Case study: PAI Health

Getting to the heart of PAI's retention problem

How I helped PAI Health users understand what really matters when it comes to their overall health.

Role
Senior Product Designer
Collaborators
Content Lead
Deliverables
Mobile UI, UX

The company

A bit about PAI Health

PAI Health’s products center around a health metric called a PAI Score. A user’s PAI Score is determined by data from their wearable device including heart rate data such as max heart rate, resting heart rate, age, biological sex at birth, weight and height. You can think of it as a more accurate alternative to steps. The algorithm was developed by a nobel prize winning health science team at The Norwegian University of Science and Technology and is based off of the largest health study in the world - the HUNT study. PAI currently has over 20 research partners studying the efficacy of PAI in fields such as cardiac rehab and with cancer patients in remission.

Currently over 20 million users have access to the PAI Score through 1 of 3 ways. PAI’s products and services include:

  1.  a consumer facing mobile app
  2. an analytics dashboard for insurance provides, health providers, and researchers
  3. through 3rd party integrations in top health and fitness apps, wearable apps, and insurance and health provider apps.

Overview

How we got here

Health tech has reinforced the idea that our steps, weight and calories are the metrics that matter when it comes to managing our health. PAI Health provides an alternative, more effective and more accurate metric - called PAI. Unfortunately, asking users to rethink these deeply rooted norms that form a long established construct of what it means to be healthy was proving to be no small task. 

PAI Health’s mobile app retention and churn rates were indicating that the problems we wanted to address occur within a users experience of the app in their first 7 days. I wanted to know what was preventing users from completing onboarding, and why they stop coming back.


“15% improvement in user retention in the first week compounds into nearly twice the number of retained users after 10 weeks.”
Dan Wolchonok, Head of Product and Analytics at Reforge
66%

of users download the app and never complete onboarding

83%

of users never come back after 7 days

23%

of users do not move past the first screen

Before
Redesign

My role

Senior Product Designer

I am a Senior Product Designer at PAI Health, where I work on a product team and lead the UX/UI design of our 3 products. For this project in particular, I was the project lead and responsible for all UX/UI deliverables and running the sprint.

Working with a small team means that I am involved in all stages of the design life cycle. I worked most closely with our UX Content Strategist on this project and our Senior UX Designer laid much of the groundwork for the existing app experience before I joined the team.  

Prior to this project, I had recently completed a revamp of the company’s visual identity including new color palette, illustration style, graphic motifs and overall strategy when it comes to ethical representation. Part of this project involved bringing that new visual identity into the product experience and beginning the process of re-skinning our product design system.

Product team collaborators:
VP of product - drives high level product strategy to align with business goals, coordinating with Executive and VP level stakeholders and investors,  provides final approval
2 Product managers - develop and manage product roadmap, perform secondary research including product market fit, and managing project timelines and deliverables
Content lead - UX writing and content strategy, involved in product ideation and wireframing
Senior UX designer - Responsible for UX design of app experience prior to this project and was involved in the ideation phase of our sprint
Data analyst - provides in-depth analysis of KPIs like retention, daily active users and churn rates, and gives us a healthy dose of scrutiny when it comes to our testing and analysis biases and flaws
Customer experience manager - Provides customer support and is our source for customer feedback on UX problems as well as bugs or functionality issues

The goal

Senior Product Designer

The high-level goal was to improve the onboarding experience in PAI Health’s mobile app to improve activation and retention.

My Process

Design thinking framework

In order to make sure my solutions are human-centered and based off of real user problems, I follow the 5 stages of Design Thinking framework.  

Starting with Empathy

What existing users were saying

What prompted us to further optimize this onboarding experience was the vast well of customer feedback we were receiving that

Who are our users?

PAI's user personas

Foundational research for PAI included narrowing in on 3 user personas in the earliest stages of the product’s development. These personas were crucial reference points in my design process as I worked to establish trends user’s pain points, why and for who they are occurring, and how we could optimize the experience based off of their unique needs.

Defining the problem

Sumthin about problem

Foundational research for PAI included narrowing in on 3 user personas in the earliest stages of the product’s development. These personas were crucial reference points in my design process as I worked to establish trends user’s pain points, why and for who they are occurring, and how we could optimize the experience based off of their unique needs.

What does success look like?

Measuring our 'aha' moment

Understanding what PAI's 'aha' moment is important in evaluating the success of our onboarding experience. It was clear that users weren't 'getting it' but what exactly do we want them to get? This goal needed to be as informed and specific as possible.

Well defined 'aha' moments:

Facebook - user adds 10 friends in 7 days
Twitter - user follows 30 users with at least 1/3 of them following back
Dropbox - user saves 1 file in a folder on 1 device
Slack - A team sends 2000 messages in a workspace