How might we...

make a vulnerable experience less painful?

How I redesigned a clinical BMI verification process to eliminate fraud, ensure clinical safety, and reassure patients in discomfort.

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TLDR

ZavaMed is an online doctor providing accessible healthcare across 7 European markets

Vulnerable patients dealing with weight stigma asked to submit exposing photos. Fraud concerns: photo sharing on Reddit/forums, doctors manually verifying each submission (5-10 min). New GPHC regulations required compliance-we built first-of-its-kind live capture tool instead

THE PROBLEM

22% abandonment, fraud concerns, GPHC regulations, non-supportive UX

THE JOURNEY

BMI photo verification after medical questionnaire and treatment requested.

THE APPROACH

First in-industry Live Capture tool that solves for fraud, safety and vulnerability.

MY ROLE

Product design lead: partnering with PM to prioritise roadmap. Led on research, delivery and execution. Worked closely with: PM, doctors, data team, patient care team, content, commercial.

MY IMPACT

>90%+ photo accuracy (up from ~60%), 160 days/year admin time saved, fraud attempts eliminated, regulations exceeded.

GETTING STARTED

Stigma, safety and clinical credibility - why the existing experience was painful

Society loves to hate on weight loss solutions - almost as much as it loves to hate on weight.

Meal replacement shakes? Tacky. Diet pills? Dangerous. Those vibrating ab belts from infomercials? I actually bought one once. GLP-1s are just the latest thing we’ve dismissed as another ‘get thin quick’ gimmick for people who apparently just “need to try harder”.

Here's what that narrative misses: obesity is a complex chronic disease. Genetics, biology, environment. Not a lack of willpower. I was fully immersed in this space back when I was working with Novo Nordisk on Saxenda and their "Truth About Weight" campaign, which was designed specifically to dismantle weight stigma. The insights from patients were heartbreaking. Because patients don't just face societal prejudice, they face it from doctors too. Dismissed concerns. Assumptions about not trying hard enough. And the added stigma of taking ‘the easy way out’.

Not only was the experience inherently uncomfortable - the way that it was being requested didn’t invite trust in the medical credibility behind it.

Patients abandoned because it was uncomfortable and complicated

Patients cancelled due to discomfort. not having scales, living alone with no one to help, and many were not even aware it was required. That’s not confusion, that’s discomfort, lack of trust, and lack of transparency.

Patients cancelled due to discomfort. not having scales, living alone with no one to help, and many were not even aware it was required. That’s not confusion, that’s discomfort, lack of trust, and lack of transparency.

PROBLEMS TO SOLVE FOR

More to solve for - regulations and fraud

PROBLEMS TO SOLVE FOR

More to solve for - regulations and fraud

Doctors saw increase in attempted fraud

Patients submitting old photos, same photo seen across multiple requests, potentially AI images.

Doctors reverse image searching every submission. 5-10 minutes per patient just to verify "yes, this is actually you, recently, not borrowed from Karen in the Facebook group."

GPHC regulations were changing

GPHC update requiring date verification, minimum 3 photos, verification process.
Tight deadline (3 months)

The updated GPHC regulations and looming deadline meant we had to incorporate tighter guidelines within a low-cost tech effort.

APPROACH

Solving for safety: The Live Capture Approach

The technical solution had to stop fraud attempts first: live camera tool. Patients take all photos in real-time. Can't upload old photos, use someone else's image, or submit AI-doctored masterpieces. Date verification automatic. GPHC requirements sorted.

What other solutions were considered?

What other solutions were considered?

What other solutions were considered?

What other solutions were considered?

Solving for a vulnerable patient experience

Four principles guided the experience:

Assume nothing.

Don't assume people know what "full-body photo" means, have a mirror, are comfortable alone, or trust us (why would they?). Guide every step

Trust is earned through transparency.

Don't say "don't worry!" when someone is rightfully worried. Say exactly what happens, who sees photos, why they're needed.

Dignity over efficiency.

Let them review, retake, choose who helps. Give them control when they need it most.

Design with the emotion, not against it

This is uncomfortable. Full stop. Design for vulnerability, not fake cheerfulness.

KEY FEATURES

A fully guided journey

A step by step journey, with reassurance at every stage

  • Utilising best practices from other ID verification and medical sharing platforms

  • Start page ensured that patients had full understanding of the process, specifically the 'Why'

Coach explaining something to an athlete

KEY FEATURES

Onboarding

  • Patients were clearly onboarded to the tool

  • Small, bite sized pieces of text on each step ensured that nothing could be missed

  • Important details were illustrated for clarity

KEY FEATURES

AR best practices

  • When it came to the tool itself, I relied heavily on AR and VR best practices and common pitfalls

  • I heavily ensured that instructions were easy to access and in-context

  • The tool worked within rather than before or after the 'real life' task, giving feedback as the patient was in the journey

  • A reference image was also added, mitigating patients forgetting the pose

Athlete winning a race

KEY FEATURES

Illustrations for stigma

I utilised findings from research done by Zalando on their AR try-on feature. They found reference illustrations that were more departed from a ‘true’ human form helped users to detach from any shame they attached to their body type.

  • To further help alleviate feelings of shame in patients, we created forms that were more geometrical and less specific on body type.

Athlete winning a race

KEY FEATURES

Designing for trust

  • A key component of the redesign was earning back patient trust

  • Patients were made aware why we needed photos, as well as what would happen to them

  • Transparency also played a role here - the confirmation allowed patients to get a clear picture of next steps

Athlete winning a race

KEY FEATURES

Working with patient context

  • Patients struggled with two aspects: not having a full length mirror, someone to help them, or scales at home.

