Increasingly, digital spaces are proving detrimental to youth mental health. By co-designing with youth, Kooth and IDEO set out to flip the script, creating a positive digital space for young people to safely explore their mental wellbeing. 

When Kooth, IDEO, and Blackbird, IDEO’s longtime development partner, first started working on the project, the window of opportunity was narrow, and the stakes were high. The group was up against a nine-week deadline to create a working proof of concept app. Also on the line: a $188 million contract with the Department of Health Care Services (DHCS)—one that would open an entirely new line of business for Kooth. 

The app needed to do more than demonstrate functionality—it needed to prove its value. To ensure that they were creating an asset that truly fit the needs of young people, the team turned to an initial cohort of 13-25 year-old co-designers who explored early features, created video diaries, and shared their questions about and experiences with mental health. These young people often gravitated toward self-service tools that helped them take action based on their feelings. With their feedback, the team created new expressions of clinically-validated behavioral health tools like journaling, breathwork and white noise—and built novel tools, such as Starboard, an expressive drawing tool and a nod to art therapy. 

The team took inspiration from content the co-designers liked to consume, such as story-driven video games that enable freedom of exploration, deepened by a unifying mythology. That led them to a constellation theme, which made the experience more intriguing and playful. The co-designers also recommended a dark color palette, because they preferred exploring the app at night. 

With these insights, the team refined the proof of concept, and then conducted a one-week pilot with another 50 young people across California. Their positive feedback gave the State the confidence to invest in a $188 million, four-year contract for Kooth to bring the app to a platform at scale. 

Over the next year, the team engaged another 150 young people to help design, shape, and test the app. At the same time, Kooth and IDEO created a clinical oversight group, which included a pediatrician, therapists, and other clinical specialists. This group anchored the platform in the practices of Acceptance and Commitment Therapy (ACT), cultivating psychological flexibility—the mindful acceptance of positive and negative emotions. Young people are invited to complete short reflections and surveys throughout their journey with the app, which includes rigorous, science-backed measurements to assess the therapeutic benefits.

Behind the scenes, the team developed a clinical-facing service and digital platform that empowers Kooth’s peer specialists, social workers, community curators, and clinicians to support the youth experience, all while protecting privacy and confidentiality. They also navigated a complex landscape of state requirements and government legislation, ensuring that the platform could cover topics like substance abuse and gender identity, and that users could access coaching within 24 hours, and choose from a diverse set of experts. 

The last step was to select a name that worked across multiple languages, trademarks, and competitor branding, and didn’t come off as a mental health service, something the youth co-designers believed was critical. IDEO and Kooth landed on Soluna, a name that alludes to the app’s presence in both the bright (“sol” for sun) and the dark times (“luna” for moon). 

Now, Soluna is available for free to all youth in California, and the state has set ambitious targets for reaching all young people at scale. Soluna is a living platform that will continue to receive product and design updates for years to come, all deeply rooted in youth co-design.

The US Surgeon General named mental health “the defining public health crisis of our time,” and cited social media, online bullying, and the isolation exacerbated by the COVID-19 pandemic as major drivers that have significant negative outcomes for youth.
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In California alone, more than 284,000 youth cope with major depression. 66% of kids with depression do not receive treatment. Between 2019-2020, the suicide rate for kids ages 10-18 increased by 20%.
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In 2022, California Governor Gavin Newsom’s Master Plan for Kids’ Mental Health set aside $4.6 billion to increase access to mental health and substance abuse support, the largest commitment to youth mental health ever made by a state.

94%

of proof-of-concept app users would recommend the Soluna app to a friend, and believe that engaging with the app would be a positive addition to their daily/weekly routine

6 million

young people in California had access to Soluna at launch in January 2024

Creating a better cervical cancer screening experience is an important mission, but also a challenging one. Not only would Teal have to address the regulations that face healthcare device companies, it would also need to build a comprehensive telehealth platform and a physical product—a wand that could easily collect an adequate cell sample, even in the hands of an untrained person. 

The first challenge was to create the wand. The device would need to do a lot: It’s impossible for a person to see their own cervix, so the user would have to be able to find the cervix blind, collect the sample themselves, and remove the wand from their bodies without contaminating it on other parts of their anatomy. Because this is something users are likely to do in their bathrooms, where there is no space to lie down, they would need to be able to use the device while standing—and with one hand. From the beginning, the IDEO team set out to design functional, testable prototypes to make sure the idea was viable, and incorporate diverse voices into the research process, including trans, minority, and disabled women. 

