Obesity exists at the complex intersection of a clinical condition and a cultural force. Clinically, it comes with a diagnosis and treatment plan. Culturally, it is influenced by beliefs, identity, and self-worth, making it deeply personal and often taboo. Families, healthcare providers, and experts tend to avoid the fraught “o-word,” opting for euphemisms instead. For families on Medicaid, these challenges are even more pronounced. Award-winning health-tech startup Clarity Pediatrics, together with designers from IDEO, IDEO.org, and with support from Rise Together Ventures, sought to uncover the obstacles to healthier lifestyles and create a free report for US pediatricians who want to bend the curve on the childhood obesity epidemic.

Research with kids and parents on Medicaid in Dallas, Texas, and California’s Bay Area, along with interviews with healthcare providers and experts across the country, uncovered stories of stigma and frustration. Parents spoke of the daily challenges of balancing multiple jobs, sourcing affordable healthy food, and finding time to make necessary lifestyle changes. They described rushed pediatric visits that left them with unclear next steps and feelings of blame. Provider conversations echoed these struggles, noting time constraints and limited follow-up options.  

Ultimately, food had become a daily torment for these families. Eating was unavoidable and also one of the few affordable indulgences low-income parents were able to provide. Once kids left their own homes, they were surrounded by unhealthy temptations, making it feel impossible for parents to maintain control. The popularity of costly new weight-loss medications and surgical procedures added another layer of complexity for families who had been underserved by—and therefore distrustful of—America’s healthcare system. With so much of the responsibility placed on parents to self-direct care, inequities deepened, adding to the burden of families already at a breaking point.

To design a path forward, IDEO and IDEO.org mapped a family’s needs before, during, and after pediatric visits. This work revealed critical parts of the journey where families needed more support: recognizing early signs of obesity, navigating provider conversations, and sustaining healthier habits at home.

These insights informed a theory of change framework that provides actionable guidance for stakeholders involved in obesity care. Grounded in three opportunity areas along the patient journey—building awareness, confidence, and capacity—the framework highlights how trust, dignity, and systemic support can lead to lasting outcomes.

IDEO and IDEO.org also developed 10 user-centered concepts spanning digital, physical, and service offerings to reduce stigma and empower families to sustain healthier lives. These ideas address dignified diagnoses and structural inequities, among other pressing issues. Complementing these concepts, IDEO created a short documentary of a mother discussing her family’s experience navigating childhood obesity to help pediatric providers—many of whom have had very different lived experiences from the families and patients they serve—better understand the realities of the daily struggles of many families on Medicaid.

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Designed for the public good, the interactive website and free downloadable report, Reimagining Childhood Obesity, contain research findings, design recommendations, and a theory of change framework. The goal: provide practical, actionable guidelines for pediatricians, educators, healthcare organizations, and innovators to meet families and kids where they are and support them as they move toward a healthier future.

21% of US children are obese. 40% of Latino youth are either overweight or obese.

26% of kids on Medicaid experience childhood obesity, compared with 11% on private insurance.

525,600 minutes: Total time per year parents spend caring for their children. 17 minutes: Average time a pediatrician spends with a child during their annual exam, a small window to address a complex chronic condition such as obesity.

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user-centered ideas to help pediatricians reduce the stigma of childhood obesity in an accessible report

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opportunity areas for building trust with young patients and providing family support

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With its reach, Acer saw an opportunity to power positive choices in the billions. ‍

But new products and services won’t succeed if consumers don’t want them, no matter how sustainable they are. A few years go, the Harvard Business Review’s report, "The Elusive Green Consumer," found that about two-thirds of those surveyed said they wanted to buy brands that advocated sustainability. But only a quarter actually did.

Meanwhile, the market for climate era products is only growing: In 2022, Forbes found that nearly 90 percent of the Gen X consumers they surveyed said they’d be willing to spend more on sustainable products, compared to just over a third two years before. The desire was only higher among Millennials and Gen Z; they just didn’t like what was on offer.

