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Timeline-based To-do Lists for the Prenatal-through-Postnatal Experience

Restructuring complex info into timely task-based lists can simplify and reduce mental load throughout this often overwhelming journey.

Photo of Anna Lee

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In no more than 3 sentences, please tell us who your idea is designed for and how it reimagines the new life experience.

This idea is designed to provide free content to organizations that target expectant parents in the United States, specifically under-resourced end-users. Recognizing that mental load (aka cognitive load) is a significant barrier to entry in navigating a complex/ fractured healthcare system, this idea takes a user-centered approach to information delivery to structure info 1) as tasks, 2) progressively disclosed as needed, and 3) in a single, accessible, location with open-sourced content.

Imagine this

  • Your office has just received a new model printer, with numerous advanced features. You need to print out some documents urgently, and don’t know how to use the new machine. There is a thick user manual detailing all the features and how to troubleshoot, and a 1-page, 3-step Quick Start Guide. Where do you turn first?
  • You’ve just landed in a foreign country where you will be living for several years. You’re hungry and tired, but you have no local currency and do not speak the local language. Which should you open first: your travel guide with sections on banking, restaurants and helpful phrases? Or your textbook about the region’s history and economy?


Planning a journey
For many, the transition from pregnancy through to parenthood is like a being given a complicated new appliance with no clear instructions, or embarking on a journey to a new land without an appropriate guidebook.

Of course, it helps to have information about what the future holds, and much of that is already freely available via various media and languages scattered across the Internet. But, for parents, the path of nurturing a healthy baby through pregnancy and birth requires not only information, but support in turning that information into particular actions and new habits -- relating to insurance, medical appointments, personal health, employment, etc. -- at specific and repeated times throughout the journey. Research has shown that, for the under-resourced in particular -- and this may include anyone lacking time, social support or mental/physical wellness in addition to those lacking financial resource -- the stress of thinking about and dealing with scarcity leaves very little mental space to learn new information or put it into practice.

Health and community advocates across the U.S. are doing hard work compiling and communicating this information to their constituents, but could they benefit from consolidating their efforts?

Task lists organized by timeline

This idea proposal would take already-existing informational resources about the prenatal-through-postnatal journey -- sourced from non-advertising-influenced organizations (government agencies, NGO's, patient and community advocates, etc.)  -- and re-write and re-organize them into timely, task-based lists...

[.... You can read the rest of this proposal at GitHub here ...]

https://github.com/annamatic/OpenIDEO/blob/master/maternal-health.md

and in the attached document 'OpenIDEO Maternal Health Challenge - Anna Lee' in both Word and pdf form

At what stage is your idea?

  • Research & Early Testing: I am exploring my idea, gathering the inspiration and information I need to test it with real users.

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

I prototyped an early [undesigned] stage of the site on Github: https://github.com/annamatic/Bean2Baby/blob/master/ReadMe.md https://github.com/annamatic/Bean2Baby/blob/master/1stTrimester-ToDo.md https://github.com/annamatic/Bean2Baby/blob/master/Resources.md I anticipate that this type of site would ultimately need to live on a platform that is more accessible to my intended audience -- Github can be very offputting to non-coders -- but I'm using Github for now because its free and quick!

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

*Content development and editing: Advice from health ed., community advocates, medical/nursing professionals, and instructional design experts concerning what Task topics to develop and how best to edit the writing for under-resourced audiences, especially those with critical needs. *Product/project management: I think this idea would develop best under the auspices of a patient/health/community advocacy organization, as I lack resources to carry it forward on my own.

Tell us about your work experience:

I am a mom with 5 years experience, and a freelance UI/UX designer with 17 years experience in visual communication and interaction design for advertising, marketing, branding and web.

This idea emerged from...

  • An Individual

Are you an expecting, new, or experienced mom?

  • yes

Are you a healthcare practitioner?

  • no

Are you a current employee of UCB Pharmaceuticals or Sutter Health?

  • no

How would you describe this idea (in 2-3 sentences) while in an elevator with someone?

