Posts tagged “participation”

Rethinking Everything About What You Do For Customers

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Rebecca Mead’s New Yorker feature The Sense of an Ending describes some really dramatic (and successful) reframes in care for dementia patients. There’s a number of profound shifts in how the caregivers describe their role and in the kind of experience they seek to deliver for the patient (and their family). The whole article (linked above, but subscribers only) describes those shifts and the cultural and organizational efforts to get there. I’ve included just a portion here

One of the first things Alonzo did, in 1998, was to ask an aide who was born in Vietnam to talk to staff members in her native tongue. “It was the only language I could find that nobody else could speak,” Alonzo recalled. “So we had her tell us very sweetly, in Vietnamese, what she wanted us to do, and we couldn’t understand her.” The staff had to become attuned to the woman’s nonverbal cues.

On another occasion, Alzono underwent a public bed bath, in front of the entire staff, of twenty-seven. She didn’t allow herself to move her limbs, and behaved as if confused. Afterward, she was able to describe the nature of her discomfort, and staff members analyzed their own activity in light of it. “Let me tell you, it sucked – it was incredibly uncomfortable,” she told me. Staff members then spooned food into one another’s mouths and brushed one another’s teeth, in order to be on the receiving end of activities that they performed for their charges every day. “You can find how threatening it is to have something touch your mouth when you have not brought it to your own lips,” she said.

In the most radical experiment, the staff wore adult diapers. “That was kind of life-changing for everybody involved,” Alonzo told me. “We all recognized just how uncomfortable it was to sit in a wet brief. Some of our front-line staff, who really wanted to know how bad that felt, did not change them for a couple of hours.” Previous may residents had been dressed in diapers, as they tend to be in a majority of nursing homes. Not long afterward, aides decided to stop the practice with most residents, instead taking them to the bathroom fifteen or twenty minutes after mealtimes. This made residents happier while making the staff’s jobs easier, because they no longer had to change people who were agitated.

There’s a rich tradition of participating in the experience our customers are having (see this great war story about an adventure in an “old age simulation suit”) and what feels like an increasing mention of empathy. I really like how this story highlights not so much the ergonomic or functional task aspects that are revealed but how this drives to revisiting the fundamental ideas of how the institution conceives of the patient experience it provides. I also like the full-on simplicity of the approach, the people who do this stuff to others now try it themselves and talk about it.

See also Richard Anderson’s blog post from this week about reframes in general and in healthcare specifically.

Daria’s War Story: Human Thresholds

Here’s a story about a very challenging participant, from Daria Loi who works as UX Innovation Manager at Intel.

About five years ago a colleague and I traveled to Sweden, Indonesia and PRC for a study of storage practices in homes. We were particularly interested in observing everyday activities related to the “stuff” one owns, like clustering, archiving, organizing, disposing, sharing, holding, recycling and so on. The goal was to gather useful insights from the analog world to better understand how people might deal with data in the digital one.

In each city we recruited a number of participants to be interviewed twice and to complete a cultural probe during the week between the interviews. The first interview (about 3 hours) started by focusing on baseline data for the first 60-90 minutes, and then shifted to a home tour in which we would go room by room, observing the environment and asking questions arising from what we noticed or from what the participant indicated during the baseline interview. During this part of the first interview we would often find ourselves opening drawers, cupboards, wardrobes and the like, with participants’ permission of course.

There is nothing more fascinating than seeing what people do with their stuff. To some extent you see yourself and your own behaviors in action, and in other cases you have to be prepared to find the most obscure things in those drawers – so obscure than even their owners are perplexed when they rediscover them!

I have fond memories of a young and bright Swedish woman laughing with puzzled surprise when she discovered the enormous amount of candles she managed to accumulate and that all those candles were in the same drawer as a flyswatter she did not recall owning. I still giggle when I think of a beautiful Indonesian family taking us in their storage room, to discover they had 6-7 identical broken appliances. I still remember the puzzlement of the husband, trying to work out how on earth that accumulation happened. And again, I always smile with affection and admiration when I think of a Chinese painter and his lovely wife showing us their feng-shui based order of things.