To drive sales and growth, and meet its sustainability commitments, Acer needed to capitalize on desirability, deepening the connection between Acer’s sustainable options and consumer needs, lowering the barrier to purchase. To that end, Acer and IDEO created the Acer Climate Lab, a cross-organizational team and initiative, to launch the company on a transformative journey to deepen the connection between Acer's conscious technology and the realities of people's lives and needs across four strategic areas.

Together, the combined team conducted extensive research to better understand consumer attitudes and behaviors toward sustainable products, and identified everyday areas where Acer’s conscious technology might be able to have the most significant impact: living, working, moving, and learning.

• Living: Envisions homes as hubs of energy efficiency and climate resilience, leveraging technology to optimize energy use, enhance air quality, and enable proactive climate management. These concepts include technologies like smart energy systems, adaptive air solutions, and integrated home management platforms explore how technology can support sustainable daily living.
  
  
• Working: Reimagines the workplace with flexible, sustainable technology solutions that prioritize resource optimization and circular practices. Concepts such as Acer Loop could provide a subscription-based model that ensures access to the latest technology, supports remote work, and reduces electronic waste through effective recycling and rehoming practices.
  
  
• Moving: Focuses on the transformation of urban mobility by integrating technology into systems that promote sustainable transportation. Concepts could include e-mobility hubs that highlight how urban spaces could offer seamless access to shared, low-emission travel options, reducing reliance on traditional carbon-heavy methods.
  
  
• Learning: Explores pathways to sustainable education by imagining environments where technology supports circularity and accessibility. This includes ideas like refurbished devices for students, repair and reuse programs, and educational spaces designed with climate-positive principles, nurturing eco-conscious habits in future generations.

Together with Red Peak and Sid Lee, the team launched the culmination of the work at COP28, the United Nations Climate Change Conference in Dubai, positioning Acer as a pioneer in climate positive technology. The exhibit included immersive experiences and interactive displays demonstrating how Acer's sustainable solutions seamlessly integrate into everyday life. Visitors could engage with scenarios depicting sustainable living, working, moving, and learning, emphasizing the practical benefits of Acer’s innovations.

Acer's journey through the Climate Lab project underscores a commitment to sustainability that goes beyond mere compliance. With this new cross-business team tackling the real-world barriers faced by consumers, Acer is paving the way for a more inclusive, sustainable future. This initiative not only aligns with global climate goals, but also sets a precedent for the tech industry, demonstrating that with the right approach, sustainability and innovation can go hand in hand.

In a survey, 65% of respondents said they want to buy brands that advocate sustainability, yet only about 26% actually do. 

Nearly one in two consumers say they either don’t know what information to trust, or that nothing can influence how much they trust a business’s commitment to sustainability.

1 cohesive strategy

for climate era products across 6 different fields

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With the introduction of generative AI, Ethiqly and IDEO saw a unique opportunity to help teachers, by cutting down the time it takes to provide each student with feedback on their writing assignments. But to get there, they had to learn from the experts themselves. To kick off the project, the team headed into the classroom to co-design with students and teachers.

One of the first problems they discovered? Traditional methods of grading essays are laborious and inefficient for high school teachers, who are already notoriously busy and overworked. What teachers really wanted was to spend time giving each student the personalized feedback that helps them grow. Meanwhile, students really struggled to get started on their writing assignments, overwhelmed by looking at a blank page.

Together, the team started to think about how it could harness AI to make personalized instruction more accessible for all students, helping teachers provide better feedback at scale, and giving students the support they need to not only get started on their writing assignments, but improve their work. 

With insights directly from students and teachers, the IDEO team built working prototypes, allowing them to beta test the product in schools, and demonstrate value to investors. They also developed a brand identity and style guide for launch, which came to life in a pitch deck, landing page, and other brand expressions.

