MindCo
Modern adult offspring often struggle to maintain strong emotional connections with their parents, as work commitments leave little time to notice the subtle signs of emotional distress in elderly stroke patients. Insufficient information, misconceptions about stroke, and a lack of initiative, combined with family members being too busy to monitor mental health, make these patients more prone to negative emotions, often leading to post-stroke depression.
To address these challenges, MindCo provides a comprehensive support system that facilitates communication and collaboration among patients, family members, and healthcare teams. Through a mobile application, relatives and patients can interact in real-time and access medical support, effectively reducing negative emotions and enhancing the overall recovery experience.
Stroke Fact
Stroke
Worldwide
More than 12 million people globally are expected to experience their first stroke, with 6.5 million resulting in death.
Currently, over 100 million people have had a stroke. While the risk of stroke rises with age, 60% of strokes occur in individuals under 70, and 16% affect those under 50.
Stroke
in China
China faces a significant stroke burden, with high incidence and mortality rates. Contributing factors include high hypertension rates, smoking, poor diets, lack of exercise, and metabolic disorders like diabetes.
An aging population and genetic factors also elevate stroke risks.
After-Effects of a Stroke
Physical and Mental Impact
Stroke sequelae include physical impairments, cognitive dysfunctions, and more, with patients potentially facing issues such as limb paralysis, muscle weakness, memory loss, difficulty concentrating, and so on.
Post-stroke depression (PSD)
39%-52% of stroke survivors experience at least one episode of depression within 5 years post-stroke. Among those with post-stroke depression who lack social support, the mortality rate can be as high as 90%.
The Challenges of PSD Patients
Patients with PSD face more challenges
Compared to typical stroke patients, they face greater challenges in mental health, recovery, social support, and quality of life, which can lead to slower rehabilitation and a decline in overall well-being.
Stages and Treatment of PSD
Progression of PSD
Post-stroke depression (PSD) typically develops within the first week to months after a stroke and can persist for years. About 30%-50% of stroke patients experience depressive symptoms within a year, driven by physical disabilities, lack of social support, and fear of the future. Early signs include low mood, anxiety, and insomnia, which can worsen over time, severely impacting quality of life.
Current PSD treatment strategies
Medication Treatment (Antidepressants)
The medication may cause side effects and could interact with stroke drugs, potentially increasing side effects or reducing their effectiveness.
Psychotherapy
Long-term therapy for post-stroke depression can be time-consuming, and there is a shortage of experienced mental health specialists.
Family and Social Support
There are communication challenges and a lack of expertise in properly supporting and seeking help for patients.
Stakeholders Involved in Stroke Patient Support
Stroke patients' stakeholders include family members, medical team , therapists, caregivers and more. They play key roles in providing medical care, emotional support, and coordinating rehabilitation efforts.
Stakeholders
Roles and Responsibilities of Stakeholders
Family members
Caregivers for patients may differ depending on the age group.
Stroke patients
The needs and challenges of patients vary across different age groups.
Medical team
This includes doctors, therapists, psychologists, and more.
Caregivers
Family members may hire caregivers to assist with the patient's daily life.
Other patients
Some stroke patients and family members exchange information about stroke.
Relatives
They may visit or offer help whenever possible.
Acquaintances
They may visit or offer help whenever possible.
After-Effects of a Stroke
Physical and Mental Impact
Stroke sequelae include physical impairments, cognitive dysfunctions, and more, with patients potentially facing issues such as limb paralysis, muscle weakness, memory loss, difficulty concentrating, and so on.
Post-stroke depression (PSD)
39%-52% of stroke survivors experience at least one episode of depression within 5 years post-stroke. Among those with post-stroke depression who lack social support, the mortality rate can be as high as 90%.
The Challenges of PSD Patients
Patients with
PSD face greater challenges
Compared to typical stroke patients, they face greater challenges in mental health, recovery, social support, and quality of life, which can lead to slower rehabilitation and a decline in overall well-being.
Stages and Treatment of PSD
Progression of PSD
Post-stroke depression (PSD) typically develops within the first week to months after a stroke and can persist for years. Studies show that approximately 30%-50% of stroke patients will experience depressive symptoms within a year. PSD often arises due to physical disabilities post-stroke, lack of social support, and the patient's fear and helplessness about the future. Early symptoms may include low mood, anxiety, and insomnia, which can worsen over time, leading to severe emotional disturbances and a decline in quality of life.
Current PSD treatment strategies
Medication Treatment (Antidepressants)
Side Effects: Includes nausea, headaches, insomnia, fatigue, dry mouth, and weight gain.
