OpenIDEO is an open innovation platform. Join our global community to solve big challenges for social good. Sign Up / Login or Learn more

Fortify your life: The Guideline Toolkit

As we grow older, we experience lots of changes in our body’s function and appearance. It means we need to change our environment as we age.

Photo of Tein Jung
8 4

Written by

What challenges or opportunities are you trying to address within the problem? (200 characters or less)

This guideline toolkit helps the caregivers and patients find the hidden dangers in their environment and everyday hazards of daily life, and it helps reduce the potential for devastating falls.

The elderly are accustomed to the environment where they live. And it makes them blind to the risks around them.

This guideline toolkit helps the caregivers and patients find the hidden dangers in their environment and everyday hazards of daily life, and it helps reduce the potential for devastating falls. 

Also, it can inspire caregivers and patients to re-design their environment. Small changes such as installing a grab bar on the wall or adjusting seat height or angle can improve daily living.

Often, osteoporosis goes un-noticed until an individual sustains a bone fracture from a fall. These falls can cause serious problems, including death. Prevention is the best way to protect against this silent disease. 

There are 3 types of risk factors that can lead to falls in the elderly. 

  • Health-based risks:
    These include balance problems, weakness, chronic illnesses, vision problems, and medication side-effects. Also, Alzheimer’s disease, diabetes, and low blood pressure are risk factors for falling.
  • Environmental risks: These are things like home hazards (e.g. loose throw rugs, dim lights, the height of chair), outside hazards, or risky footwear (e.g. high heels). This category can also include improper use of a walker, cane, or other assistive devices. 
  • Triggers: These are the sudden or occasional events that cause a challenge to balance or strength.  They can be things like a strong dog pulling on a leash or even health-related events like a moment of low blood sugar (hypoglycemia) in a person with diabetes.

There are lots of various reasons for fractures caused by falls, and I’ve considered environmental risks. If we provide comprehensive information with a guideline toolkit about re-designing the environment(place) around a patient, it can help patients and caregivers recognize the risks. Using this guideline toolkit, they can personalize solutions for their own needs.

After the refinement phase 

<Fortify your life> was started from helping patients discover the environmental risks and improve them. But after digging further into this project, and reading the patient’s interview compilation, I realized that we need to be considerate of the patients can accept that they can accept their physical, emotional, social changes.  

I think these patients wanted to know what's going on with their bodies and required resources for self-education. So I tried to develop comprehensive information to be practical to implement. 

 This will decreases patients’ fear and increase their awareness.

<Fortify your life> is made of two categories : 

  • Comprehensive information: Integrate information about osteoporosis, diet, medicine, related support groups, hospitals, and nurses near you.
  • Guideline toolkit: Checklists and suggestions with images to promote help to visual-thinking. It allows the patient to discover environmental risks. 

<Fortify your life> can be distributed from local senior centers and libraries, and it can be used in education programs in the hospital. Also, it can be downloaded or used online. And it provides connections to vendors through curation services on online, simplifying the process of purchasing assistive devices and support.

Who is your target end user and why will they be interested? (650 characters or less)

My grandmother has osteoporosis. Unfortunately, she experienced three fractures and they were caused for different reasons. Thinking backward, if we’d recognized her movement and the environment, her first fracture could have been prevented. Her fall was caused by a slip in the bathroom. But even though my grandmother has osteoporosis, I didn’t realize how many people have osteoporosis before this challenge. Now I know there are many people who are like my grandmother, and I hope the guideline toolkit can deliver some insight and practical changes to family members, patients, and caregivers about the patient’s environment.

How is your idea scaleable? (650 characters or less)

This useful and practical guideline toolkit for daily life would be based on qualitative and quantitative research and analysis to generate appropriate suggestions for environmental modification. The guideline toolkit will be disseminated to people through published books, online files such as PDFs, and service on web-platform or mobile. Using web-platform we can provide the links of assistant products or nurse, local service for installation. Anyone who needs to integrate information, like patients and caregivers, can get the guideline at the hospital, community center or local senior center. Plus, they could download it from a website. The availability of the guideline is more economical and results in easy access to the information. Additional, having digital access creates the flexibility of information regularly.

What do/will you measure to know if your solution worked? (500 characters or less)

We can check how the patient’s environment was changed with the guideline toolkit, and compare the adjustment to the original environment. And we can survey patients and caregivers about their awareness of and experience with osteoporosis. Also, we can check how many people downloaded the PDFs on the web or analysis the web traffics including visitors and revisit rates. 

What is the current stage of development of your idea?

  • Blueprint: We are exploring the idea and gathering the inspiration and information we need to test it with real users.

If you were to become a Top Idea, would you want to actively participate in piloting your idea?

  • I want my idea piloted, but I’d prefer not to be involved in the pilot and prefer that the health system adopts my idea for piloting with assistance from the Challenge partner

Company / Organization Name, if applicable (140 characters or less)


Tell us about yourself or your team (500 characters or less)

I’m a freelance graphic designer who loves to explore new topics, fields, and challenges. I believe design thinking is a great methodology for solving problems, because it can help to gain new insights and allow new lenses for approaching challenges. Recently, I’ve been interested in infographics, data visualizations, and creating meaningful impact through visual storytelling.

Location (50 characters)

Berkeley, CA

What is your legal / organizational structure?

  • We are individuals

How did you hear about the Challenge?

  • OpenIDEO announcement email

Why are you participating in this Challenge?

I didn’t know how common is osteoporosis. After reading the brief, I just want to be a part of help for people who are like my grandmother.

How does your idea help more people who have had a first fracture either 1) discover they have osteoporosis or 2) access/navigate care?

The outcome likes handbook is a traditional and universal material but also it is essential and economical. And it is more familiar for the elderly. If it is widely distributed in places like senior centers, libraries, and online websites, it will raise awareness about the risk of osteoporosis for the general elderly population even before their first fracture. 

