Work/Cura

Cura · HFES mHealth App Competition · 2023–24

From guesswork
to a care plan.

Eczema flares feel random. We designed Cura so people can log symptoms, triggers and routines in a few taps, and walk into the doctor’s office with a clear report.

2ndplace, HFES mHealth
App Competition, Chicago

Problem

Eczema is unpredictable. Triggers are hard to pin down, people track in scattered notes and apps, and stigma makes it hard to talk about, even with a doctor.

Solution

Cura, an app to log symptoms, triggers and daily routines. It spots patterns, alerts you when your condition worsens, builds a personalized care plan and shares easy-to-read reports with your doctor.

My role

Design research, product, visual and content design in a team of three: literature review, digital ethnography, flows, wireframes and two rounds of iteration with expert feedback.

Team
Nayanika Goje (UXR), Samiha Essakhi (UXE) and me
Timeline
Sep 2023 – Mar 2024
Outcome
Runner-up, HFES mHealth App Competition
Tools
Figma, Adobe Illustrator
Cura app screens: symptom logging on a body map, insights, care plan and doctor reports

01The moment

Your skin flares overnight. Was it the food, the stress, the weather, the new soap? Before anything else, you need one answer:

“What set it off?”

Eczema brings intense itch, redness and dry skin, and its unpredictable nature makes triggers and treatments hard to identify. It also carries psychological distress and social stigma that affect mental health and relationships.

We started with what was already known

We chose eczema because of personal experience on our team. Before designing anything, we ran an extensive literature review on its causes, classifications, triggers and the current treatment landscape.

Literature review slide: medical definitions and classifications of eczema
Literature review. The medical definitions and classifications of eczema, and how each is treated today.

02What we heard

80 Reddit threads, three clear patterns

Without ethics approval for direct interviews, we used digital ethnography: social listening across Reddit, blogs and eczema sites, searching terms like “eczema tracking” and “eczema journey”, then coding 80 threads into themes.

  1. People patch their tracking together. They blend note-taking with apps built for something else, like a period tracker used to log sleep, medication and mood.Digital ethnography
  2. Stigma keeps people quiet. Users hesitate to talk openly about their condition, fearing judgment from others.Digital ethnography
  3. A detailed record is how triggers get found. A systematic history of exposures is crucial to managing the condition.Digital ethnography

So the question became

How might we help people with eczema manage it day to day, and talk to their doctors with confidence?

  1. Track related information, not just symptoms.
  2. Let people customize what they track.
  3. Show how things interact: sleep, food, stress and flares, together.
Personas for Cura, including Zoe, a tech-savvy person living with eczema
Meet Zoe, the tech-savvy eczema warrior. Personas covered both ends of our audience, so features stayed grounded in real routines.

03The obstacle

We couldn’t talk to patients, so we brought in a doctor

Social listening told us how people feel about eczema, but not what a doctor needs to see during a visit. Our first wireframes tracked symptoms well and missed the clinical picture.

The turning point

A 45-minute call with a dermatologist reframed the app. Age shapes treatment. Stress and menstrual cycles are major triggers for women. Family history (asthma, allergies, rhinitis, eczema, dry skin) matters for diagnosis. Our guidelines, and our screens, changed to match.

04The redesign

Four changes, from a doctor and a heuristic review

Iteration one came from the dermatologist; iteration two from a heuristic evaluation against Nielsen’s 10 heuristics. Flip between before and after.

4.1

Health data beyond the skin

No way to track sleep, activity, heart rate, vitals, body measurements or menstrual cycles, as the dermatologist pointed out.

Before: a dashboard that only logs symptoms, sleep, food and medication
4.2

Age and family history, asked up front

The app never asked for age or family history, missing data needed to personalize care and spot hereditary patterns.

Before: tracker screen without age or family history
4.3

Severity on a simple scale

Complex sliders with qualitative descriptors made rating a symptom slow and ambiguous.

Before: severity sliders with descriptors for each symptom
4.4

Buttons that say what they do

‘Front’ and ‘Back’ buttons could be read as ‘Next’ and ‘Previous’, confusing users.

Before: Front and Back buttons on the body map

05Proof

Heuristics weren’t enough, so we asked experts

Nielsen’s heuristics are broad and don’t cover accessibility or assistive technology. So we triangulated: the revised prototype went to Christopher Ferguson, founder of Bridgeable and a healthcare design expert, and to our research coach, Alexandra Watral, PhD.

  1. Represent every body. One “muscular” body model doesn’t reflect the whole population.Expert feedback
  2. Ground insights in clinical guidelines. Personal data is valuable, but it needs a clinical frame, and more doctors in the loop.Expert feedback
  3. Say why we’re asking. Explain the purpose of tracking during onboarding and on the symptom log.Expert feedback
Heuristic evaluation of the Cura prototype against Nielsen's 10 heuristics
Heuristic evaluation. Issues found against Nielsen’s 10 heuristics, before the expert sessions.

06In their hands

Meet Cura

The final concept, as we presented it in Chicago.

Logging symptoms and triggers in Cura
Log in a few tapsSymptoms, triggers, daily routines and more, for a clear view of your health patterns.
Cura insights, alerts and doctor reports
Patterns, alerts and reportsCura finds patterns and triggers, alerts you if your condition worsens, and shares easy-to-read reports with your doctor.
A personalized care plan in Cura
A care plan that adaptsTailored to your symptoms and lifestyle, and updated as your condition changes.

07The new reality

2ndplace at the HFES mHealth App Competition in Chicago.

80
Reddit threads coded into themes
3
expert reviews: a dermatologist, a healthcare design founder and a research coach

Cura brings tracking, pattern-finding, alerts, care plans and doctor-ready reports into one app, built on Human Factors Ergonomics principles from the first wireframe.

08What I took away

  1. Bring experts in early. Working with a dermatologist showed me how much earlier expert input shapes a user-centred health product.
  2. Validation builds trust. Expert feedback kept the app medically accurate, and that credibility is what makes people rely on a health tool.
  3. Small choices, big usability. Font sizes and touch-friendly buttons did more for accessibility than any single feature.
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