Drug interactions: Antidepressants may interact with stroke medications (such as anticoagulants and antihypertensives), potentially increasing side effects or reducing effectiveness.
Psychotherapy
Duration: Long-term therapy can take up significant time and energy from patients.
Lack of Specialists: There is a shortage of mental health professionals, and not all therapists have experience in treating post-stroke depression.
Family and Social Support
Communication Barriers: Lack of effective coordination and communication.
Lack of Expertise: Uncertainty about how to properly support and care for the patient, and not knowing how to seek help.
Stroke Fact
Stroke Worldwide
More than 12 million people globally are expected to experience their first stroke, with 6.5 million resulting in death. Currently, over 100 million people have had a stroke. While the risk of stroke rises with age, 60% of strokes occur in individuals under 70, and 16% affect those under 50.
Stroke in China
China faces a significant stroke burden, with high incidence and mortality rates. Contributing factors include high hypertension rates, smoking, poor diets, lack of exercise, and metabolic disorders like diabetes.
An aging population and genetic factors also elevate stroke risks.
Stakeholders
Stakeholders Involved in Stroke Patient Support
Stroke patients' stakeholders include family members, medical team , therapists, caregivers and more. They play key roles in providing medical care, emotional support, and coordinating rehabilitation efforts.
Research and interviews focused on the medical team
Interviews were conducted with 3 neurologists and 1 psychologist
They come from different hospitals and are responsible for patients at various stages of stroke care. They suggest that specialized rehabilitation clinics lead to better outcomes, and emphasize that starting rehab early with strong family support is crucial for managing expectations and improving emotional well-being.
Blueprint
Using a Blueprint, I organized interview content to highlight pain points and emotional shifts for stroke patients, families, and doctors at different stages. Color-coded avatars represent different groups: younger patients (yellow), older patients (pink), doctors (green), and caregivers (blue).
Younger patients focus on recovery and returning to work, often needing parental support. Older patients face more physical challenges and rely heavily on their children for care.
Blueprint and Pain Points
Pain Points Summary
In the early stages, lack of stroke knowledge and information leads to emotional distress for patients and inadequate support from families. As rehabilitation progresses, misunderstandings and communication barriers persist, with later stages focusing on reintegration into society.
Younger stroke patients
Young patients focus on career recovery and rebuilding their lives, with caregivers typically being parents or partners.
Older patients
Senior patients prioritize long-term care, maintaining independence and managing chronic conditions, with caregivers usually being their children.
Roles and Responsibilities of Stakeholders
Stroke patients
The needs and challenges of patients vary across different age groups.
Family members
Caregivers for patients may differ depending on the age group.
Medical team
This includes doctors, rehabilitation therapists, psychologists, and others.
Caregivers
Family members may hire caregivers to assist with the patient's daily life.
Relatives
They may visit or offer help whenever possible.
Acquaintances
They may visit or offer help whenever possible.
Other patients
Some stroke patients and family members exchange information about stroke.
Research & Interviews
Research and interviews focused on the patients
Their negative emotions during rehabilitation
The main sources of negative emotions in stroke patients are functional impairments, denial of reality, and slow recovery.
Family's level of concern
Family members do not care enough about the patient's emotional changes and focus mainly on how to treat the stroke and stroke rehabilitation.
Patient requests
Stroke patients and their families often lack understanding of stroke, leading to treatment delays and incorrect rehabilitation. They seek more care and support, and healthcare teams need to provide additional assistance while enhancing stroke education for early awareness and prevention.
Research and interviews focused on the medical team
Interviews were conducted with 3 neurologists and 1 psychologist
They come from different hospitals and are responsible for patients at various stages of stroke care. They suggest that specialized rehabilitation clinics lead to better outcomes, and emphasize that starting rehab early with strong family support is crucial for managing expectations and improving emotional well-being.
Blueprint and Pain Points
Research and interviews focused on the medical team
Blueprint
Using a Blueprint to organize interview content, I detail the pain points and emotional shifts faced by stroke patients, their families, and doctors at different stages. Yellow avatars represent younger patients, pink avatars represent older patients, green represents doctors, and blue represents caregivers.
There are notable differences in pain points between younger and older patients.
Younger patients worry about recovery and returning to work, leading to emotional breakdowns and needing ongoing support from parents. Older patients, facing more physical challenges, require more care and attention from their children.
