Project

Cognizant Sponsored Project

Timeline

3 Weeks

Team

Viswak Raja

Jimmy Guo

Long Dao

Ivy Huang

tools

Figma
Procreate

Tags

ID

Service Design

UX Research

Mingle
A multi-modal ecosystem to empower MCI individuals and caregivers

Overview

Mingle offers a multi-modal ecosystem designed to empower individuals with Mild Cognitive Impairment (MCI) and their caregivers through adaptive products and integrated services that evolve with the user's needs. The solution includes a customizable platform that adjusts to different stages of MCI, providing personalized support through digital tools, engaging activities, and therapeutic exercises tailored to maintain cognitive function and enhance quality of life. By partnering with existing services like Hello Fresh and Blick etc., we create immersive and inclusive MCI assessments embedded in daily activities, such as cooking and creative projects, to deliver real-time insights and a more comprehensive understanding of cognitive health in real-world settings.

TL;DR

Don't have time to read?, I’ll cover the details!
What is it?

An adaptive, multi-modal platform that evolves with the needs of individuals with Mild Cognitive Impairment (MCI) to provide personalized support and immersive cognitive assessments. Utilizing AI to learn from user interactions, the platform creates personalized activity boxes that cater to individual preferences and cognitive abilities, enhancing engagement and promoting cognitive health.

Why is it needed?

Tackling cognitive decline early and providing continuous monitoring and assessment for medical professionals are crucial steps in delaying the onset of Mild Cognitive Impairment (MCI) and supporting better outcomes. The adaptive, personalized approach helps individuals manage their cognitive health proactively, empowering both them and their caregivers with real-time insights and targeted interventions.

How is it impactful?

Individuals with MCI are at an increased risk of progressing to Alzheimer's disease or other dementias, with studies suggesting that 10-15% of people with MCI develop dementia each year. Early identification and management of MCI are therefore crucial, and that’s why our stakeholders believe this product could mitigate the impact of MCI and help delay further cognitive decline.

My Role and Responsibilities

I was the project lead, managing a team of researchers and designers to bring everything together in a cohesive and creative way. I was in charge of the UX design for both the physical and digital interfaces and conducted user interviews to gather valuable insights and feedback.

Main Features

Mingle provides tailored support for every stage of Mild Cognitive Impairment 
The service consists of three components as shown below
Camera

A modified camera that helps assists with tracking and completing task using AI

Flower

A bedside mechanical flower that reflects the users progress and achievements

Subscription Box

A Monthly subscription box with activities that help assess or delay the onset of MCI

Product Video

01
Task Tracking

Humans are visual creatures, making it easier to grasp concepts through images rather than words. In this approach, users receive a visual reminder of their task and are asked to validate completion by simply snapping a picture of the finished task.

The system reminds the user one task at a time and automatically updates the caregiver on the status of the activity.

02
Self Reflection

The flower serves as a reflection of the user's well-being, indicating how well they've done throughout the day, both physically and mentally. For example, the flower remains healthy if the user meets their daily step goal. Additionally, it functions as a memory box, offering a quick snapshot of the user's day-to-day life.

The system leverages AI to annotate and tag memories to help create a personalized solution.

03
Continuous Diagnosis

It’s crucial to take proactive steps in delaying the onset or progression of MCI. To support this, we offer carefully curated activities that keep users engaged. These activities not only stimulate the mind but also allow us to continuously assess and monitor their cognitive health."

Problem Statement

To design an adaptable system for different levels of MCI that supports communication, engagement, and independence.

Process

Define
  • Context
  • Target group
  • Existing Issues
Research
  • Semi-structured interview
  • Surveys
  • Website breakdown
  • Competitive analysis
  • Task Analysis
Design
  • Ideation
  • Wireframe
  • Design system
  • Hi-Fi prototype
Evaluate
  • Expert evaluation
  • User-based testing
  • Recommendations

Background

Here's a quick look on what MCI looks like in comparison with a Healthy Brain
Why is it important to tackle it early?

Every 65 seconds, someone in the US develops Alzheimer’s and Demetia , among individuals aged 65 and older.

Today, 6.5 million Americans over 65 are living with Alzheimer's . By 2060, this number is projected to more than double to ~14 million.

Harsh Reality

“They  didn’t have any suggestions! Just a diagnosis and have a good day!”

MCI Patient

“The thing now is you go see your doctor and your doctor tells you that you have MCI, and says, ‘Good luck. There is nothing I can do for you. Come and see me next year. That is basically what is happening”

“It is not controversial to say the single most important thing a patient with MCI can do to slow the disease is physical activity, preferably a walk.”


Dr. Oscar L. Lopez
Director, Disease Research Center, University of Pittsburg


Significant gaps remain in the early detection and diagnosis of Alzheimer’s and Demetia , when symptoms are subtle and are difficult to distinguish from normal aging

Secondary Research Findings

Our secondary research revealed that:

Over 80% of Americans lack awareness or knowledge about MCI, an early stage of Alzheimer's.