During this quite long study (a bit more than two weeks in the field for each country, long for corporate research) one of many adventures is about a Chengdu-based participant, who my anthropologist colleague has since always referred to as “the interviewee from hell.”

It all starts in the morning at 9 am; the first interview for that day. We ring the bell of an apartment, but no response. After a few minutes we try again, but still nothing. We start feeling edgy as we do not want to be culturally inappropriate or pushy. Yet suddenly the door opens to reveal a young pajama-covered woman with puffy eyes who is evidently just out of bed.

The young lady, which here will remain of course unnamed, looks at us evidently annoyed, flashing “how dare you to wake me up” eyes, and asks us what we want. The translator explains we are there for the interview and she tells us she’s pretty sure we are one day early.

My colleague and I begin thinking of ways to accommodate her interview another day but the participant let us in – even though we fear this is not the best premise for the best interview.

After the usual preambles and consent form sign-offs, we set up our video gear and proceed with the first part of the interview. I should have immediately realized something was off when I saw the participant clutching to her mobile phone with great intimacy – the glued-on-my-body type of intimacy. But no, her behavior did not immediately ring the “this is going to be a disaster” bell and I let my colleague start with the interview, while I start my picture/video taking activity.

There is something rather cool about framing another human being through a camera. You observe little details even more deeply. And now, all the little details immediately ring the infamous “this is going to be a disaster interview” bell. For the rest of the interview the following occurs over and over again:

  1. Colleague asks a question while participant checks her phone (text, emails, internet)
  2. Participant responds with “yes”, “no” and “hmm-I think so” type of answers
  3. Colleague’s face changes color into a subtle pink tending to a gentle red
  4. Participant continues checking her phone, rarely looking up or even acknowledging someone is asking her questions
  5. Another round of question and yes/no answers follows
  6. Colleague face increasingly changes shades till she looks like a pepper

This loop goes on and on as I take pictures of-er-participant checking her phone, while my colleague is about to expel her bile on the carpet in front of her. After a while we try to send a subliminal message by asking whether she would prefer to meet another time since she seems busy (read: distracted and totally unengaged). The young lady looks at us (finally!) and says “No, it’s fine. Let’s do it now” (read: this is tedious already, I am already upset you interrupted my beauty sleep, so let’s get over and done with it).

So…we go on. After a while as this situation continues I start having the giggles. I typically try to see the best in any situation so I find myself firstly intrigued by how limitless this somewhat dysfunctional situation is, then amazed by how upset my usually calm and controlled colleague can get. Eventually I was tempted to suggest we refocus the interview on her mobile phone usage, since that is evidently her passion.

My thinking was to make the best of the time, opportunistically refocus the interview to a totally different topic even if not helping our project. I wanted to use our time to learn something useful instead of pushing a cart into an evidently void-of-usefulness corner. Ultimately we’d have some use for data on mobile phone attraction, right?

Anyway, the rest of the interview continues on the same lines, with the exception of the home tour part, where my pictures are not of a user handling her phone while on a couch, but those of shoulders hunched on a phone. During the tour, the verbal part of the interview shifts from yes/no answers to a number of grunts and monosyllables. The red pepper is teary at this stage (or maybe it’s all that eye rolling that produces those tears?)

After three hours we finally leave. As the door closes I seriously think my colleague will either burst into tears, have a meltdown or light the apartment building on fire. She instead keeps her cool, aside from a few colorful words that I won’t put in writing.

But the fun part is not yet over, because of course after a week we have a second interview scheduled!

The second interview is definitely much more colorful: instead of taking pictures of a participant and her phone, I manage to take pictures of serious multitasking in action: send texts and check your social network on the phone with the left hand while checking the stock exchange on the laptop with the right hand. And do not forget the yes/no/grunt answers and minimal level of auditory attention paid to my frustrated colleague.

If now you were to ask me: what did you learn from this participant, Daria? I will tell you: lots.

Yet the real question is: did I learn anything useful for our project? Not a thing.

Regardless, she gave me a good story to share, I will never forget her and I seriously learned a great deal about human thresholds.

