CASE 04 · ALVA HEALTHCASE 04 · ALVA HEALTH · LONDON

Where the design story began.

ROLE
Researcher, designer, maker
TIMELINE
2020-2023
ORIGIN
MRes, Royal College of Art & Imperial College London

CONTEXT

Asthma affects around eight million people in the UK, yet its management is usually reduced to an inhaler and an annual review. Alva began as my MRes major project at the Royal College of Art and Imperial College London: human-centred research into what living with asthma actually demands, and what lies beyond the prescription.

THE QUESTION

“How might we improve the experience of people living with asthma through design research?”

THE RESEARCH QUESTION · MRES DISSERTATION · ROYAL COLLEGE OF ART · MAY 2022

THE RESEARCH

Lived experience first.

A literature review, a social media review and an industry benchmark defined six problem domains. I explored them in semi-structured interviews with people living with asthma, which framed two design problem statements.

Co-design, then clinicians.

Participants generated solutions with me in a creative workshop, and semi-structured interviews brought in the perspective of clinicians.

Three prototypes, tested.

I turned those insights into three solution prototypes, tested them with participants and synthesised the feedback through thematic analysis.

The system around the patient.

A stakeholder map placed the solution in its wider healthcare context, the Evidence-Based Medicine framework assessed its technical readiness, and moonshot thinking with backcasting defined what it could be today and in the future.

FROM THE DISSERTATION

These extracts describe the design research process: how the question was framed, explored with people living with asthma and with clinicians, prototyped, tested and reframed into a solution.

Dissertation cover: How might we improve the experience of people living with asthma through design research? Royal College of Art, May 2022
MRES DISSERTATION · RCA & IMPERIAL · 2022
Blow study recruitment website, the homepage of blow.health in May 2022: Improving the experience of people living with asthma, with a Participate in the study button
BLOW STUDY · RECRUITMENT WEBSITE · 2022BLOW STUDY · RECRUITMENT WEBSITE · BLOW.HEALTH · 2022
The project research methodology in hindsight: a chain of diamonds from social media review, literature review and benchmark through interviews, a creative workshop, doctors' interviews, prototypes and testing to feasibility analysis, strategic reframing and moonshot thinking, with solution-oriented design and constant problem definition running in opposite directions
THE RESEARCH METHODOLOGY IN HINDSIGHTTHE RESEARCH METHODOLOGY IN HINDSIGHT · SOLUTION-ORIENTED DESIGN, CONSTANT PROBLEM DEFINITION
Final reframing of the solution: a patient-facing interface built around self-awareness and educational resources, and a clinician-facing interface built around sharing results with the GP, mapped as main functionalities, subsequent functionalities and important characteristics
FINAL REFRAMING OF THE SOLUTION · PATIENT AND CLINICIAN INTERFACESFINAL REFRAMING OF THE SOLUTION · PATIENT-FACING AND CLINICIAN-FACING INTERFACES
Storyboard for prototype 3, evolutive personalised asthma care: a patient records symptoms and peak flow on her phone, receives advice, and shares a summary report with her GP
PROTOTYPE 3 · EVOLUTIVE PERSONALISED CARE · STORYBOARDPROTOTYPE 3 · EVOLUTIVE PERSONALISED ASTHMA CARE · STORYBOARD

FROM RESEARCH TO PRODUCT

The research identified needs no inhaler addresses, and became a real product: a lifestyle-based asthma management app built on breathing exercises, physical activity and nutrition, grounded in behavioural science and delivering evidence-based, personalised feedback. Its core loop is simple: record a peak-flow baseline, change one thing in your life, and see with objective data whether it made a difference, while a trigger journal maps what sets symptoms off.

Dashboard: update your profile, start a baseline recording or a trigger journal
Baseline period: what peak flow is and how to take a reading
Lifestyle challenge: check if a lifestyle change improves your breathing
Peak flow charts during a lifestyle challenge
Peak flow over time, baseline against lifestyle change
WEB APP MVP · DASHBOARD · BASELINE · LIFESTYLE CHALLENGE · PEAK FLOW
Challenge results: average peak flow and the chance the difference is not due to the change
How to use your trigger journal
Adding a trigger: dust mites, pollen, infection, acid reflux, tobacco smoke
Trigger journal analysis: recorded triggers and average peak flow by trigger
Map of where triggers were recorded
CHALLENGE RESULTS · TRIGGER JOURNAL · ADD A TRIGGER · TRIGGER ANALYSIS · TRIGGER MAP

WEB APP MVP · 10 SCREENS · SWIPE TO SEE MORE

THE CRAFT

Alva is the project where I became a designer in practice as well as in training. I created the complete brand, logo, visual identity and product design, and carried the same hand through every screen. It also produced a framework I still use: the Six Lenses of Healthcare Integrated Human-Centred Design, which asks whether a solution is desirable for patients and clinicians, feasible medically and technically, and viable for patients and the healthcare system.

The Six Lenses of Healthcare Integrated Human-Centred Design: feasibility (medical, technical), viability (healthcare system, patients) and desirability (clinicians, patients)
THE SIX LENSES OF HEALTHCARE INTEGRATED HCD
ALVA WORDMARK · BRAND AND PRODUCT DESIGN

REFLECTION

Everything since runs through Alva: the conviction that rigorous research and careful craft belong in medicine, and the proof that a clinician can carry an idea from first interview to shipped product.