“Switching on my ears” a case study: Designing a hand held device for bionic implant recipients

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A case study: Designing a hand held device for bionic implant recipients Matt Morphett [email protected] twitter: @mattmorphett Switching on My Ears Shane Morris [email protected] .au twitter: @shanemo Rami Banna [email protected]
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Designing a physical hand-held device presents a number of unique challenges. Designing that device predominantly for use by folks with impaired physical abilities introduces another layer of complexity. Ensuring that the experience is appropriate for an audience ranging from five year-old kids to ninety five year-old retirees while they control one of their primary senses is just downright difficult.Matt & Shane recently worked with Australian innovator and international success story Cochlear in design of a new device to help bionic ear implant recipients monitor and control their hearing. The design represented an evolution to a simpler more usable second-generation device.Matt & Shane are joined by Cochlear Technical Product Lead (and some time “User Fairy”) Rami Banna as they walk through key aspects of this project.Particular attention is given to:Design artefacts including wireframes and screen mock-ups illustrating the evolution from early design concepts through to refined user interface.The full UX lifecycle including; ethnographic research, iterative interaction design cycles and usability testing with real Cochlear implant recipients.The approach taken to coordinate a design exercise across multiple teams including; industrial design, ergonomics, electronics, software design, graphic design and small screen user interface design.The delicate balance required when attempting to improve a user experience without completely confounding the expectations of a large and vocal existing user-base.The objective of this case study is to provide conference delegates with genuine insight into the design process by exposing the methods but also by showing the actual designs at various points of their development.Along the way, we will detail the pitfalls encountered and outline the practical solutions that were applied. Processes and lessons learned are applicable across UX projects of all types, not just mobile and hand-held product design projects.

Transcript of “Switching on my ears” a case study: Designing a hand held device for bionic implant recipients

Page 1: “Switching on my ears” a case study: Designing a hand held device for bionic implant recipients

A case study: Designing a hand held device for bionic implant recipients

Matt [email protected]: @mattmorphett

Switching on My Ears

Shane [email protected]: @shanemo

Rami [email protected]

Page 2: “Switching on my ears” a case study: Designing a hand held device for bionic implant recipients

Rami 1 – Cochlear

14 in 1,000 adults (>16 years) are severely to profoundly deaf.

80 in 1,000 elderly adults (>70 years) are severely to profoundly deaf.

“We” have treated < 5% of prevalence

The

extent of

hearing

loss

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• Original creators and developers of multichannel cochlear implant technology

• Commitment to hearing innovation– Over 230,000 Cochlear and Baha

recipients worldwide– Partner with researchers in 19 countries

and more than 1000 clinics around the world

– R&D investment – $AUD 100 million in 2009.

• #1 choice of cochlear implant recipients1

• Baha® successfully used for >30 years

1. Hearing Aid Market Report 2010 Koncept Analytics

Cochlear™

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- Bernard Coen – FOX News Presenter, 40 Years

Page 5: “Switching on my ears” a case study: Designing a hand held device for bionic implant recipients

How does it work?

Cochlear™ Nucleus® 5 System

Nucleus CP810sound processor

NEW Nucleus CR110remote assistant

Custom Sound™ Suite 3.0

Nucleus CI512cochlear implant

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Limits to Growth?

Large install base

+Projected growth

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Limits to Growth?

Surgeon CI Audiologist

Before Implantation

CI Audiologist

After Implantation

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Limits to Growth?

Surgeon CI Audiologist

Before Implantation

CI Audiologist

After Implantation Home

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The Switch-On

• http://youtu.be/YWe6iJmHKUE

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The Business Requirement

Existing Requirements• Suit Wide Range of Users / Hearing Configurations• Cater For Many More Features Than There Are

Buttons• Be Smaller Than a Mobile• More Useful Than a Credit Card Sized Remote

New Requirements• Demonstrably (testably) Better Than Existing UI• Minimise Change Management• Maintain Backwards & Sideways Compatibility• Establish Extensible Platform – Start With

Scalability Suite ?

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Deliberately Unstructured Research

• Recipient Appointments With Audiologists• Sat in on Clinical Trials With CI Recipients

• Cochlear Implant Forums & Blogs• Followed Twitter Accounts for the Deaf Community• Downloaded iPhone Rehabilitation Apps

• Wore the Cochlear Test Rig Around for a Day • Spoke to the Support-Line Manager• Looked Outside the Industry• Undertook Usability Testing• Taught Preschoolers About Cochlear Implants.

