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A mobile app for responding to non-verbal cues in advanced dementia.

MEAD helps caregivers record a short interaction, receive reviewed observations, and use them to guide the next interaction. This six-day concept was not clinically validated.

View the MEAD prototype
MEAD engagement overview with recommendations and an engagement trend
MEAD in-app recording prototype screen
RETURN VALUEObserve → interpret → adaptPrototype engagement feedback chart
Team and period
4 student designers · six-day sponsor sprint · May 2025
My contribution
Research synthesis, UX strategy, prototyping, and visual design
Source workflow
Epicollect5 video capture and expert review
Evidence boundary
Concept prototype; no testing with actual caregivers

Meaningful engagement is often non-verbal.

For people living with advanced dementia, meaningful engagement can appear through eye gaze, facial expression, gesture, or vocalisation. Capturing a video was the straightforward part. The real design problem was helping a busy caregiver notice those signals and act on them.

Eye gaze

Where attention settles and how it shifts.

Facial expression

Visible responses such as smiling or contentment.

Gesture

Movement, reaching, and physical response.

Vocalisation

Sounds and other non-verbal communication.

The case in 30 seconds

The existing tool successfully collected short interaction videos for expert review. The experience broke down around that core task: adding an entry was hard to find, form progress was unclear, upload and deletion were manual, and caregivers received no feedback after contributing data.

Problem
Evidence left the care moment, but useful guidance did not return.
Design response
Connect verified access, in-app recording, protected transfer, and feedback in one person-centered flow.
Result
A high-fidelity mobile prototype spanning care-list setup, recording, entries, and engagement feedback.

The redesign addresses four breaks in the existing workflow.

The audit showed that collecting a video was possible, but finding the task, completing the transfer, and receiving useful feedback were not connected.

  1. Find the person

    BeforeThe Add Entry action was difficult to locate.

    PrototypeStart from a searchable care list with a visible access state.

  2. Record the interaction

    BeforeRecording and form completion happened across separate steps.

    PrototypeRecord a new video from inside the person's entry flow.

  3. Complete the transfer

    BeforeUploading and deleting the video required manual follow-through.

    PrototypeMake upload status and post-transfer deletion explicit in the interface.

  4. Use the feedback

    BeforeNo guidance returned to the caregiver after submission.

    PrototypeShow how reviewed cues and suggestions could inform a later interaction.

Three design decisions respond directly to the audit.

Each decision connects to a documented problem in the Epicollect5 workflow. They describe the prototype response, not a validated outcome.

Put the person before the form.

CONTEXT

In the existing tool, the Add Entry action was difficult to find and the form began before the caregiver had clear context.

DESIGN MOVE

The prototype starts with a searchable care list and shows the selected person's details and access state before recording.

Bring recording into the entry flow.

CONTEXT

Caregivers previously had to record, upload, and delete video through separate manual steps.

DESIGN MOVE

The prototype places recording inside the mobile entry and makes the upload and deletion sequence visible instead of relying on memory.

Show what comes back after submission.

CONTEXT

Epicollect5 collected videos for later expert analysis, but caregivers received no feedback through the product.

DESIGN MOVE

The concept shows how reviewed entries could return observable engagement cues and practical suggestions for a future interaction.

Three flows turn a recording into a useful return loop.

Each sequence is grouped around one caregiver outcome. Alternate states stay inside the task they explain instead of becoming a disconnected gallery.

Build the care circle

Establish access before asking for an entry.

The caregiver can see who is already available, search when someone is missing, send a verification request, and continue only after a person is available in the care list.

SCROLL TO FOLLOW THE FLOW
  1. MEAD Add People screen showing an empty care list and available members
    Review the current care list.
    1Review the current care list.
  2. MEAD Add People search showing a person who can be requested
    Search for a missing person.
    2Search for a missing person.
  3. MEAD verification request confirmation
    Make the verification state explicit.
    3Make the verification state explicit.
  4. MEAD care list with a verified person selected and the next action enabled
    Select a verified person and continue.
    4Select a verified person and continue.
Capture an entry

Keep recording, context, and privacy in one path.

The entry stays anchored to one person. Recording happens inside the app, the caregiver completes the context, and the product confirms both transfer and deletion.

SCROLL TO FOLLOW THE FLOW
  1. MEAD New Entry screen with a person selected and recording available
    Choose the person before recording.
    1Choose the person before recording.
  2. MEAD in-app video recording screen
    Record without leaving the entry.
    2Record without leaving the entry.
  3. MEAD completed entry with recorded video, location, notes, and upload action
    Add context and complete the transfer.
    3Add context and complete the transfer.
  4. MEAD upload complete screen explaining that the video was deleted for privacy
    Confirm upload and deletion.
    4Confirm upload and deletion.
Review and adapt

Move from a person-level signal to the entry behind it.

The return path begins with longitudinal engagement, narrows to the entries behind the pattern, and opens one detailed record with observable cues and practical suggestions.

SCROLL TO FOLLOW THE FLOW
  1. MEAD engagement overview with recommendations and an engagement trend
    Start from the person's engagement overview.
    1See the person-level pattern.
  2. MEAD All Entries screen with filters and two entry summaries
    Filter the entries that contributed to the pattern.
    2Find the relevant entry.
  3. MEAD detailed entry showing recommendations and an engagement breakdown
    Open the record and use its recommendations in the next interaction.
    3Review cues and decide what to try next.
Explore the full prototype

What the prototype demonstrates

  • A clearer mobile path from selecting a person to completing an entry.
  • A concrete way to connect video capture with feedback for future interactions.
  • A product direction that makes privacy and consent visible in the workflow.

The design is only useful if guidance returns.

The recording supports expert review, but the caregiver needs a clear next step in return. The sprint also made the project boundary explicit: privacy must be expressed through the workflow, and an encouraging prototype is not yet evidence strong enough for care practice.

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