How is your idea new in the world or how does it build on existing interventions?

Although information about osteoporosis and the preventing fall at home guidelines for the patients exist, they are often hard to access. The patients or caregivers should look for and click several times for gathering the information what they need. My idea is to deliver comprehensive information and the guideline toolkit contains the visual components that will help to discover the hidden risks easier and make clear communication. While the initial version of the guideline toolkit will use the book format, it can be easily transformed and integrated into existing media such as a website or mobile app. This means that can be a part of established health programs, opening up a possibility to leverage the existing infrastructure and make the experience more interactive.

Please upload your journey map. Be sure your journey map shows when your user is introduced to the idea and when/how they access it, and illustrates which moments in the Challenge Journey Map your journey map touches.

Who did you test your idea with, what did you learn, and how did you evolve your concept?

When I brought my early prototype to various people in my community, I received feedback that it will be powerful to have a quick way to make practical changes in the patient’s lifestyle and environment based on the awareness learned from the guideline toolkit. From the interviews, I learned if we provide a curation service that brings connections to vendors of assistive devices, it can be a help to make changes in the patient's environment.  I shared my final prototype with a senior and two young people who are potential caregivers. I realized that even though the seniors are well-informed of the risk of falls at home, they did not take action to minimize the risk in their environment. I suspected that they needed help to move furniture or install devices.   On the other hand, young people did not know much about osteoporosis and the risks associated with the home environment. After learning the guidelines from , one person said that she will check her parent's house.  Also, I learned that the visual information in the guideline was crucial in raising awareness. 

(Optional) Share documentation of your solution prototyping and testing, such as photos.

My questions were : - Did you know the checklists for preventing fall at home exist? - If you knew it, did you apply it for your home environment? - Can you guess what kinds of information is included in this book(prototype) only by reading the ‘contents’? - Visual information in this book(prototype) is helpful for understanding and finding risks? - If you find several risks based on this checklists, can you tell me what is your next step? - Which view do you prefer, Bird view or 3D view

Please upload your Business Model Canvas


Join the conversation:

Photo of Manisha Laroia

Hi Tein Jung 
Hope your idea prototyping is on in full swing!
In gratitude and in support of your future work, we would like to invite you to join the final Innovation Coach Office Hours as you continue your innovation learning journey:

Make, Try, Show, Test, Build
Ashutosh Biltharia, Designer and Engineer, MFA, Interaction Design, Umea Institute of Design, Sweden. 10am PST August 5th.

Building Partnerships in Design
Susan Jackewicz, Principal at Takhi Associates, Boston, Massachusetts. 10am PST August 9th.

Love the Problem, Scale the Solution
Chris Cochella, Managing Partner at Sequoia Group, Salt Lake City, Utah. 9 am PST August 12th.

Sign up here to attend

Photo of Tein Jung

Hi Manisha,
I submitted the answer but I'm not sure you get it.
Unfortunately, I missed Ashutosh Biltharifor a's coaching. But I can make Susan and Chris's.
Thank you and have a beautiful day!


Photo of Manisha Laroia

Got it.
Will keep you updated on them!

Photo of Manisha Laroia

Hi Tein Jung 
It is lovely to have you contribute in the Ideas Phase of the Healthy Bones Challenge.
Thank you for sharing your grandmother's story and being inspired to create a solution.

A checklist for your reference. Please make sure your idea does the following:
1) Clearly define the problem with respect to Osteoporosis
2) Connects to at least one opportunity area
3) States how & when user accesses the solution
4) Tells the story
5) Adding Images or sketches add detail to your idea.

Please make any last minute tweaks you wish to, asap. Like adding IMAGES or changes in text.
The DEADLINE for idea submission is Wednesday July 3rd, 2019 5pm PST.

Let me know if you need anything.
All the best for the next phase of the challenge.

OpenIDEO Challenge Team

Photo of Tein Jung

Dear Manisha,

Thanks for your comment.
The checklist makes me re-think about my project. I will narrow down this idea and add details as soon as possible. I think I need to focus on the web platform, and then this guideline toolkit can connect with other areas.


Photo of Susan Jackewicz

Hi @Tein Jung 
Thanks for thinking of ways to prevent falls for other peoples' grandmothers (and others who might have already fallen!) There's quite a bit that's been done in fall prevention work (If you haven't seen it, the OpenIDEO Fall Prevention challenge from a little while back has some great info). With your idea, you've taken a personal family experience and are applying design thinking for some new solutions. Since this design brief calls for focus on people who've already fallen once, how might you refine the communication about how to ensure a safer environment at just the touchpoints you mentioned - printed materials at the hospital, plus community center and senior center distribution? With your interest in visual storytelling and data viz, how might you quickly get across the idea of linking a post-first fracture fall and the importance of a new awareness in the safety of a home environment?Best,
OpenIDEO Innovation Coach

Photo of Tein Jung

Dear @Susan,
Thanks for your comment.
I just checked the OpenIDEO Fall Prevention challenge, they seem accomplished great progress. I will look into them.
If we can bring the guideline onto the web, the touch points can be expended. Also, we can deliver the printed guideline toolkit by mail. (e.g, When driver license renewal for senior).I'm not sure I have the appropriate responses for your comments now, but I will do more research including the OpenIDEO Fall Prevention challenge and polish the idea.
Thanks again.

Photo of Susan Jackewicz

Tein Jung Great you're digging deeper! And thanks for posting your idea ahead of the deadline today. There's some interesting reading on the Fall Prevention Challenge - but you still have a unique idea in applying solutions for post-fracture care. Keep at it! You should be hearing from the OpenIDEO Team soon about Next Steps. Thanks!