team

Hi Joy,

We are half-way through the refinement phase and I can’t wait to see continued updates on your idea. More information can be found in the refinement toolkit which can be found at the top of the refinement phase page.

An easy first step is to complete the refinement questions which can be found by logging into your OpenIDEO account and selecting the ‘Edit Contribution’ button on the top left hand corner.

If you scroll down to the bottom, you can see the five added questions with a character limit (including spaces) to help you focus your answer. The questions start with "How would you describe this idea while in an elevator with someone? (what's the elevator pitch for this idea?) - 400 character limit"

In addition to answering these questions it would be helpful if you could mention how your solution fits in the market in the ‘full description’ section of your post. Who are your competitors and how is your idea unique?

If you have any questions, please feel free to reach out to me, my email address is krushton@ideo.com

Hope to see you on the refinement call this Friday at 9 am PST.

Photo of Joy_Chokchai
Team

Hi Kate!

Thank you for your comment. I am working on updating my contribution with the items listed from the Refinement toolbox and also a mockup of the app, user journeys and insights from the OpenIDEO NYC Chapter pop-up we had a couple of weeks ago.

I look forward to joining the call this Friday!

Photo of eldy wullur
Team

Hi Joy,
Early warning for prevention is very important. For that Information and evaluation is necessary, and that's what you offer.

Photo of Joy_Chokchai
Team

Hi Eldy,

Thank for reviewing my contribution! I hope to have an interactive mockup posted soon so I can get feedback from the OpenIDEO community.

Thank you!

Photo of Kate Rushton
Team

Hi Joy!

Great to see you in the refinement phase!

There are a few finalist ideas from previous innovation challenges that might be a source of inspiration:

WiseGranny from the Healthy Lives Challenge because it has an interesting display of user feedback and user profile and I think there are some analogies between your idea and this one - https://challenges.openideo.com/challenge/healthy-lives/top-ideas/economias-colaborativas-de-la-abuela

I can also see a connection to Respite Care from our End of Life challenge which has a clear user journey - https://challenges.openideo.com/challenge/end-of-life/top-ideas/respite-care-share

Photo of Simi
Team

Great idea Joy! I like that you have expanded the conversation to families, caretakers, and other concerned individuals

Photo of Joy_Chokchai
Team

Thank you Simi! I hope that with a family or friend's involvement, that the person with a fall risk will be able to get that risk addressed sooner than later.

Photo of Mussa Gunda
Team

very nice mock Joy, keep it up

Photo of Joy_Chokchai
Team

Thank you Mussa! I hope to see your continual feedback as the Refinement phase progresses. :)

Photo of Anne-Laure Fayard
Team

Hey Joy congrats. Bettina Fliegel and I were discussing the possibility of doing a refinement workshop for NY based ideas which are in refinement - yours' , Bettina's and Rodney Lobo "s. I could create an event on the OpenIDEO NYC Chapter page. Thoughts?

Photo of Joy_Chokchai
Team

Hi Anne-Laure!

Thank you very much, I replied to the NYC Chapter page and yes, I think that's a great idea to come together and work on our refinements. Thanks again!

Photo of Bettina Fliegel
Team

Joy,
Great idea. Have you considered a social aspect to the app so that advocates/caregivers might share information, tips, support each other?

When you visit the senior centers are you planning to share a fall prevention checklist to get feedback as well? It would be interesting to learn whether they are aware of this tool and if so have they used it?
Can you share the risk Assessment tool you plan to use in the post?

In terms of resources, I discovered this website/magazine that has some great local NYC resources listed. http://nyforseniors.com
Sharing information on transportation options for access to medical appointments might be helpful.
 http://nyforseniors.com/lifestyle/national-medtrans-network

Photo of Anne-Laure Fayard
Team

Joy congrats on making it to refinement. Bettina Fliegel contacted you on the OpenIDEO NYC chapter page to invite you to organize a refinement workshop to work on your idea, her idea and Rodney Lobo and team idea. I know you're traveling, let us know when you're back.

Photo of Kate Rushton
Team

Hi Joy!

Thank you for posting your idea in the challenge. It might be worth you considering that United Healthcare is one of the sponsors for this challenge.