Pain points summary
In the early stages, patients and families lack stroke knowledge, with insufficient information as a key pain point. Patients may lose motivation for rehabilitation due to emotional distress, while families, lacking information, often fail to provide proper support or understand the patient's emotions.
Misunderstandings about rehabilitation can worsen the patient’s pessimism. Communication challenges further prevent families from grasping the patient's condition.
In the later stages, focus shifts to reintegration into society.
The pain points of patients and their families vary across different age groups.
Younger stroke patients
Young patients focus on career recovery and rebuilding their lives, with caregivers typically being parents or partners.
Older patients
Senior patients prioritize long-term care, maintaining independence and managing chronic conditions, with caregivers usually being their children.
Target Group
Stroke patients aged 55 and above
In China, the average age of stroke onset is 66 years. Stroke remains a common condition among middle-aged and elderly populations. Given the significant differences in rehabilitation needs and challenges between retired individuals and those still working, as well as their varying family structures, the target demographic is focused on those aged 55 and above.
For elderly patients:
They require more rehabilitation and medical services.
Their ability to access information and learn new skills is limited.
There are fewer products available to them.
They need more assistance from family members.
Final Concept
Joint participation in rehabilitation
The overall concept emphasizes collaboration among patients, family members, and doctors.
Elderly patients often need assistance with digital services, so family members can remotely access patient information and track recovery progress. Patients can log their health status and share data with doctors or family.
Doctors provide diagnoses, feedback, and psychological counseling, ensuring comprehensive support for both physical and mental well-being through this three-way collaboration.
Workflow
Workflow and Low-Fidelity Interfaces
The workflow showcases different user interfaces and key features. Users can choose to conduct the BEFAST test and follow emergency procedures, or navigate to the Caregiver(family members) or Care recipient(stroke patients) interface as needed.
Brand Design
The design concept centers on family support, collaboration, and social connections, aiming to create a supportive ecosystem for stroke patients and their families. The brand name "MindCo" reflects this vision, with "Co" representing Connect, Cooperate, and Collaborate, encapsulating my brand's core values.
Final Design - Onboarding Screens and Sign Up
The onboarding screens introduce the app’s four core features: linking family and patient accounts, tracking health, learning about stroke, and engaging in rehabilitation plans. This ensures users can quickly navigate the app, enhancing their first experience and building anticipation.
During registration, family members can directly set up and link patient accounts.
Personas
Mr. Zhou and his Family
Mr. Zhou's family is in a poor economic situation, which makes him prone to feelings of pessimism and anxiety. Due to symptoms of depression, he often feels low in energy, which affects his rehabilitation progress. When he notices slow progress in his recovery, he frequently feels disappointed, and his family is concerned about increasing his stress.
Mrs. Li and her Family
Mrs. Li represents an older age group. At 68 years old, she experiences emotional instability after her stroke, often losing her temper over minor issues, which affects her relationship with her son. Her rehabilitation progress is slow, and she has lost motivation and interest, developing resistance to rehabilitation exercises and even considering giving up.
Target Group
In China, the average stroke onset age is 66, making it common among middle-aged and elderly populations. Due to differing rehabilitation needs between retirees and working individuals, the target demographic is focused on those aged 55 and above.
For elderly patients:
They require more rehabilitation and medical services.
Their ability to access information and learn new skills is limited.
There are fewer products available to them.
They need more assistance from family members.
Stroke patients aged 55 and above
Personas
Mr. Zhou, 58, his financial struggles heighten his anxiety and depression, slowing his recovery.
Mrs. Li, 68, faces emotional instability and a lack of motivation, affecting her rehabilitation and family relationships. Both experience slow progress and emotional distress, requiring support and motivation to improve.
Mind Map
Mind Map
To address issues such as insufficient communication during stroke rehabilitation, low patient engagement, and lack of understanding about stroke, potential solutions and sketches have been proposed. These include enhancing real-time communication between doctors, patients, and their families, offering tools to visualize rehabilitation progress and health metrics, and boosting patient motivation and sense of achievement through personalized rehabilitation plans and knowledge sharing.
To address issues such as insufficient communication during stroke rehabilitation, low patient engagement, and lack of understanding about stroke, potential solutions and sketches have been proposed. These include improving real-time communication between doctors, patients, and families, providing tools to visualize rehabilitation progress and health metrics, and enhancing patient motivation through personalized plans and knowledge sharing.
Their negative emotions during rehabilitation
The main sources of negative emotions in stroke patients are functional impairments, denial of reality, and slow recovery.
Family members do not care enough about the patient's emotional changes and focus mainly on how to treat the stroke and stroke rehabilitation.