I’m working on a "quick start" guide to help under-resourced new and expecting parents in the U.S. These tightly-edited To-Do Lists will be developed in collaboration with health/community advocacy organizations and support their efforts to deliver clear, concise, *actionable* perinatal education to their constituents.

What is the specific problem your idea is trying to solve? 1 sentence.

Many health/community advocacy organizations that work with under-served populations find they have to tailor their perinatal education materials to suit their clients' marginalized needs, yet these wonderful organizations are often working in silos, duplicating their research and writing efforts. I’d like to support them in content development by setting up an Open Education Resource, where content is specifically developed with the "overwhelmed, under-resourced" mom in mind.

How has your idea improved or evolved throughout the Refinement Phase?

I’ve focused on limiting the scope of this project, while ensuring that it is open to future partnerships and developments. Therefore, I’d like this OpenIDEO idea to focus on 2 things: 1) developing and tightly editing “starter” content and guidelines and 2) implementing the content in an Open Education Resource environment and/or with free non-commercial license. For now, I would like to leave off potential extensions — such as content delivery channels, mobile apps, printables -- as those are ideas that are reliant on the need to develop content firstly. I've clarified how this idea is centered on the need for specifically written/structured content to serve the needs of those who are mentally taxed and overwhelmed. To address marketing and dissemination, I would like to make contact with those in the Open Education Resources community. I would like to reach out to perinatal health education partners -- particularly those who serve under-resourced moms -- to see how that might be achieved. I am doing some preliminary online research about best practices for instructional design. I am doing some online research about ways to invite and encourage collaboration using Open Education platforms, non-commercial Creative Commons licenses, and open source platforms. I have spoken to three mentors, Stefanie Boltz (Senior Program Manager, Innovating Education in Reproductive Health), Kendra Smith (Editor, Healthline) and Kay Matthews (Founder, Shades of Blue). Through these meetings, I have learned that there is indeed a need for this kind of support among health and community advocacies — groups who are doing hard work “on the ground” and have developed expertise in helping under-resourced expecting parents get to the resources they need. Therefore, I am considering this group my primary audience.

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

I will look to feedback from partners to see whether this idea is having its intended effect.

What are your immediate next steps after the challenge?

I don’t have personal resources to conduct this project entirely on my own, so after setting up the basic structure and guidelines, I would like to reach out to health/community advocacy partners -- perhaps gather a small group of contributors and moderators -- who could help host and manage this resource going forward.

How is your idea different or unique from what is currently on the market?

The existing resource that most closely matches this idea is Text4Baby, who have simplified a tremendous amount of perinatal health information from a consortium of reputable sources into an accessible format that resists information overload or commercialization. I think it would be very beneficial to many local organizations if the content were easier to access ("open"). This would allow organizations that serve people with different needs to tailor it as needed.

25 comments

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Photo of Kate Rushton
Team

Hi Anna Lee 

The refinement phase closes on Nov 5 at 3:00pm PST. Please reach out to me if you have any questions at all.

I have included your 'OpenIDEO Maternal Health Challenge' document as an attachment. It is in both word and pdf formats.

Have a lovely weekend!

Photo of Anna Lee
Team

Thanks, Kate Rushton !

Photo of Kate Rushton
Team

HI Anna Lee 

Is this the correct version of your idea?

Feel free to send me any documents or information and I can upload it via the backend of the website?

Kate - krushton@ideo.com

Photo of Anna Lee
Team

Hi Kate Rushton ! Thanks, yes this is close to what I had. I will finish editing it offline and email it to you as a Word doc. I was running into problems every time I tried to delete and re-upload new images. Thanks so much!

Photo of Anna Lee
Team

@Kate Rushton Hi! I decided to write the proposal out on GitHub, and provided a link within the Full Description Is that alright? I would put it all on OpenIDEO, but I have been unable to upload images Please let me know if I should do something different. I can email you the Word file, if the GitHub link is not sufficient. https://github.com/annamatic/OpenIDEO/blob/master/maternal-health.md

Photo of Kate Rushton
Team

Hi Anna,

My suggestion is to do both if you can and include the github link and send me the word file to as an attachment to your submission.