ChittahChattah Quickies

  • Mozilla Labs Test Pilot – Test Pilot is a platform collecting structured user feedback through Firefox. Test Pilot studies explore how people use their web browser and the Internet – and help us build better products. Once you install the Test Pilot add-on in Firefox, you will automatically receive notifications on upcoming and finished studies. You have the full control on your participation:
    * You choose if you want to participate in a particular study
    * You can see what data has been collected from you in real time
    * At the end of a study, you choose if you want to submit your data to the Test Pilot servers
    * You also have the option to quit the platform
    * If the test requires you to install a new feature or product, the platform will ask for your permission
  • The Men Who Stare at Goats Featurette – Goats Declassified – While the main film was wry, and a bit weak, this short (an extra track on the DVD) is a curious consideration of bringing in innovative thinking, without regards to what may seem ludicrous, contrary, or transgressive, into the military, a culture that is traditional and closed-minded.

ChittahChattah Quickies

  • The Book Cover Archive – An archive of book cover designs and designers, for the purpose of appreciation and categorization
  • Avatar Makeup Tutorial [YouTube] – Line extensions and spin-off products come from the people that use your product. Here, a "customer" of Avatar makes a new "product" – an instructional video telling other "customers" of Avatar how they can (literally or vicariously) extend their consumption experience beyond the film itself. It's a lot more relevant than a Burger King (say) value meal, it hews to a compelling aspect of the film itself.

ChittahChattah Quickies

  • Branding the Ideal Experience: Participatory Design Research Lecture and Workshop – Looks like this would've been fun and interesting: For this installment of the series design research expert and consultant JooYoung Oh will offer a lecture and workshop on the techniques of her industry. Participatory design research is a combination of psychology and design. It is about understanding people and their ideal experiences in order to inform and inspire design (of products, systems, environments, and brands). How do you know your brand will resonate with your target audience? JooYoung will discuss design research theory, and will present a hands-on exercise that will demonstrate methodologies for capturing the current and ideal experience. Come prepared to participate!
  • The Hipstery! Mystery T-Shirts – Liberating you from the burden of choice! – (via Springwise) – Similar to the Heaven's Dog "Freedom From Choice" cocktail we blogged about a few months back, here's another product that offers the experience of "surprise" with the reassurance of a semi-curated result.

ChittahChattah Quickies

  • The process of converting books to Kindle format introduces errors in the text – The cost of a printed book covers some degree of proofing and checking—not enough, but some. The cost of a Kindle book does not support editorial quality control, and the multi-step conversion process, handled in bulk by third parties, chops out content and creates other errors that no one fixes because no one is there to do QA.

    As the economics of publishing continues to change, perhaps one day soon, a Kindle edition will contain the same text as the printed book. Until it does, Kindle is great for light reading. But if it’s critical that every word, comma, and code sample come through intact, for now, you’re better off with print.

  • The Social History of the MP3 – For Reading Ahead, we're looking at other transitions to digital: "So omnipresent have these discussions become, in fact, that it's possible the past 10 years could become the first decade of pop music to be remembered by history for its musical technology rather than the actual music itself. This is a chastening thought, but at the same time we have to be careful not to overlook how the technologies we invent to deliver music also work to shape our perception of it. When radio came along, its broadcasts created communities of music-listening strangers, physically distant from each other but connected through the knowledge that they were listening to the same song at the same time. Where radio brought listeners together as a listening public, the LP started splitting them apart. The LP and 45 rpm formats took the phonograph, which had been in existence for over half a century, to the masses, right as the American middle-class was going suburban and privatizing their lives."
  • Medical Students Experience Life as Nursing Home Patients – Students are given a “diagnosis” of an ailment and expected to live as someone with the condition does. They keep a daily journal chronicling their experiences and, in most cases, debunking their preconceived notions.

    To Dr. Gugliucci’s surprise, she found nursing homes in the region that were willing to participate and students who were willing to volunteer. No money is exchanged between the school and nursing homes, and the homes agree to treat students like regular patients.

    “My motivation is really to have somebody from the inside tell us what it’s like to be a resident,” said Rita Morgan, administrator of the Sarah Neuman Center for Healthcare and Rehabilitation here, one of the four campuses of Jewish Home Lifecare.