Could there be a website/paper alternative for this?

You might want to check out this post in the research phase by Bettina Fliegel on Checklists and Other Tools and the idea Caregiving in Action - all of these ideators are based in New York

There is also Publicize and disseminate a check list. that might be worth connecting to

Photo of Joy_Chokchai
Team

Hello Kate!

Thanks for reviewing my idea. I think it would be great to have a website to go along with the mobile app, especially for those that do not have access or do not want to use a smart phone.

Thanks for the suggested posts! Will definitely check them out and connect with the contributors.

Photo of Anne-Laure Fayard
Team

Hi Joy,

Great idea. I like how you focused on caregivers and access to information. The posts mentioned by Kate Rushton are indeed very relevant to your idea. I was also thinking of Dawn Feldthouse and team idea - in particular the assessment part is very relevant to your idea: https://challenges.openideo.com/challenge/fall-prevention/ideas/interconnected

You might also find this other idea interesting: https://challenges.openideo.com/challenge/fall-prevention/ideas/stand-com-a-digital-product-to-help-people-who-have-fallen-idea-update

Looking forward to seeing your idea evolve. If you were interested in getting some help or feedback from the OpenIDEO NYC Chapter, please make an explicit ask on the OpenIDEO Chapter Platform (where you posted the link to your idea). Also let me know as I would send an email to all and ask interested people to contact you so that you can organize a meeting with them and explore further the possibility of a collaboration.

Photo of Joy_Chokchai
Team

Hi Anne-Laure!

Thank you for taking the time to review my contribution. I think it would be awesome to collaborate with the NYC teams with their great ideas. I will make a request for feedback on the NYC Chapter page and if you could please send out an email to those interested in collaboration, it would be greatly appreciated!

Photo of Anne-Laure Fayard
Team

Thanks Joy. I will be happy to share an email to the OpenIDEO NYC Chapter. Also if you are interested, tomorrow students in my design thinking class who have been working on the Fall Prevention Challenge will do their final presentations. You're welcome to join. I'm sure they will enjoy your feedback. Let me know if you're interested and I can send you the address (we'll meet at NYU School of Engineering in Brooklyn).

Photo of Dawn Feldthouse
Team

Hello Anne-Laure Fayard ,

Thank you for tagging me in this thread. Joy 's idea is very similar/complementary to my team's idea, Interconnected. Tools to help people identify and address each others needs in an objective way is a great way to help people overcome the challenge of confronting such issues within close personal relationships. It is uncomfortable to point out other people's "flaws" or "shortcomings," especially if you are close with them. Having an objective assessment tool alleviates that pain point.

Photo of DeletedUser
Team

DeletedUser

Like your idea - And hope you will check out mine at https://challenges.openideo.com/challenge/fall-prevention/ideas/adding-send-summon-and-remote-patient-monitoring-to-self-lift-transfer-bedside-commode

Very inspired by the ingenuity being shared on this site. I know that for years, clinicians have been skeptical of using equipment design or technology to address their care challenges. Now that the demographics are bringing family caregivers into this question in a major way, hope that the IDEO approach can help to encourage use of ALL the tools available.

Photo of Joy_Chokchai
Team

Hi Peg!

Thank you for reading my contribution. I will definitely head over to check out yours.

Yes, I totally agree regarding the ingenuity of all on this site! I think that the inclusion of family/caregivers are significant, since their participation in the wellness of their loved ones is crucial and should not just be left to the Provider. The needs of these patients and advocates should drive the products that the healthcare industry delivers.

Photo of DeletedUser
Team

DeletedUser

You are absolutely right. Way too much about healthcare is discussed, debated, developed and decided with no one thinking about the impact on the families. For far too long, the health systems have taken the families for granted, just assuming that we will turn ourselves into pretzels as they minimize re-admissions, reduce lengths of stay. They will rue the day as the caregiver ratio sours and they find reality falling far short of their projections. Yes, we need them. But they also NEED US to be willing and able partners. Giving us innovative design for transfer/lifting will go a long way towards helping us to help our loved ones, improving the caregiving experience for paid and unpaid caregivers alike!