The resulting product is a sophisticated blend of AI technology and user-friendly interfaces that empower teachers and inspire students. The goal isn’t just to get to a finished essay, but to assist students in developing critical thinking skills. Ethiqly's tools help students organize their thoughts and get writing by providing contextual prompts and suggestions—without doing the work for them. And the AI assistant supports teachers by suggesting comments based on evaluation criteria they have set, and teachers choose which feedback is relevant for their individual students. Students never see it without teacher approval.

As one teacher told the team, “With leveraging AI more in education, there’s this fear that it’s deprofessionalizing the field or it’s a direct replacement of a teacher in a classroom. I think it gives us meaningful data, so that we can actually teach the way that we want to in order to support our students.” Now, Ethiqly is in use in classrooms in 25 countries, positively impacting students across the globe.

Teachers know 1:1 interaction is key to student success, but an EdWeek survey found only 46% of teachers’ time is spent teaching, while 25 hours/week goes to other tasks like grading and making lesson plans.

25 countries…and growing

Ethiqly’s reach in classrooms around the world

Designing a piece of a city, like a park, doesn’t start with a blank slate. There are always traces of the past and the present, and the lived history of its residents.

To create a full picture of that story, the IDEO team built workshops for the community centered around questions about the unique experiences of living in Frisco. They invited them to reflect on the communities they grew up in, the city of today, and the public spaces that have played formative roles for them. 

From their answers, a common value emerged: heritage. Frisco is a rapidly growing city, with residents whose families have lived there for centuries living side-by-side with more recent neighbors from diverse cultures and ethnic groups. Participants shared a vision of Grand Park as a unifying, shared space, a backdrop where many families can form foundational memories in Frisco.

Next, IDEO brought in multisensory design prompts to help participants further conceptualize the park. How did they want it to feel, sound, and smell? In the built-up, suburban city of Frisco, residents imagined a space that was less planned, enabling guided wandering and exploration. They also hoped that the park would inspire loved ones and descendants to feel a sense of curiosity and wonder.

At the end of workshops and sessions with community groups, the IDEO team took Polaroids of participants, asking, “What’s one word you want to describe Grand Park in the future?” Those words informed the collective vision that IDEO delivered to the city of Frisco, which included spatial concepts, user journeys, and branding for the park, all designed to showcase its unique landscapes. In January 2024, Frisco City Council approved the vision statement, and officials expect to break ground in the second half of 2025.

The population of Frisco is growing rapidly; its population is up 516% since the year 2000.

At more than 1,000 acres, Grand Park in Frisco is even larger than Central Park in New York City.

Less than 1% of Blackland Prairie soil remains in the region, and some of it is in Grand Park.

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Frisco residents were engaged in the process, from City Council members to high school students

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respondents shared anonymous feedback on what they imagined the park should be

IDEO: Tell us about your drawings

Dave Russell: A few months ago I committed myself to drawing a comic a day for one month. I’ve never consciously drawn comics before, but I’ve always admired the narrative skill of artists like Chris Ware and Adrian Tomine, so I thought it would be fun to experiment with the format. While both these artists employ a semi-realistic style to tell human stories, I’m equally inspired by the strange and absurd worlds created by the likes of David OReilly and Pendleton Ward.

When do you find the time?

For me, drawing can be a way of escaping the everyday and exploring imagined worlds. Doodling is like my meditation—it clears my mind and helps me to focus. I try to keep these scribblings to a minimum in face-to-face meetings, but when I’m on the phone my drawing hand has a mind of its own. I’m often surprised by what ends up on the page.

What are your favorite tools?

My go-to, everyday weapon is the Muji Gel Pen. It’s versatile—thin enough to write with and a great weight for small sketches. It’s got to be black and it’s got to be 0.5mm. No exceptions. I recently started using a Pentel Sign Pen to draw with, too. It’s super smooth and the nib feels quite dynamic. It also bleeds less than Sharpies, the ubiquitous IDEO design tool.