ChittahChattah Quickies

  • NEA Highlights from 2008 Survey of Public Participation In The "Arts" – There are persistent patterns of decline in participation for most art forms such as classical music, jazz, opera, ballet, musical theater, dramatic plays, art museums and craft/visual arts festivals [Seems a rather limited/traditional definition of "art" – no popular music? no stand up comedy?]. Fewer adults are creating and performing art. Weaving and sewing remain popular as crafts, but the percentage of adults who do those activities has declined by 12 points. Only the share of adults doing photography has increased – from 12 percent in 1992 to 15 percent in 2008. Aging audiences are a long-term trend. Performing arts attendees are increasingly older than the average U.S. adult (45). The aging of the baby boom generation does not appear to account for the overall increase in age. Educated Americans are participating less than before, and educated audiences are the most likely to attend or participate in the arts

ChittahChattah Quickies

  • How's that for a long-lasting brand/product? After 72 years, TV's `Guiding Light' switching off – It began as a 15-minute serial on NBC Radio in January 1937 and debuted on CBS television in 1952, focusing on the Bauer family of Springfield.
  • April 2009 – Iraqis Snap Up Hummers as Icons of Power – “Iraqis love them because they’re really a symbol of power,” said Mr. Hilli, a chubby 37-year-old who could not stop chuckling. Nonetheless, he spoke with authority, since he was his own first customer. Hummers in Baghdad are symbols of much more besides: increasing security, returning normality and a yearning for the trappings of sovereignty. Mr. Hilli allowed that there was something else, too, a little more indefinable, which in Arabic is “hasad thukuri,” [penis envy]
  • April 2003 – Americans induce patriotism through Hummer purchase – "When I turn on the TV, I see wall-to-wall Humvees, and I'm proud," said Sam Bernstein, a 51-year-old antiquities dealer who lives in Marin County, Calif., and drives a Hummer H2, an S.U.V. sibling of the military Humvee. "They're not out there in Audi A4's," he said of the troops. "I'm proud of my country, and I'm proud to be driving a product that is making a significant contribution."

Thank you for voting

thankyou
Thank you for voting, Green Valley, AZ, January 2009

An interesting way to toot one’s own horn. This sign in Papa Murphy’s prominently yet graciously thanks us for voting for them as BEST PIZZA CHAIN in America. To paraphrase Monty Python, I didn’t vote for them. Did you? In fact, a little investigation reveals that this was a customer satisfaction and preference survey by Restaurants & Institutions Magazine. A survey is not an election. No one voted for anything.

R&I’s Consumers’ Choice in Chains survey respondents are a representative sample of U.S. consumers weighted to match the population by age, gender, household income, ethnicity and region. In all, 3,132 adults provided data about their awareness and patronage of more than 200 of the largest U.S. chains. These brands were selected for inclusion based on rankings in R&I’s 2007 Top 400 Chains list. The margin of error for this data is +/- 2%.
To gauge customer loyalty, respondents who patronized a chain in the past year are asked whether they intend to return. In addition, guest satisfaction on eight attributes is measured through customers’ ratings of each chain they patronized. To derive overall scores, performance on the attributes is weighted according to the category. This is done using separate ratings that consumers provide to indicate the importance of each attribute in selecting a restaurant in a given category. The weighted overall score can be used to compare chain performance across segments.

I applaud Papa Murphy for trying to induce a sense of participation in their patrons, reframing an external assessment as something that we can feel some involvement in, thereby sharing in their success. But the fact that the claim doesn’t stand up to just a little bit of scrutiny reveals them to be a little bit dishonest. Almost, but not quite.

See previously: Local Starbucks exhibits passion for their customers

ChittahChattah Quickies

  • Mexican Government Runs A Contest To Expose The Hellish Depths Of Bureaucracy – "Ms. Pardo said she thought the competition would not by itself guarantee change. But she said it helped not only to highlight the problem, but also encouraged Mexicans to speak out to try to force change, rather than just accepting the status quo. “Chileans don’t let this happen to them,” she said."

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