Because the product is meant for people who aren’t medical professionals, the team worked to design something as simple, intuitive, and unintimidating as possible. They used a 3-D printer to create multiples of every prototype, autoclaves to make sure that the designs they were creating were sterile, and leaned into shapes women are already used to, like the cylindrical shape of a tampon. The wand they created has that same basic form, but with a soft sponge that the user can deploy with the turn of a dial to collect the sample, then close to protect it from contamination on the way out of the body.

With working prototypes in hand, Teal set out to test their efficacy. In an initial study with 220 participants varying in age, race, socioeconomic status, and geography, Teal found that not only were participants able to successfully self-collect samples, they also preferred them over the speculum, the device doctors typically use during a screening. Some 92 percent said if they knew the results were equal they would prefer self-collection, while 87 percent reported they would stay current with screening if Teal Wand was an option. Self-collection took the vast majority under two minutes to complete, and 97% of study participants reported it was very easy or easy to use. The Teal Wand recently received a patent for its unique design.

The IDEO team also worked on the packaging and unboxing experience, which plays an important role in supporting the user through the self-screening process. The team built in thoughtful design cues to give users reassurance that they are using the wand correctly, and to provide the same level of confidence they would have in the results of an in-clinic screening. 

In January 2023, Teal raised an $8.8 million seed round from Serena Ventures, Emerson Collective, and Metrodora, and later that year, launched a nationwide clinical trial with leading health organizations including Johns Hopkins University, Yale University, the University of Colorado, Washington University, and others. In 2025, The Teal Wand became the first FDA-authorized device for at-home cervical cancer screening, with virtual medical provider support. Today, it's available in all 50 states. i’s an enormous step toward its North Star: catching cervical cancer earlier and saving lives.

Cervical cancer is nearly 100% preventable when it’s caught early, yet one in four women in the US are not up to date on their screenings.
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More than 12,000 people in the US are being diagnosed with cervical cancer every year, and more than 4,000 people die of the disease, which disproportionately impacts Black, Asian, and Hispanic women.
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More than half of cervical cancer cases are found in women that are not up-to-date on their screenings.

97%

of clinical study participants said the Teal Wand was very easy or easy to use.

87%

of participants said they would be more likely to stay current with screening guidelines if Teal Wand was an option.

94%

of participants said they would choose to collect their own sample from home rather than the current standard of care where a clinician collects it in-office.

2025

The Teal Wand becomes the first FDA authorized device for at-home cervical cancer screening, with virtual medical provider support.

Cities United already had a strong foundation with its stated mission, vision, and values. IDEO brought those to life with a new visual and verbal brand identity system that celebrates Cities United’s inclusive approach to building relationships and reimagining public safety.

To help Cities United with its verbal identity, the IDEO team defined the organization's voice, tone, and key messages, making it easier to tell its story more consistently and clearly, a crucial step toward engaging stakeholders.

To define the new visual identity, the team created a new logo, a letter C composed of interwoven shapes that represent the three tenets of their vision—“safe, happy, and hopeful;” a new design language that references city grids; and a typographic system anchored by the typeface VTC DuBois, inspired by W.E.B. DuBois’s own custom lettering and designed by the Black-owned Vocal Type Co. The team also designed a color palette that embodies the textures of city life with hues reminiscent of asphalt, sunrise, and brick. 

To amplify the refreshed branding, the team designed a new responsive website, citiesunited.org. The intuitive site shares the organization’s mission, resources, ongoing projects, and partner network, inviting stakeholders to join in their transformative work. IDEO also created a video to humanize Cities United’s mission and showcase its nationwide impact. It underscores the unity, resilience, and hope embodied by the organization through a chorus of voices.

This comprehensive rebranding widens Cities United’s reach and impact, helping the organization share its goal of creating safe, healthy, hopeful communities for young Black men, boys, and their families, and reintroduces the organization to a national audience. 

The Cities United work was supported by IDEO’s Racial Justice Impact Fund, part of a commitment IDEO made in 2020 to ​​address systemic racism and advance equity within our own organization, our client work, and beyond.

Cities United is committed to reducing the epidemic of homicides and shootings among young Black men and boys ages 14-to-24 by 50%.

Between 2009 and 2019, the number of Black children who “did not go to school at least one day in the past month because they felt unsafe at school or on their way to or from school” increased by 84%, according to Cities United.

Homicide is the leading cause of death for Black men and boys from birth to age 44, according to the Centers for Disease Control and Prevention.

2023 SF Design Week Award

In recognition of IDEO’s brand work with Citizens United

Sleep is a critical resource for shift workers—and their employers, too. Together, IDEO and Somni worked directly with people with acute and chronic sleep challenges to create concepts that could support their sleep goals, and provide employers with the means to improve employee health.

