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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.


Join the conversation:

Photo of Bettina Fliegel

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

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.

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