  • We created two flows - one for patients taking the image themselves, clearly indicating how to set up the phone, and one to guide the person helping.

  • To solve for the scale problem, we designed a 'save and submit' feature, to allow patients to pause and return to submit all photos.

KEY FEATURES

A fully guided journey

A step by step journey, with reassurance at every stage

  • Utilising best practices from other ID verification and medical sharing platforms

  • Start page ensured that patients had full understanding of the process, specifically the 'Why'

Coach explaining something to an athlete

KEY FEATURES

Onboarding

  • Patients were clearly onboarded to the tool

  • Small, bite sized pieces of text on each step ensured that nothing could be missed

  • Important details were illustrated for clarity

KEY FEATURES

AR best practices

  • When it came to the tool itself, I relied heavily on AR and VR best practices and common pitfalls

  • I heavily ensured that instructions were easy to access and in-context

  • The tool worked within rather than before or after the 'real life' task, giving feedback as the patient was in the journey

  • A reference image was also added, mitigating patients forgetting the pose

Athlete winning a race

KEY FEATURES

Illustrations for stigma

I utilised findings from research done by Zalando on their AR try-on feature. They found reference illustrations that were more departed from a ‘true’ human form helped users to detach from any shame they attached to their body type.

  • To further help alleviate feelings of shame in patients, we created forms that were more geometrical and less specific on body type.

Athlete winning a race

KEY FEATURES

Designing for trust

  • A key component of the redesign was earning back patient trust

  • Patients were made aware why we needed photos, as well as what would happen to them

  • Transparency also played a role here - the confirmation allowed patients to get a clear picture of next steps

Athlete winning a race

KEY FEATURES

Working with patient context

  • Patients struggled with two aspects: not having a full length mirror, someone to help them, or scales at home.

  • We created two flows - one for patients taking the image themselves, clearly indicating how to set up the phone, and one to guide the person helping.

  • To solve for the scale problem, we designed a 'save and submit' feature, to allow patients to pause and return to submit all photos.

TRADE-OFFS

An argument for transparency that I lost

The data was pretty clear: 11.48% cancelled because they didn't know photos would be required. Nearly 12% getting to the end and going "wait, WHAT?"

My argument: be transparent upfront.

Product and Commercial were not fans. It would tank conversion.

Here's the problem: patients who don't want to upload photos won't do it either way. Hiding it gives you inflated "placed order" numbers whilst "completed" numbers stay in the toilet. Plus we waste clinical resource chasing patients. Transparency captures only patients with true intent. Better metrics where they matter.

I designed an interstitial after treatment request reframing verification as "How we prescribe responsibly." It would manage expectations, explain why, get consent, filter bad actors, position us as careful prescribers.

We built it. Tested it. Ready to ship. Then a senior stakeholder swooped in, declared it "disastrous" for conversion, and killed it. Six months later, we reviewed why patients weren't completing verification. Number one reason by a mile: "I wasn't aware this was required." The killed interstitial would have solved this exact problem.

My argument: be transparent upfront.

Product and Commercial were not fans. It would tank conversion.

Here's the problem: patients who don't want to upload photos won't do it either way. Hiding it gives you inflated "placed order" numbers whilst "completed" numbers stay in the toilet. Plus we waste clinical resource chasing patients. Transparency captures only patients with true intent. Better metrics where they matter.

I designed an interstitial after treatment request reframing verification as "How we prescribe responsibly."

We built it. Tested it. Ready to ship. Then a senior stakeholder swooped in, declared it "disastrous" for conversion, and killed it. Six months later, we reviewed why patients weren't completing verification. Number one reason by a mile: "I wasn't aware this was required." The killed interstitial would have solved this exact problem.

Core outcomes

PATIENT ABANDONMENT

>90% photo accuracy (up from 60%), patient feedback shift, significant increase in ‘done’ orders.

Instructions are clearer, patients feel supported, and patients feel confident to continue

ATTEMPTED FRAUD

Fraud attempts eliminated, 5-10 mins doctor time per patient saved, 160+ days of admin time saved

We made this experience better for both patients, doctors, and the patient care team.

GPHC PRESSURE

Guidelines met and exceeded, first among competitors to implement.

I say this with modesty - the experience we drove was best-in-class. Most competitors were relying on much older methods, and we embraced the challenge to go even further.

ATTEMPTED FRAUD

Fraud attempts eliminated, 5-10 mins doctor time per patient saved, 160+ days of admin time saved

We made this experience better for both patients, doctors, and the patient care team.

STILL TO SOLVE FOR

An even smoother patient experience

Better immediate feedback
A place to view images
Transparency upfront
Better entry points

STILL TO SOLVE FOR

Loopholes for fraud

Emerging technology makes it possible for fraud to continue, and we'll need to rise to it
Easier way for doctors to compare and view photos

KEY LEARNINGS

The after-school special moment

This wasn't about making BMI verification "delightful." It's still uncomfortable. Most people would rather not photograph themselves half-dressed and send it to strangers.

But we made it much, much better. We removed barriers, preserved dignity, solved fraud attempts, and met regulations -- multiple difficult things at once without making it any worse.

I fought for transparency and lost. The interstitial got killed. But I still had to ship something that worked, so I focused on what I could control: the experience, the principles, the craft, the support at every step.

Six months later, data proved I was right. But by then, we'd helped thousands of patients navigate one of healthcare's most vulnerable moments. Being proven right doesn't mean you were wrong to compromise. Sometimes you design within constraints, even seeing a better way. You advocate with data, you try to shift the decision. When that doesn't work, you do the absolute best you can with what you've got.

Success isn't winning every argument. It's whether patients felt cared for when they needed it most, and I’m ok pushing back for that.


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