When IDEO and Somni first partnered, the startup was an early-stage company, so the team started small, with focused sprints and workshops to redesign the core aspects of the company and product offerings. The team interviewed shift workers about their sleep patterns, which can vary quite a bit. Even when people keep to a specific schedule on work days, they often have to change their patterns on days off to spend time with family and friends, leading to a very disruptive sleep cycle. Research revealed that many third shift workers were dealing with sleep and health issues, but also a pervasive “machismo” culture,  pressure to “tough it out,” and a reliance on energy drinks to deal with lack of sleep. 

To address those issues, the team designed a digital experience for sleep cohorts, support groups where members could share their experiences and sleep strategies, and work with a coach and sponsor who already had been through the program. The platform analyzed workers’ data, and provided AI-enabled recommendations for improving their sleep. The big takeaway? Data by itself wasn’t necessarily helpful, and could be confusing for folks who were less digitally-fluent. Providing context, like a calendar that displayed sleep experiments at a glance, was crucial. 

The IDEO team also created a new user experience for a genetic testing program that could uncover factors associated with sleep issues. Somni aims to use a saliva-based genetic test to monitor for DNA damage caused by circadian disruption, then leverage its sleep improvement program to prevent further damage. Because biomarker testing is a differentiating offer for Somni, it was extremely important that the team get it right, both to make sure that users could understand its utility, and for Somni to provide real value. The design challenge was unique—and not just because of data privacy concerns. Presenting data about DNA damage in a non-human-centered way could increase the anxiety workers had around their sleep.

At the end of the project, Somni leveraged the insights the IDEO team surfaced to improve products like its sleep coaching service, and to refine its biomarker testing offering. Based on this work, Somni has also created a pilot with a Fortune 100 company, which is currently in progress, as it works to mitigate the ill effects of disrupted sleep for employees and the companies they work for.

In the short-term, circadian rhythm disruption leads to an array of jet-lag-like symptoms, and in the long-run, it may contribute to weight gain, obesity, metabolic syndrome, type 2 diabetes, and cardiovascular disease.

It also impairs people’s ability to work, affecting productivity, creativity, and the overall work environment. Productivity loss can lead to employer baseline healthcare costs that are 26% higher, and over time, insomnia can result in an average cost of $4,267 more per employee per year.

In June 2019, the International Agency for Research on Cancer classified shift work as a probable carcinogen.

75%

user retention in Somni's sleep program

$2,450

savings per year per employee for users who complete the program

33%

improvement in sleep quality, and 41 more minutes per night

Becoming a caregiver can happen overnight. A change in condition, an unexpected accident, a life-changing diagnosis. For many of us, it’s a job with no prep time: Someone who was once just a partner, child, sibling, son, daughter, or friend is suddenly a caregiver. It’s already happened to 63 million informal caregivers in the US. It’s also happened to both of us.  

Caregiving is incredibly complex. We know what it’s like to constantly navigate tools that fail to meet our needs, as well as the systemic issues in our healthcare system that overlook and undervalue us, while expecting us to live up to an identity we stepped into by circumstance. Our needs shift based on the conditions of those we care for, the quality of the systems we engage with, and the gaps in experience and confidence that we continue to discover. 

As designers, we’ve partnered with companies to better serve the needs of this growing population. And out in the world, we’re seeing the emergence of many new services, from AI companions with emotional intelligence (like ElliQ) to robots that assist with manual tasks (like E-BAR). As the number of caregivers continues to increase, it’s essential that we get these products, services, and experiences right. Here are five principles for designing solutions that truly meet caregivers’ needs. 

1. Design for people who did not choose this role—and were not trained for it

During our research for a recent project, a caregiver told us, “Like most people, I didn’t even think about caregiving until my father was diagnosed with cancer.” Informal caregivers are unpaid and without professional training. They have to learn as they go, performing medical tasks, navigating complex systems, and advocating for their loved ones, all without the preparation or recognition that this role deserves. 

We need to prioritize designing tools and systems that make stepping into caregiving feel less like being thrown into the deep end, and more like having a calm guide by your side. (Particularly when 40 percent of caregivers provide high-intensity care, like administering injections and managing equipment, yet only 22 percent receive any kind of training.) That includes speaking in plain language and avoiding medical jargon, designing inclusive digital tools for people who may not be tech-savvy, and using simple visuals to summarize health data and make it actionable. Ultimately, it’s about designing for reassurance, not just task completion. 

What might that look like? Something like Abbott's FreeStyle Libre continuous glucose monitors. They quickly condense a constant stream of data into just a few colors that are easy to understand at a glance: green indicates that glucose levels are within the normal range, while orange or red signals that levels are dangerously low or high.

