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Mobile App Inclusive Design UX Research 2023

Health tracking app for low-literacy users

Designing an inclusive mobile experience for users with low digital literacy required rethinking the entire interaction model — from navigation to data input to how we communicate progress. The result launched to a 4.8★ App Store rating.

Role
Lead UX Designer
Timeline
18 weeks
Team
2 designers, 1 researcher, 5 engineers
Tools
Figma, Protopie, Dovetail
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Health apps were designed for people who didn't need them most.

Our client — a non-profit focused on preventive health in under-resourced communities — had an existing mobile app with a 2.1★ rating and 73% churn in the first week. Users were abandoning it not because they didn't care about their health, but because the app assumed skills and confidence they didn't have.

This wasn't a problem with user motivation. It was a failure of design to meet people where they were.

Design challenge

"How might we design a health tracking experience that feels approachable and trustworthy for users with low digital literacy — without making them feel talked down to?"

Understanding users whose lives looked nothing like ours.

The research phase was the most demanding of my career. We conducted 18 contextual interviews with users in their homes and community centers — not in a sterile UX lab. We observed people using smartphones, watched them navigate the existing app, and asked about the last time technology had frustrated them.

Key user needs

Immediate understanding without reading. Confirmation that they did things "right." Privacy — they didn't want family members to see their health data. Forgiveness — the ability to undo or correct without fear.

Barriers identified

Dense text-heavy instructions. Jargon (e.g., "BMI", "systolic"). Overwhelming dashboard with 12+ metrics. No feedback when an action succeeded. Punishing error states with no clear recovery path.

We also ran a plain language audit of the existing app: every string of copy was graded for reading level. The average was Grade 11. Our target was Grade 5–6.

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User journey map built from 18 contextual interviews, highlighting emotional highs and lows

Icons first. Words second. Never alone.

The redesign was structured around five inclusive design principles that emerged directly from research:

  • Icon-first navigation: Every primary action was represented by a clear icon before any label. Icons were co-designed with users in participatory workshops.
  • Progressive disclosure: The home screen showed one thing: your most important health metric for today. More detail was always available, but never forced.
  • Confirmation at every step: Success states were generous — visual, haptic, and audio feedback for every completed action.
  • Plain language throughout: Every label, error message, and instruction was rewritten to Grade 5 reading level and reviewed by a health literacy specialist.
  • Forgiving inputs: Data entry used sliders, steppers, and visual selectors over free-text fields wherever possible.
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Final UI — icon-first navigation, simplified home dashboard, and generous success states

We ran 6 rounds of usability testing with 5 users each, iterating between every round. The final prototype was tested with 12 users before handoff — all of whom completed core tasks without assistance.

From 2.1★ to 4.8★ in the same market.

The redesigned app launched six months after kickoff. App Store reviews cited "easy to understand," "doesn't make me feel stupid," and "I actually use it every day" as recurring themes — language lifted almost verbatim from our research insights.

4.8★
App Store rating at launch
61%
Reduction in week-1 churn
Gr. 5
Average reading level achieved

The project was featured in a case study by the non-profit's health equity program and cited as a model for inclusive design in public health technology.

Lessons learned: Inclusive design isn't about dumbing things down — it's about removing unnecessary complexity that never served anyone in the first place. The redesign made the app better for all users, not just the ones we were designing for explicitly.

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