Welcome to the What's in My Moleskine series, a periodic peek inside the notebook of an IDEO designer. Fast Company recently did the same with IDEO's Joe Brown, who had a lot to say about the all-powerful Muji thread-bound A6 notebook.

In this installment we hear from Dave Russell, a communications designer based in our London studio.

I have to find out if I can pull off a successful translation.

I found my most recent skeuomorphic inspiration in Tokyo’s Nezu museum, one of the best traditional Japanese art museums in the country. Nezu was hosting an exhibit on sensu fans. Originally invented in China, sensu fans were popularized in Japan by artists and calligraphers, who used them as a medium for their work.

Taking in the fans, I immediately appreciated the fantastic woodblock artwork and beautiful brush strokes, but what really struck me was their construction and mechanics: the hand-held fans open with the flick of a wrist. I couldn’t get them out of my mind. How did they open and close so efficiently? How did the bamboo supports slide smoothly over one another? Did the creators consciously build them to open with a simple hand gesture? And what was the point of making them retractable in the first place?

I began to realize that the only way to satiate my curiosity was to make a digital re-creation of the sensu fan. Translating the fan’s physical systems to the digital world would test my skills as a designer and help me to understand its essential systems.

Observable systems

In any skeuomorphic project, the question I usually start with is: What elements capture the essence of the subject? Is it its purpose? Or is it characterized by its design, its construction, its movement, or its interaction? To find the answer, I need to look beyond the face of the object and break it down into the shapes, motions, and systems that define it.

The first app I ever created was a tribute to an electric razor from the late 70s designed by Dieter Rams. I can remember watching my father run that razor over his face every morning. Though I didn't know it at the time, it was the first well-designed product I ever came in contact with. I can still hear the click of the slide-up power button and the sound of the vibration that it made as it glided over my dad’s stubble. When I built an app version of the razor, I realized that the sound and the micro-movements were the two key aspects of the design that I had to translate to make a satisfying digital interpretation.

I used a combination of animation, vibration, and sound (tilting the phone toward your face makes the phone play a beard-cutting sound) to bring the razor to life. The result was a super-tangible app that made the device feel so much like a real razor that you could almost forget it was a phone. Unfortunately, Apple didn’t quite get it—they claimed it was “too useless” for the app store—but for me, it was a ticket back to my childhood.

Considering design

Far from useless, skeumorphic explorations make me a better designer. The challenge of breaking down a real-world object into a set of Photoshop layer styles is my idea of time well spent. I strive for efficiency: Whether it’s lines of code or the number of layer effects, minimization is the key to honing my design skills.

When I did a translation of my Braun AW-20 watch, I managed to perfectly capture the essence of the watch in 27 layers with one to three styles each. I plan on returning to it one day to bring it life in code.

Bringing it to life

When I began my skeumorphic translation of the sensu fan, I felt it was critical to capture the physics of the opening and closing motion. This meant that I wasn’t working with Photoshop layers, but with code. At IDEO, I tend to design with code as much as I do with Photoshop or Sketch. Having a good grasp on code allows me to think deeper about physical-to-digital translations, and real-world systems are better expressed and executed in certain programming languages than others. My first attempts at recreating the fan were standalone applications in openFrameworks—a set of C++ libraries packaged together for creative programming. I started playing with the Box2D add-on for openFrameworks, which was put together by my colleague Todd Vanderlin from our Cambridge office. While the add-on worked perfectly, the digital replication of the fan’s real-world physics just didn’t capture the magic of the construction and movement.

Because the stand-alone nature of openFrameworks limited the reach of the project, I moved on to exploring more accessible web technologies like CSS3 and JavaScript. I had to compromise slightly on the real-world look of the fan, but the final expression really embodies the movement and interaction that fascinated me when I encountered the Sensu fans at the museum. What’s more, users can manipulate jQuery parameters to change the fan's size, color, and decoration—a digital version of what traditional Japanese artists have done with the fans throughout history.

