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Research for Home Health Aides: making lives of caregivers better by identifying gaps and opportunities

A mobile application design for caregivers working in home health. The research focused on understanding caregiver workflows, identifying pain points and transformational opportunities through user interviews, personas, and journey mapping.

My Role
UX Research, Primary & Secondary, Note Taker
Team
1 UX Designer, 1 UX Researcher, 2 Developers, 1 PM
Timeline
15 weeks (Research: 5 wks, Design: 10 wks)
Tools
Miro, Figma, PowerPoint
Emma's journey map as Home Health Aide
01Overview

Designing for caregivers in home health.

Client: A technology company leading the movement for intelligent, coordinated care experiences.

Aim: Making lives of Home Health Aides (HHAs) better by identifying gaps and opportunities in their daily workflows.

Target Application: A mobile application design for caregivers working in home health.

A home health aide provides most of the same services that a certified nurse's aide or a medical assistant might do, but they perform these duties from inside of the patient's own home. This gives the patients more privacy, comfort, and dignity.

02Design Process

A structured, five phase research approach.

PHASE 01
Primary Research

User interviews with batches of 5–6 caregivers.

PHASE 02
Secondary Research

Industry analysis, HHA role study, and motivations vs challenges.

PHASE 03
User Personas

Behavioural archetypes from research data.

PHASE 04
Journey Mapping

Day in the life mapping of caregiver workflows.

PHASE 05
Final Analysis

Thematic analysis reports and design recommendations.

03Primary & Secondary Research

Understanding the daily life of a caregiver.

User centric research on how a day in the life of a caregiver who is attending multiple patients looks like. From waking up in the morning to checking in for a schedule, patients lined up for the day, activities they perform between visits, documenting visits, and more.

There were semi structured interviews with batches of 5–6 caregivers. My role was to conduct a thematic analysis of all the user interviews and come up with a summary report.

HHA Shift Workflow

Beginning the Shift
  • Meet with nurses or doctors to review patients
  • Discuss potential problems the aide might encounter
  • Call patients to confirm or reschedule appointments
  • Gather equipment and depart for patient homes
During the Shift
  • Drive between multiple patients
  • Face challenging environments at client homes
  • Perform tasks: bathing, dressing, exercise, medication reminders
  • Patient transfers, taking samples, providing therapy and companionship
After the Shift
  • Complete necessary paperwork
  • Report to supervisors if required
  • Reschedule and confirm next day's appointments
  • Complete necessary personal tasks
A Day in Life of Emma, motivations and challenges faced by HHAs
A day in the life of Emma, alongside HHA motivations and challenges.
04Motivations vs Challenges

What drives and what burdens HHAs.

Motivations for HHAs
  • Financial Benefits: Extra pay for working holidays, bonuses, paid child care assistance
  • Health Benefits: Health insurance coverage, dental, vision, drug benefits
  • Environment: Career advancement opportunities, flexible hours
  • Public Benefits: TANF, WIC, Food Stamps, SSI, Housing assistance
  • Rewards & Recognition: Respect from teammates, recognition for good work
Challenges Faced by HHAs
  • Clients: Challenging workload, physical and emotional demands, unsafe environments
  • Work Injuries: Back injuries, pulled muscles, scratches, open wounds
  • Support & Training: Poor quality training, no peer support at patient homes
  • Other Issues: Low pay structure, lack of fringe benefits, little professional advancement
05User Persona

Emma Den, Home Health Aide.

As part of secondary research, and in order to build empathy with caregivers using this application, we created a user persona for HHAs to understand more of their behaviour and needs.

Emma Den persona card, 37, HHA, New York
Emma Den, 37, Home Health Aide based in New York. Passionate, empathetic, curious, and kind.
Goals
  • See her clients reach their fitness goal
  • Own a HHA agency and guide new young HHAs
Pain Points
  • Weather challenges while driving between patients
  • Disturbed sleep pattern due to shift timings
  • Difficulty managing personal time for family
  • Back issues from all day standing and excess driving
Tasks
  • Performs HHA and health coach duties
  • Patient transfers, massaging, monitoring vitals
  • Meal preparation, cleaning, medication reminders
  • Providing genuine human care and companionship
06User Journey Mapping

A day in the life of Emma.

We created a customer journey map to build a better understanding of how a detailed day in the life of a caregiver looks like. We examined stages such as after waking up, beginning the shift, during the shift, after the shift, in between visits, before going to bed, and the next day.

Emma's complete journey map across a full day as Home Health Aide
Journey map covering activities, thoughts, emotions, pain points, touch points, and transformational opportunities.

Emotional Journey

Across the day, Emma's emotions fluctuate from confused and worried at the start, through frustrated and challenged during the shift, to relieved during visits, anxious in between, hopeful before bed, and finally relieved at the end of the day.

Key Pain Points Discovered

Morning

Difficulty remembering things to carry. Clients not having sufficient equipment at home.

During Shift

Technology barriers, unhygienic conditions, difficulty in decision making about extra clients.

After Shift

Increasing demands create time pressure. Health consequences from mental and emotional strain.

Personal Time

Not enough family time. Having to work extra hours. Little time for psychological and social needs.

Transformational Opportunities

Agency providing equipment at client homes. Reminders and lists of things to carry.

Flexible timings for log in. Hygiene initiatives by agency. Training on health safety measures.

Appointment rescheduling flexibility. Companionship and healthy relationships with clients, staff, and supervisors.

Flexible scheduling of visits, workload management. Listening to HHA needs through regular feedback sessions.

More Work

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