Your virtual buddy: UU

🌟An XR app with AI chatbot for pediatric patients who are experiencing long-term hospitalization

🏆 2023 PICO DevJam Hackathon Best MR design and 2nd prize

Team: 6 members

Me: PM/ Product designer

2 UX designers

1 Visual designer

2 Developers

Role

Product management

Product design

Visual lead

User interview

Time

5 months

research ideation

3 weeks prototype


Tools

Figma

Adobe illustrator

C4d

Unity

Background

The project was inspired by the documentary film Life Matters (2019). It depicts a dream about child patients fighting against cancer in a gamified way in a Chinese public hospital. Besides the side effects of treatments, children in long-term hospitalization suffer from unimaginable torture (fear, loneliness, loss of control, and despair). I hope that through the design, I can find a solution that could help them alleviate the pain during the treatment process.

Problem

25%

In this project, I decided to focus on leukemia because it is the most common pediatric cancer, comprising 25% of all cancer types.

85%

The 5-year relative high survival rate of leukemia is 85%, which means they have a high chance of returning to normal life after hospitalization.

According to my research, child patients with Leukemia may have a lot of problems and difficulties during long-term hospitalization in Chinese public hospital:

Long treatment:


Most patients take a total treatment about 3 years to get healed


Restrained activities:


Get treatment in an unfamiliar environment with restrictions

Psychological risk:

Long-term hospitalization may cause isolation

Social demand:

Need the company of friends to share stories and get support

Solution

We designed the virtual character and user interfaces for the XR app with design system. For the 2023 PICO DevJam hackathon, we also made a prototype implemented in VR headset using unity:

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Research

How do pediatric patients think and feel during hospitalization?

With this question, I conducted secondary research using methods such as interviews and the examination of real medical cases. I interviewed 8 medical staff members in Chinese public hospital who are strongly associated with pediatric patients and 2 leukemia pediatric patients’ parents. Out of ethical considerations, I refrained from direct conversations with the patients.

What do pediatric patients with Leukemia need during the treatment process?

I went through 10+ papers related to leukemia treatment in China and come out with the experience map. Then, I approach to the touchpoint of each treatment stage for the design ideation.

Interview with 8 medical staff and and 2 leukemia pediatric patients’ parents

Pediatrician

Orthopedist

General nurse

Surgeon

Hematology Nurse

Anesthetist

Pediatrician

Psychologist

Patient parent

Patient parent

Screenshot of my interview notes and questions (in Chinese)

I conducted the interview with medical staff members and patients’ parents in Chinese. If you read Chinese, please feel free to check the full interview and ideation notes in my Miro board.

Empathy map

What do they think and feel

Family financial burden

Slim chance of a cure? Hope?

Fear of surgery

The pain of the treatment

Confused and out of control.

Vomiting, ulcers

Pain so bad and can't sleep

Bone piercing waist piercing pain

What is death? Where do people go

The loneliness of being in hospital


Pediatric patients with leukemia experiencing long-term hospitalization in Chinese public hospital

DO

Too boring to use Tiktok all the time

play with early education toy

SEE

Doctors, nurses, parents

Infusion port, syringe needle

Really long puncture needle

The cold and empty ward

The little shaved head in the mirror

Dolls/photos interior decoration

SAY

"Want to go back to school"

"Want to play games outside"

"Want to go to the park"

"Want to go for a walk and run"

"Want to go home"

"Want to stay in the sun"

"Want to see my friends"

HEAR

Precautions before operation/puncture/examination

Side effects

adverse reactions

Nurses' encouragement

The news of the brother's death in the next bed

"What do children know?“

"It must be retribution from past life”

"We give injections to keep bugs out of our bodies.“

"Cooperate to leave the hospital earlier.“

“Let's fight the disease together.“

Mom turned her back and sobbed secretly

Cognitive Therapy

"Get well and go home!!“

Insights

Disconnected from normal life

4-year-old starts to have social need

Restricted freedom in the hospital

Fear of medical staff/ new place

Questions and fear about illness

Learn to be brave and optimistic

Get to know other patients and make

bonded friendships

Have more time for hobbies and find

out the meaning of life

Pains

Gains

Our Design goal is to transform little patients' negative emotions into positive experiences as they go through extended hospital treatment.