Photo of Anna Lee
Team

Kate Rushton  Hi! I've edited the submission, but for the "Full Description" part, I sent you a Word document via email, and included the link to Github above. I was unable to upload the Word file via attachment for some reason :-( Please let me know if you don't receive it or I should try something else! Thanks!

Photo of Susan Donahoe
Team

AND Catalyst Project could use it! : )

Photo of Kate Rushton
Team

Hi Anna,

I would recommend including this comment from Susan. Please contact me if you have any questions.

Photo of Kate Rushton
Team

Hi Anna Lee,

It is great to see all the progress on your idea. There are 11 days left in the refinement phase.

Please reach out to me with any questions you have.

My tip is to incorporate any relevant information in the comments section for your idea into your main idea submission. Then anyone glancing over your idea submission can quickly understand what your idea is about and all the key information they need to know.

Photo of Anna Lee
Team

Hi Kate Rushton  Not sure if this is the right place to reach out ~ I seem to have a problem updating the proposal on the OpenIDEO portal. In my last update, the first half of the text in the "Full Description" section has disappeared! Is there a way to go back to the LAST saved version? I'm afraid it's been edited on OpenIDEO quite a bit since the last version I have on my hard-drive (I know, I know...). I don't know if I'll have time to re-write it all again. If it matters, I'm working on Firefox/Mac OSX, from GMT+8 (China Standard Time) time zone. I don't know if I'm experiencing a unique problem when the contents of the text entry field appears to spontaneously revert a previous version before I have a chance to save...

Photo of Kate Rushton
Team

Hi Anna,

I am going to investigate this with our IT department.

Feel free to send me an email with any information that you want uploading onto your idea submission - krushton@ideo.com.

If you would publish your idea, I think this would help the IT department quickly find your idea.

Photo of Kate Rushton
Team

Hi Anna,

What was the date when the idea had the full text (before the text loses)? Then IT can try to restore the content.

Please do send me a message with any questions.

Photo of Anna Lee
Team

Kate Rushton Do you mean the date before the text loss? I am located in GMT +8 time zone (a day ahead of you), but your content management system probably uses the same timestamps as posted on these comments. So I would say that anything posted at or before 18:00 Oct 29, 2017 (your time) should be good... Thanks so much!

Photo of Kate Rushton
Team

Hi Anna Lee,

I hope you are having a nice weekend.

When you press the ‘Edit Contribution’ button on your idea submission you will be able to see the questions for the refinement phase when you scroll down. You can only do this if you are signed into your OpenIDEO account.

What other products are there on the market? How could this be differentiated? If you could focus on one chronic disease for this solution, which one would it be? What could be an add-on for the to-do lists?

There are a few ideas from previous challenge that might be a source of inspiration in the refinement phase:

Cobuy - Group buying software that helps people buy good food at good prices, together. - https://challenges.openideo.com/challenge/food-waste/top-ideas/cobuy-group-buying-software-that-helps-people-buy-good-food-at-good-prices-together - really highlights their Unique Selling Point

The small print - financial contract translator - https://challenges.openideo.com/challenge/financial-empowerment-challenge - is an interesting way of displaying technical information in an easily digestible form

Photo of Kate Rushton
Team

If you wanted to focus on the example of a pregnant or expectant mom with arthritis for testing and feedback - Pregnancy & Parenting with Arthritis by Laurie Proulx might be a valuable resource and could be a good way to get questions and answers for your app.