Family's level of concern
Patient requests
Stroke patients and their families often lack understanding, leading to treatment delays and improper rehabilitation. They need more support, and healthcare teams must improve education for early awareness and prevention.
Research & Interviews
Research and interviews focused on the patients
Final Concept
Joint participation in rehabilitation
The overall concept is based on collaboration between patients, family members, and doctors.
Elderly patients may struggle with digital services and need family assistance. Family members can remotely access patient information, track recovery progress, and provide support.
Patients can record their health status and share data with doctors or family members.
Doctors offer diagnosis, feedback, and psychological counseling to support patient recovery. This three-way collaboration ensures comprehensive care for the patient's physical and mental health.
Workflow
Workflow and Low-Fidelity Interfaces
The workflow showcases different user interfaces and key features. Users can choose to conduct the BEFAST test and follow emergency procedures, or navigate to the Caregiver(family members) or Care recipient(stroke patients) interface as needed.
Brand Design
The design concept integrates the ideas of family support, collaboration, and social support, aiming to create an ecosystem of mutual support and shared growth for the middle-aged and elderly stroke population and their families. I chose "MindCo" as the brand name, where "Co" stands for Connect, Cooperate, and Collaborate, perfectly encapsulating the brand's core concept.
Here are some of the design components. The family interface is purple, while the patient interface is green. The patient side features larger font sizes and spacing. Considering that middle-aged and elderly patients may not be familiar with icons, text labels have been added, such as a "back" button. Compared to the family interface, the patient interface also includes more images.
Final Design - Onboarding Screens and Sign Up
The onboarding screens provide a brief introduction across four pages, showcasing the app's four core features: linking family and patient accounts, tracking health status, learning about stroke, and participating in rehabilitation plans. This helps users quickly get started and smoothly enter the app, enhancing the initial experience and building anticipation.
During registration, family members can directly register and link accounts for patients.
Final Design - Home Page Emotional Interaction
The homepage's standout feature is an interactive mood circle that visually reflects the patient's emotional state. It also allows family members to send supportive emojis and messages, such as "miss you, mom" with a heart emoji, providing real-time emotional support. This fosters a closer connection, offering patients instant encouragement from their loved ones. The feature enhances emotional well-being through simple yet meaningful interactions.
Final Design - Health Page
The health page allows family members to easily track the patient's psychological and physical data, with daily and weekly details and alerts for abnormal readings.
For patients, the interface is simplified for easy use, enabling mood updates that are shared with family members. A quick-contact feature lets patients reach doctors if any issues arise, enhancing both monitoring and support for a more proactive care experience.
Final Design - Community
The explore page provides a rich collection of Q&A posts about stroke, helping family members learn more about the condition. Daily community topics encourage sharing rehabilitation experiences with other families. It also offers quick access to essential features like finding doctors and hospitals.
Final Design - Plan Page
A visualized rehabilitation plan was designed to help patients manage pessimistic emotions and plan their recovery. It includes real-time updates on medication reminders, exercises like gait and balance training, and occasional treatments like acupuncture.
The patient's rehabilitation journey is symbolized by mountain climbing.
Additionally, patients can plan their own activities, such as participating in plant cultivation events at the rehabilitation center. Support for meditation and AI tools is also provided to help patients relieve emotional stress.
©
2024
Jing Ye
Final Design - Home Page Emotional Interaction
The homepage features an interactive mood circle and lets family members send supportive emojis and messages, like "miss you, mom" with a heart. This real-time emotional support fosters closer connections and boosts patient well-being through simple, meaningful interactions.
Final Design - Health Page
The health page allows family members to easily track the patient's psychological and physical data, with daily and weekly details and alerts for abnormal readings.
For patients, the interface is simplified for easy use, enabling mood updates that are shared with family members. A quick-contact feature lets patients reach doctors if any issues arise, enhancing both monitoring and support for a more proactive care experience.
Final Design - Community
The explore page provides a rich collection of Q&A posts about stroke, helping family members learn more about the condition. Daily community topics encourage sharing rehabilitation experiences with other families. It also offers quick access to essential features like finding doctors and hospitals.
Final Design - Plan Page
A visualized rehabilitation plan was designed to help patients manage emotions and track their progress. Patients can view real-time plans, including medication reminders, rehabilitation exercises like gait and balance training, and treatments such as acupuncture. The patient's rehabilitation journey uses a mountain climbing metaphor to depict the recovery journey. Patients can also schedule activities, like plant cultivation, and use meditation or AI tools to relieve emotional stress.