Leukemia treatment experience map

Hospitalized

Remission

Induction

33d

The fear of an unknown illness needs to be calmed

The adverse reactions brought by treatment will not only bring physical and mental pain, but also have obvious adverse

effects, which need to be pacified

More intense treatment, more intense physical pain, need to be soothed

After high intensity chemotherapy and radiotherapy, the body's immunity is almost zero, requiring close care

Extremely weak, in need of close care, high sterility requirements, high diet requirements, demanding details of life

long-time Hospitalization, need to be connected with the outside world immunity is low, need to control infection

Possible positive effects of the treatment

Get pessimistic and tired of the world, think that they are incurable or painful, lose confidence in treatment, lose enthusiasm for life, and they need to regain their confidence in life

Healthy

Early Stage

Chemotherapy

Stem Cell

Transplant

Cure

Recurrent

Newly

diagnosed

7d

PRE-

treatment

7d

hrs

2wk

months

2wk

Maintenance

2yr

Consolidation

56d

Delayed

Intensification

2wk

Touchpoint

The little patient need to switch between hospital and home environment

Getting used to the treatment environment and the treatment response, needs to be distracted

Needs to be distracted from the painful treatment

Maintenance treatment requires access to the outside world, but also requires close adherence to medical advice

Transplant

Room

Touchpoint

Emotion:stubborn, impatient, fear, alienated, anxiety, isolated

Reasons:experiencing physical discomfort caused by the side effects of the drug/ stress of the diagnosed with the disease and leaving the familiar environment

Emotion: self-esteem, inferiority, anxiety,depression, reduced social adaptability

Reasons:physiological changes the use of hormones and chemo drugs

Emotion: Difficulty to adapt to normal life, anxiety, conformism, lack of social ability

Reasons:long-term hospitalization, isolation

Emotion: High risk of mental breakdown and trauma

Reasons:unable to have friends or peers

Takeaway

Looked into the treatment, we hope to design for every stage of medical treatment and explore potential features. Then we developed our main design features based on deep-down medical research on cognitive and behavior therapy.

Ideation

Reason for virtual experience

Virtual experience breaks the interior design limit and expands the possibility of the space.

Reason for virtual friend and social connections

Virtual friend provides mental support, reduce the risk of developing anxiety and psychological trauma, and have healthy social interactions.

Three main features

Companion

The virtual character is designed to be a reliable friend who will be there for the pediatric patient through the entire treatment.

Discovery

The virtual character will help pediatric patients become familiar with the environment and reducing potential fear.

Cognition

The virtual character is able to function as an AI chatbot with voice interaction, answering questions about illness.

Character design inspiration and process

Virtual character UU: persona

What kind of friends can give young patients warm company and strong support? After analyzing the characteristics of various companion characters in animation, films, television works, and our own friends, we created UU, this cute buddy.

UU

Personalities:

UU’s story:

Willing to express but better at listening

Round Body

Light and Agile

White and Clean

Bouncy and Soft

Dim Glow

Cute and Naive

Tenderly Look

Kind and Patient

“Little mysophobia”, can't stand sticky things

Adventure and Travel

Write a diary/photography/record life

Play with friends

Collect meaningful things on the journey

Magic Tricks

Teleport

Story-telling

UU is a little explorer who likes to travel around. Have been to many places, met many friends, and wrote them in the diary. This time, UU came to the earth, looking for the bravest soul.

Here, UU and the little patient met. "Let me accompany you", said UU.

Short stay turned into long-term companionship. UU wants to grow up with the child and completes a story in their life journey.