Photo of Bettina Fliegel
Team

Hi Anna Lee.
Great idea! Thanks for sharing it here.
As you mention some users may not have computers, printers, or internet access at home. As a mechanism to get Lists to users I wonder if targeting health care providers/clinics, or services such as WIC that low income women access during pregnancy, as partners, might be a way to connect them to this resource?
http://americanpregnancy.org/planning/wic/

Photo of Anna Lee
Team

Thanks for raising this point, Bettina! While this idea proposal mostly focuses on using an open source framework to develop reliable and free content, conducting outreach to deliver the information where it's needed is so so so important. As free, non-licensed content, any organization -- whether it's a public WIC office, community health clinics, public library, coffeeshop, laundromat -- should feel free to customize the Lists, print them out and distribute them, even co-brand them if they want. It would definitely be effective to target WIC services to raise awareness of this resource, especially since not only can they be involved in customizing content (a local WIC office can update the local To-do List w/ local resources for groceries, breastfeeding support, etc), they can also distribute it to those who most need it!

Photo of Bettina Fliegel
Team

Hi Anna Lee. Congrats on moving the idea into Refinement!

I like your suggestion that organizations might co-brand these lists. I wonder if that might be a motivating factor for them to use them? I agree this would be a great way to create a path to access the Lists! I wonder if medical providers might use them as tools to help their patients organize important information?

How might vulnerable moms gain access and also basic info on what these Lists are, and how to use them to their benefit? One of the strengths of the text4baby program, developed to get vital info to under-resourced moms, is their extensive network of 700 + partners which gets the tool to the target group. ( I wrote about text4baby during the research phase. https://challenges.openideo.com/challenge/new-life/research/text4baby)

Several years ago the authors of the What To Expect Book started a foundation. They developed a book, also a month to month guide to pregnancy, "Baby Basics", for vulnerable moms with low literacy, to empower and educate. They have gone on to develop a program The Baby Club, and also other materials. One of the materials is a paper pregnancy planner. Maybe there are some learnings here?
https://www.whattoexpect.org/what-we-do/baby-basics/materials

Looking forward to watching your idea develop!

Photo of Kate Rushton
Team

Hi Anna,

Congratulations on making it to the refinement phase!

Please tag me here with questions using '@' followed by my name (Kate Rushton).

Photo of OpenIDEO
Team

Hi Anna Lee !

Congratulations on being today's featured contribution!

Photo of Arjan Tupan
Team

Wow, what a detailed an great idea. You might want to check out the babycenter website. You might already know it, but they have something similar. They send out a weekly newsletter that actually follows the development of your baby, and then your newborn. It provides info on developmental steps, what to look out for and what to expect. See https://www.babycenter.com/

Photo of Anna Lee
Team

Hi Arjan! Thanks for your feedback! When I was pregnant, I did sign up for the Babycenter newsletter; thanks for the reminder! I loved the updates telling me what was going on inside my body, and thought it would be great to have something similar that is more action-oriented, telling users what to do and where to go locally... I'll edit the post to include the idea of disseminating this info by emailed newsletter, that is also a good way to segment and deliver regionally specific and time sensitive information.

Photo of Kate Rushton
Team

Hi Anna!

It is great to see you in the challenge and thank you for posting this. Great designs! Great explanation!

What knowledge would be needed for people moderating the open-sourced community? Could you see a role for Sutter Health or UCB in the creation of content and material?

You might want to check out to posts in the research phase - Assessment for pregnant moms and Moms new to the US 

Photo of Anna Lee
Team

Hi Kate!
Thanks for your comment! Re your question "What knowledge would be needed for people moderating the open-sourced community?" I think from a technical standpoint it would first depend on which platform the Bean2Baby idea would be implemented on. I've chosen GitHub to prototype the idea since this was the easiest way for me, but an equally good argument could be made for putting the content on Wikipedia, on a Wordpress blog, on Wikipedia's OurProject.org, or some other open source content platform that I haven’t heard of (welcoming suggestions!) If Bean2Baby were to live on Github, then I think there would need to someone who is familiar in working in that type of version controlled environment (not necessarily fluent in any programming language, but someone with a content management skill set who can maintain standards (for ex. “only link to government or NGO entities, always open in a new window, enter new to-do items in the form of an action verb + information, etc”)), who can promote the To-Do Lists to other health organizations and advise them on how to customize them. I think Sutter Health could definitely be the initial content provider for the first iteration of this idea, as well has perhaps contributing personnel or funds towards the maintenance of the site over time.