Attain App Product Design
The Attain app is a sensor-based health, activity & rewards experience delivered via native mobile apps. Attain combines user health history with wearable data to offer personalized goals, achievable actions and rewards with the goal of driving behavior change to improve user health.
Attain by Aetna App screens including Activity, Healthy Actions, Challenges and Rewards
During my time as the lead of Attain design, with close collaboration of product, engineering, data and clinical partners, the team rebuilt the native iOS app, created an new native Android app version and designed several new features based on key user needs and research insights.  
Attain user demographics: Aetna commercial health plan members 59% female, 41% male, with average age of 40. Average $431 per month medical cost & $174 per month prescription cost. Top 5 co-morbidities: 18% hyperlipidemia, 17% anxiety, 16% obesity, 15% hypertension, 12% depression
Prototype: Attain for Android is designed with a native app focus following best practices of Material Design Guidelines. ​​​​​​​
 Prototype: ​​​​​​​Attain for iOS is designed with native app components following best practices of Human Interface Guidelines.
1 | Activity Personalized Calorie Goals and Tracking. Screens include Activity iOS, Activity Android, How goals are calculates, Activity history calendar, Activity history details
   Staying Active: Users have daily active calorie goals based on sex and weight and weekly goals that go up or down based on previous activity. 
• Daily goals: Calorie goal user is encouraged to complete each day for 10 points per day
• Weekly goal: Times per week a user needs to complete daily goal in order to get maximum points for the week
This approach works because we don’t just keep members active we also help them to become more active. That is why Attain on average drives a 14% increase in calories burned by 6 months in the program for sedentary users. 
On the activity main tab, the wave animates and fills up throughout the day as a user completes a daily goal. In the bottom section users can track their weekly goal progress, bubbles will fill up to reflect % complete each day, when the week is accomplished the star will be filled in.  From here or the “activity history” screen a user can see detailed view of their progress on activity goals.    
31.1% of users achieve daily goal, 30% of users achieve weekly goal
2| Everyday health Lifestyle tips and actions on health basics like sleep, nutrition and mindfulness 3| Key health moments sensor and claims- driven models to guide and incentivize clinical health actions. Screens include Healthy Actions iOS, Healthy Actions Android, Completed Healthy Actions
Everyday Health: Simple, day-to-day actions you can take to lead a healthier life. These lightweight tips and actions are to help a user with the basics which include activity, nutrition, sleep and mindfulness. Everyday health topics are served up daily to users in weekly themed scripts. Tip and action cards expire daily. 
24.1% of users interact with Healthy Actions daily
 Key Health Moments: Created with doctors, Attain uses user health history to serve up actions that are specific to unique health needs based on their medical information. This includes tools for achieving long-term health and support for more serious .Key Moments include flu shot reminders, primary care reminders, call to refill RX, ER avoidance, preferred lab steerage. Key moment clinical content is served to users as needed. Tip and action cards may have up to a month before they expire. 
Just a single message or interaction in Attain drives a 28% increase in members getting a flu shot. 
87.9 % of users complete daily everyday Healthy Actions, 85.7% of users complete key moment Healthy Actions 
Completion of these actions are either Health Kit/Fitbit app adjudicated using the sensors on the Apple Watch/Fitbit tracker, confirmed through claims data or self-adjudicated (self-report). It’s important to note this is not a comprehensive condition management tool. It is a tool meant to support everyday health for everyday people. Copy and image are shared to back-end via excel template and manually imported into the app, CMS system future state.
4| Challenges multi-user competitive activity with personalized goals. Screens include Challenges iOS, Challenges Android, Unjoined details, Joined in-progress details, completed in-app notification
 
Challenges: Guided activity challenges that users can choose to opt in to participating in. The goal of challenges is to make it easier for users to attain their activity goals, by providing additional, and increasingly personalized, opportunities in-app to engage in healthy behaviors. 
• Multi-length: users can participate for 1-week, 2-week, or 1-month based on what’s offered
• Track progress: real-time progress tracking and ability to monitor your status
• Compare rank: see how you’re doing compared to everyone else, and those with a similar target
• Group setting: you can compete in the same challenge at the same time
Activity types:
• Apple Watch: Workout (mins), Stand (hours), Steps (#), Exercise (mins), Distance (miles)
• Fitbit: Workout, Steps, Distance
Duration: 
• 1-week and 2-week challenges launched on Mondays
• 1-month challenges launched on the 1st of the month
• Opt-in period opens 1 week before challenge start date, and ends halfway through the challenge
Medical accommodation: Users will get a reduced goal based on their accommodation. If that is not viable, they will not receive that challenge and will be awarded the points instead
31% of total eligible users joined at least 1 challenge in the first week, Activity (Avg. Calories) and Weekly Goal Completion increased for Challenge participants during the first month of the feature   
5| Financial Rewards incentivize users to continue to engage in the app. Screens include Rewards iOS, Rewards Android, Gift card mall, iOS earn your watch dashboard
Financial rewards: Users earn points for interactions throughout the app. These points are redeemable for gift cards in app. 5,000 points = $5
Eligible iOS users have the option to earn an Apple Watch. These users earn points for interactions throughout the app and the points are put towards paying down the cost of a watch purchased during onboarding.
285,732,744 pts total earned by users per month on average,  21.6% of eligible users fully earned watch​​​​​​​
6| Settings user access to preferences and support. Screens include Settings iOS, Settings Android, Devices, Preferred email, Share the Attain App
Settings: Users access product settings, preferences and program support including custom accessibility features for animation control of activity wave
7| onboarding user checks eligibility, selects device and enrolls in the program. Screens depict iOS and Android onboarding flows
Onboarding: (top flow) iOS users allow permissions to Health Kit which allows Attain backend to connect to Apple Watch data. (bottom flow) Android users give permission to Fitbit account to connect Fitbit wearable tracking with the Attain app backend.
Driving Behavior Change data points for activity, everyday health, key moments
Data as of 10/16/22. Reviews are from actual Attain users whose names have been omitted to protect privacy. 
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