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Who Are Our Users?

Secondary Personas• Parents• Carers

Primary Personas• Elderly

• Adult

• Young Person

Tertiary Personas• Clinicians

Timid Adventurous

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What Do Users Need To Do?

Adjust their hearing• Select a Program• Change Volume• Telecoil

Check that everything is OK• Battery levels• Sound coming in• Identify / Troubleshoot Issues

Establish their own hearing configuration

…. + Dozens of other things

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Taking Cues

The Web UX Stack

Hardware Mouse & Keyboard

OS GUI Guidelines

Browser Back, Next, Scrolling, etc.

Web Standards W3C etc.

Best Practice Wroblewski, Nielsen, Tidwell

Websites Amazon, Xero, etc.

Bespoke Mobile Device

HTML / CSS Fields, RBs, Dropdowns, etc.

Dynamic Web Javascript, Flash, etc.Functions

Reqs.

Battery

Electronics

Screen

Connex Connex

Comms

Butt.

Butt.Butt.

Butt.

Butt.

Butt. Butt.Butt.

Butt.

Butt.

Butt.

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Early Device Mock-ups

Carousel Navigation

Pros

Easily extended with new features

Consistent usable navigation

Cons

Reaching deep settings inefficient

Each button does multiple things

Dedicated Buttons

Pros

Fastest, simplest access to features

Cons

Not easily extended with new features

Some buttons not required by some users

Novel Vertical Carousel

Pros

Faster, flatter navigation

Easily extended with new features

Cons

Reliability / cost concerns

ExistingDevice

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The Main Navigation Paradigm

Benefits• Recognisable• Learnable / Logical• Efficient• Staged access to features• Extensible• All main features available

from main screen.

The Carousel

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Good Design…

…Reflects Behavior

Daily Tasks OccasionalTasks

Rare TasksHome

Volume Sensitivity Detailed Hearing

Adjustments

SettingsHome /Environmnts

Check Status Setting Setting Setting Setting Setting Setting Setting Setting

Adjustments Adjustments Adjustments Adjustments Adj. Adj. Adj.

Adj.

Adj.

Adj. Adj.

Adj. Adj.Adj.

Adj.

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Volume Sensitivity Detailed Hearing

Adjustments

SettingsHome /Environmnts

Check Status Setting Setting Setting Setting Setting Setting Setting Setting

Adjustments Adjustments Adjustments Adjustments Adj. Adj. Adj.

Adj.

Adj.

Adj. Adj.

Adj. Adj.Adj.

Adj.

Good Design…

…Informs Behavior

Sensitivity

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Lessons…

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Intuitivity Vs Efficiency

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Innovation vs Change Management

InnovateIncrement

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Pattern Matching…

Causing Problems

Suggesting Solutions

Setting Setting Setting Setting Setting Setting Setting Setting

Volume Sensitivity Detailed Hearing

Adjustments

SettingsHome /Environmnts

Check Status Setting Setting Setting Setting Setting Setting Setting

Adjustment Adjustment Adjustment Adjustment Adj. Adj. Adj.

Adj.

Adj.

Adj. Adj.

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Moving From UI to UX

Keys to success

Audiologist SupportMaterials

+

The Right UI

Users

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Training Audiologists as Testers

How1. Wrote 1st Protocol & Materials2. Conducted 1st Round Testing3. Bought Steve Krug’s Book4. Observed 2nd Round Testing5. Mentored6. Left them to rounds 3, 4 and 57. Were very responsive to results

Benefits• SMEs Become UX Evangelists• Impartial Validation• …yet still tight, respectful relationship

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The Healthcare UX Formula

Patient Outcome =

Efficacy x Compliance

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The Healthcare UX Formula

Compliance=

Efficacy x _________A whole bunch of complex human

factors

User Experience

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Presenting Mock-ups at Target Size

Don’t do this…

…do this

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Prototype, Prototype, Prototype!

• Paper

• Balsamiq

• Flowella (on Nokia & HTC)

• Keynote -> PDF on iPhone

• Sketchflow and Balsamiq on Windows tablet

• New code on existing Cochlear device

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Conclusion

• It’s different• …but the same• Seek, understand, exploit patterns• Present at device size…on device…ideally prototype• Manage innovation and change• Balance intuitivity and efficiency• Test ideas (not just complete solutions) casually.

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Matt [email protected]: @mattmorphett

Shane [email protected]: @shanemo

Rami [email protected]

Thanks