Individuals with MCI and their caregivers often deal with Insomnia for various reasons.

Some Caregivers also experience mild cognitive impairment (MCI) due to stress and lack of sleep.

Ecosystem Map

We mapped out the ecosystem surrounding the MCI patients to identify stakeholder and the target group. The second degree of stakeholders show the people who are in immediate reach to the individuals with MCI, and the third degree maps the services that support them

Primary Research

We aim to explore solutions that cater to a broader spectrum of cognitive impairment stages. Therefore we identified our Target group and conducted semi structured interviews with MCI caregivers , Researchers and care providers

Target Group

Field Study

We also conducted a field study on the Cognitive Empowerment Program (CEP) at Emory Hospital in Atlanta, Georgia.

Activities that are conducted at CEP

Insights from Primary Research

Based on the insights gathered from our field visit and interviews, we developed an Affinity map. This process highlighted several key opportunity areas, particularly in the realms of lifestyle, attitudes, emotions, and other related factors.

Persona

A day in a life of an Individual with MCI and their Care-giver

Trend Study

The trends were studied to understand and extract themes on how assistive technologies for MCI have evolved over the years.
01
Engaging Activities
02
Support Groups
03
Digital Support
04
Immersive Memory

What are the areas assistive technology can help  MCI

White Space Mapping

Through our research on competitors, we identified an opportunity to create a service that includes an ecosystem of products designed to address varying levels of cognitive impairment. This insight guided us to develop a more comprehensive solution tailored to diverse needs.

Design Criteria

Must Have

Clear, visible, and cue-based interactions

Tangible interface - for accessibility

The system should adapt to varying stages of MCI

Should Have

"Nudging" users to perform tasks without forcing

Shallow learning curve for interface (Universal Design)

Remote access to caregiver or care-partner

Nice to Have

Supporting different modes of interaction

Gamification- rewards can motivate and engage users

Personalization-to fit individual user needs

Design Ideation

01
Concept Sketches

We made initial sketches on concepts trying to cater different opportunity areas identifies suring research

02
Brainstorming

We then brainstormed on picking features are must haves aworks in a scnarios that would usefuk considering the affordability and scalability fof the system

03
Categorizing Concepts

We then categorized concpets to group them and find commonalities

04
Grouping Systems

All these concepts were then grouped on the common systems to create a family of products that would evolve with the need of the user and also make them an affordable service


We will have a look at the overall system once we have better undertsanding of the individual components of the system.

Selected concepts

Task Tracking
Self Reflection
Continuous Diagnosis

Usage scenarios and Interface design

Task Tracking

Self Reflection

Continuous Diagnosis

What are current MCI Assessments like?
Montreal Cognitive Assessment Test (MoCA)

1-page, 30-point test; assesses 8 cognitive domains through 13 tasks;Found to be more sensitive than MMSE in assessing memory, visuospatial, executive, language function, and orientation to time and place

Below is an example of how a clock drawing exercise is used to assess the different stage of cognitive decline

Mobile Application Interface

System Journey

Business Model Canvas

Prototyping

Concept Validation

We used a combination of Wizard of Oz and roleplay techniques to validate our service.

MCI expert validation

Care partners should make their own task schedules in their early stages.

Should not hide the progress data from care partners.

The boxes can be a collaborative activity - caregivers and care partners can work on the contents together

Provide delivery boxes based on care partners’ personal interests.

Care giver's validation

Different service provider options to cater to different hobbies.

Creating Tasks together with the caregiver will make them feel more involved.

Creating a treasure hunt like game.

Helping with medicine and meals can be really helpful.

Learning and Next steps

What we learnt?

No one size fits all
I learned that there's no one-size-fits-all solution when designing for individuals with Mild Cognitive Impairment (MCI). Each person’s needs and experiences are unique, so it’s crucial to create adaptable solutions that cater to individual preferences and abilities

Maintain users’ dignity is important.
A key lesson for me was the importance of maintaining users' dignity. The design should empower and respect the user, avoiding anything that feels patronizing. It’s about creating an experience that makes them feel capable and valued.

Consideration towards accessibility in every step.
I realized that accessibility isn’t just a feature—it’s a fundamental part of the design process. Every step needs to consider how people with different cognitive and physical abilities will interact with the product, ensuring it’s inclusive and easy to use for everyone.

Future Steps

More user testing.
I learned that frequent user testing is essential. Engaging with users throughout the design process helps identify real needs and pain points

Designing activities for better evaluation.
It became clear that designing engaging activities isn't just about entertainment; it's about creating meaningful experiences that can better assess cognitive abilities.

Spreading awareness and importance of early detection.

I realized the importance of raising awareness about early detection of MCI. Educating users and caregivers on recognizing early signs can lead to timely interventions

Understanding of building AI models on localized user data for data privacy
It’s crucial to develop intelligent systems that respect users' privacy while still providing personalized and effective cognitive assessments and support.