By creating these translations and exploring the life of the subject, I end up discovering something deeper about the object's design and meaning in the world. Likewise, by creating these challenges, I end up discovering something about myself and my skills as well.

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A few times a year, I’ll come across something—maybe an object or system; maybe just an idea—and I’m overwhelmed with a burning urge to translate it into code and design. It’s a practice usually referred to as skeuomorphism, and once a project captures my imagination, there's no going back.

But when IDEO worked with the USGBC to come up with a new LEED certification plaque, it became clear that software design would be a fundamental part of LEED’s future: The idea was to replace the static plaque with a continually updated digital display. Initially, LEED only looked at a building’s performance at the time of certification. The USGBC has long been working on ways to evaluate what happens after certification, and a recertification program has been in place since 2004. The new plaque was conceived to go even further, monitoring a building’s sustainability in real time on a dynamic digital graph.

That sounds (and looks) pretty simple and intuitive, but to make it work, we had to bust down some interesting technical walls, in a way that nicely encompassed the breadth of IDEO's capabilities, from design research, business development, industrial design, shop building, and interaction design to the software I helped create with an incredible team.

I came on board after the actual visual design had been finished. A small IDEO team had already completed a concept video, unveiled at the 2013 Greenbuild conference, for a plaque that calculates a building’s ongoing performance in five categories: energy, waste, water, transportation, and human experience. For each of the five ratings, there is a curving pathway that gets longer as the score improves.

The team came up with this “racetrack” design to show real sustainability data in a way that encourages positive behavior change. Familiar graphics like charts and graphs tend to make people focus on the negative, whereas we wanted people to focus on progress. No matter how long the strip on the racetrack is, you can see that you’re on your way, even if you still have a ways to go. We weren’t sure we could achieve the requisite combination of elegance and functionality in the time allotted. But it was a good challenge, and that in itself was compelling.

The animation has a big purpose: Showing the building’s use of energy, waste, and water makes people more aware and more conscientious of their own use. I think that’s really positive. The plaque also shows how occupants travel to and from the building, as well as how comfortable and happy they feel when they’re inside, which are new ideas for what it means for a building to be “green.” I wouldn’t have thought, when LEED was introduced in 2000, that a software developer could have a meaningful impact on sustainable architecture, but the fact that I could really speaks to the opportunities that will be open to us in the future.

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Many folks helped to contribute to this post. Huge thanks to Scot Horst, Gretchen Sweeney, Jennifer Easton, Kim Cullen, Gerry Harris, Steve Bishop, Beau Trincia, Mark Harrison, John Stoddard, Alastair Warren, and Building Robotics.

I've always had a layman's interest in architecture and in LEED, the U.S. Green Building Council’s certification program for sustainable buildings. I’m a software developer, so designing buildings is well outside my area of expertise.

Nature Cards are a collection of cards featuring strategies from the natural world that inspire us with a new mindset as we approach design challenges. Use them to frame your design challenge, evolve your business strategy, brainstorm, teach, or simply to think creatively and holistically with nature in mind.

As human-centered designers and innovators, our work has always been inspired by observing people’s natural behavior in its physical, social, and cultural context. As we address increasingly complex and systemic challenges, recently some of us at IDEO have been exploring how human-centered design might broaden its lens to include observation of the natural world in which humans are an integral part. With the help of experts in biology and the life sciences, we are learning about the principles of successful strategies in living systems. This knowledge is inspiring new thinking about how and what we can create for a thriving future.

Download the complete set of Nature Cards here.

I help organizations cut through complexity by shaping how they show up, through brand strategy, identity, and storytelling.

Working at the intersection of brand and business, I bring an editorial eye and a bias toward making—turning ideas into tangible experiences that people can understand, trust, and believe in.

My work spans government, healthcare, financial services, media, and consumer goods, from launching Gen Z-focused ventures to building innovation labs and reimagining legacy brands. I relish moments of ambiguity and enjoy translating across teams, perspectives, and priorities to move ideas forward.