Hobbies

From Parallel Universe

Personality

“Characteristic Clouds”

Appearance

Expression

Material

Personality Traits

Color

Round Face

Empathetic Look

Always smiling

Round Head

No edges or corners

translucent

Silicon like

fluffy

Mocha like

patience

kindness

Characteristics of the companion role

Warmer tones

luminescent

Light color

Proactive

Friendly

Gentle

Being a Good Listener

Reliable

Have similar interests

Companionship

Humorous

Round Belly

Appreciated Qualities

in Friends

Characteristics of a “Reliable Friend”

When I‘m sick

I‘d like to hear my friends saying that

Communicate Effectively

Won’t get embarrassed even when no one’s talking

Soft tone

Sincere look

The Person Who Speaks To Me First

Good Temper

Won’t force me to do things that I don't like

Emotionally

stable

Quiet not

noisy

Problem

solver

Ability to Make People

Feel at Ease

Happiness maker

Similar experiences

Similar hobbies

Positive values

considerate

empathetic

Get used to the other's presence

Never worried that they would leave

Share the

happiness

Comfort and Care

Play toys

Someone’s there with me, when I wake up

Mom’s hug

dad’s shoulder

Being cared and asked patiently

do not want to talk

Diversion

during injection

Divert Attention

“I’ll always be

there for you”

Provide

Confidence

“Not feeling alone”

Virtual Friend “U”

“U” has the same pronunciation as “友”, a Chinese character stands for “friend”

Support my

decisions

“You’re already

excellent”

Encouragement

Illustrated journey map

Final output

Interface design

According to the function map based on three main features: companion, discovery and cognition, we designed the XR interfaces.

Design system

How do we combine PICO development kits

This part is important since we are implementing the design using PICO 4 VR device.

Responsive design

Interface Design

Discovery feature: Exploration in the hospital !

Cognition feature: Learn about Cell !

Discovery feature: Wall paint

Discovery feature: Choose paint brush

Discovery feature: Intro to MRI !

Companion feature: Emails from friends, and other patients

Discovery feature: Wall paint selection

Discovery feature: Paint brush

Discovery feature: Intro to nurse station !

Companion feature: Read emails

Discovery feature: Wall paint color palette

Discovery feature: Drawing a master piece!

UU’s introduction!

Choose two ways of discovery

Companion feature in the daytime: Choose a story

Companion feature at night: Idle state UU

Landing page

Gesture interaction

Companion feature in the daytime: Tell a tory

Companion feature at night: Voice trigger UU show up

Select feature

Gesture recognition

Companion feature in the daytime: Interactions in the story

Companion feature at night: Learn and explore the universe

Design System

How do we combine PICO development kits

PICO Sense Pack

Video seethrough

We use seethrough camera to allows users to see the hospital while wearing the headset.

Space Calibration

By using space calibration, we can map the assets and scenes based on the environment.

Spatial Anchor

Spatial anchors allow users to place virtual objects in the hospital and then revisit them later.

PICO Interaction Pack

Tracking Origin

We use tracking origin to mark the user’s position and orientation in space for accurate position.

Haptic Feedback

We use it to provide haptic feedback to users when certain action is triggered.

Hand Tracking

We use hand tracking to track/recognize different hand gestures to trigger interactions.

Controller HMD input mapping

By using this, we can receive user input through controller for interaction.

PICO Interaction pack: Tracking origin

Pico interaction pack: Hand Tracking

Pico interaction pack: Haptic feedback

Responsive design

We are aware that VR headset technology is still developing. Considering the weight and comfort of the device, today's VR headsets may not be suitable for continuous wear for 24 hours, not even for longer than 2 hours. Multi-platform functionality expands the user scenario and makes virtual characters much more accessible on frequently used devices.

Takeaways

Technology would change the way we think of design

Two years ago when I just have an idea about the project after watching the documentary. I couldn’t think any kind of real technology for designing a virtual character. AI chatbot seems impossible applying to normal life secenario.

Not take criticism personally and keep iteration

I remember how frustrated I was when this project was criticized as too ideal and ‘studentish’. However, with the emerging tool like chatGPT and Apple’s vision pro, the fact of having a virtual friend has came true.

Next steps

Mentored by PICO developers for future development:

Thanks to the PICO hackathon, we will have the chance to work on future development, mentored by PICO developers. The XR app may be fully developed, implemented in VR devices and available in the PICO store.

Consider about product strategy

Every product should align with the broader strategic goals of the business. Ensuring that the product contributes to the overall mission and objectives of the company, whether it's expanding market share, entering new markets, or increasing profitability.

Think about business viability:

Business viability is often tied to the expectations of stakeholders, including investors, executives, and customers. I would try to think from the PM perspective and communicate effectively about the business value and potential for success.

Let's start creating together
I am actively looking for opportunities

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