I started my career in editorial and digital design, shaping cross-platform experiences and identity systems in publishing and agency environments. That foundation still shapes how I work today: I’m detail-oriented, collaborative, and overreliant on the Oxford comma. I hold a BFA in Visual Communication from the School of the Art Institute of Chicago.

For 25 years, I've asked the same question: Who does this design exclude—and what are we going to do about it?

My work spans human-centered strategy, inclusive design, and qualitative research, with clients ranging from Microsoft, Google, and Verizon to the National Science Foundation, and San Francisco Unified School District.

Before IDEO, I taught elementary school in East Palo Alto and spent a decade doing design work with social service organizations—where I learned firsthand what it costs people when systems are built without them in mind.

I am currently writing User Error, a nonfiction book about digital access and the design decisions behind it. I live in Oakland, California.

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My expertise spans brand, communication, and product design across tech, education, the arts, and social impact.

I believe great work demands both high-level vision and obsessive attention to detail, and only happens through collaboration.

I bring an inclusive, hands-on approach and a deep understanding of business, which enables me to consistently deliver excellence while always asking why.

Before joining IDEO, I worked at the brand firms Pentagram and VSA Partners. I began my career as a designer, leading teams at the School of the Art Institute of Chicago and the Milwaukee Art Museum. I hold an MFA in graphic design from Maryland Institute College of Art and a BFA in communication design from the Milwaukee Institute of Art & Design, and have taught at some of the best design schools in the US.

I am responsible for IDEO’s long-term success in China and working with clients to use design as a tool to enable growth. Specifically, I have helped Chinese companies design holistic brand solutions through the development of their products, communication, services, and innovation teams, and I have helped multinationals expand their presence and influence in China.

I advise global leaders on developing China-led innovation and capabilities.

In over 15 years in IDEO Shanghai, I have worked on projects that use design to elevate the quality of the experience of healthcare products and services, streamline processes that increase productivity, create spaces and programs that promote and enable inclusive communities, and build next generation mobility solutions that are planet-positive.

Before joining IDEO, I worked at Philips Electronics and the Electrolux Group in Italy, the Netherlands, and Singapore on a number of breakthrough commercial products. I am a member of the Young President Organization in Shanghai.

Most AI products today are built for work—a space with clear problems and established systems. One founder noticed a gap: personal life is messier, harder to systematize, and mostly left behind by the AI boom. So she built Cue, a personal AI that lives inside iMessage and group chats, to go where the other tools haven't.

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In this episode, Becca Carroll, IDEO's Chief Strategy Officer, talks with Sida Li, co-founder and CEO of Shared Context Lab, about staying anchored to a human need while the technology around her keeps changing shape, why she treats her business model with the same rigor she'd bring to a product, and what it feels like to build a company at this particular, disorienting moment in AI.

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The conversation also gets into how Sida makes design decisions: the language Cue uses to describe itself, the tradeoffs behind building inside iMessage instead of a new app, and a real story about a business idea that didn’t pan out.

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This is the second in a two-part series profiling founders from IDEO's Startups-in-Residence program. The first conversation is with Johannes Seemann, founder of Sooner, on designing GenAI for the emotional side of money.

Most personal financial tools are built to run the numbers and optimize towards a budget. While that works for some, most people experience money as a lived relationship that does not neatly fit into a spreadsheet. Johannes Seemann and Becca Carroll discuss why money is emotional before it is mathematical, and what a human-centered approach to building a generative AI financial product looks like in practice.

Mina Seetharaman talks with Scott Shigeoka, author of Seek and Head of Curiosity Cultivation at the Eames Institute, about what distinguishes genuinely curious leadership from performative curiosity, how power dynamics shape curiosity, and why practicing curiosity can restore energy rather than drain it.

Mina Seetharaman talks with David Epstein, author of Inside the Box and Range, about why total freedom often produces average work, how leaders can design useful limits on purpose, and what organizations such as General Magic and Pixar reveal about the relationship between boundaries and creativity.