Another good example of designing for reassurance is The Sandwich Club, a community support network for parents and caregivers where anyone can find answers to caregiving questions, big or small. Designed by The Holding Co. to be as accessible as possible, it costs only $1 a month (free for regular contributors). The club fosters an active community of peers who share their knowledge, and it includes a helpful AI that provides immediate responses and highlights insights from the community. It’s an incredible resource for questions like, “Am I doing enough for my aging parent?” to “How can I encourage a disabled person to exercise regularly?” 

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2. Healthcare tools need to be accessible to patients—and everyone involved in their care 

Healthcare systems are designed to be patient-centered. That’s a good thing, but it can have unintended consequences. When caregivers need to talk with a provider or insurer on behalf of the patient, those systems often don’t recognize the caregiver and may even restrict their access. Many caregivers have spent countless hours on the phone with a call center simply to reset a patient’s password, only to use the patient’s login instead of their own to manage care. Caregivers should be authorized partners in care by default—not mere visitors who must repeatedly prove their legitimacy. Imagine how much more seamless the experience could be if every patient portal had a “care circle” view—where designated caregivers could see what patients need, message providers, manage tasks, and coordinate—without navigating permission mazes. 

These tools could draw inspiration from location sharing. When we can’t find a friend in a crowded place, we flip on our live location feature in a messaging app, Google Maps, or a service like Life360. While it shares highly precise GPS data, you can control how long you share that data—just an hour, or forever—and with whom. The New York Times also offers a simple model for shared accounts: each user receives a personalized experience, while collaboration is encouraged. 

3. Assume caregiving is a secondary role with primary consequences 

Sixty-one percent of family caregivers also work, according to AARP and the National Alliance for Caregiving. This means caregivers often have to make important decisions while managing complex schedules, fitting care in between meetings, late at night, or early in the morning.

Designers need to create tools for users with other roles, limited time and attention, and irregular usage patterns. Caregiving tools should allow users to pause, resume, and re-enter tasks without penalty. We need to facilitate decision-making in short time frames from anywhere—on a lunch break, in a parking lot, or at the grocery store.

We can draw inspiration from TurboTax’s save-and-return feature, which allows users to pause their tax prep and pick up where they left off. This feature respects people’s busy lives, lets them move at their own pace, and reduces anxiety about making mistakes or losing their progress while tackling complex tasks. 

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4. The true cost of care transcends medical bills 

Being a caregiver can be expensive. In addition to the physical and emotional toll, caregivers spend an average of more than $7,000 per year on out-of-pocket expenses, according to the Caregiver Action Network and AARP. These costs can include home modifications, medications, and transportation. Then there are the opportunity costs for careers, and income potential: nearly a third of workers, including senior executives, report their careers have been adversely affected by their caregiving responsibilities, according to a Harvard Business School study. 

Instead of assuming cost is incidental to care, health systems need to treat it as a primary factor in the patient experience. Caregivers need tools that clearly explain potential costs—from medical expenses to time tradeoffs—as well as help navigate them more easily. 

Rocket Money’s Subscription Finder is a strikingly simple tool that makes the invisible visible. Once you link your accounts, it surfaces auto-renewing expenses that you might have forgotten about, from subscriptions to streaming services, and then helps you cancel them (sometimes a multi-step rigamarole). No more missing yet another auto-renewal deadline.

5. Caregivers are emotionally exhausted long before they are visibly overwhelmed

More than 60 percent of caregivers report symptoms of burnout, yet much of that strain remains hidden. Support should not only reduce friction but also create moments of reassurance and self-efficacy. Improving the experience of being a caregiver is a necessary part of sustaining care over time.

We need to build systems that not only track patients’ health, but also caregiver strain. Shared portals between patients and caregivers could offer tools for mental health care—meditation, counseling options, and help managing big sources of stress, like paying bills or understanding medical care. They could also include message boards where patients and caregivers could ask questions and share their experiences. 

We’re inspired by Soluna, a digital mental health platform for California youth, co-designed by IDEO and Kooth with 150 young people. Soluna integrates supportive conversations, self-reflection tools, and community connections to support users in moments when they feel vulnerable, uncertain, or overwhelmed. This approach serves as a model for caregiving tools, emphasizing the importance of treating emotional labor as essential infrastructure.

We know from personal experience how important interventions that reduce caregiver burdens are. We also know from our work in the health sector that this need will only continue to grow. By 2030, 73 million Americans will be over 65, and 70 percent of them will require care. Meanwhile, there is already a shortage of paid caregivers. More and more of us will need support to fulfill this role. And more and more of us will need designers to get it right. 

Looking back, early in our journeys, we didn’t think of ourselves as caregivers. Then things shifted. Our family members needed more support, and somewhere along the way, we realized we needed more, too. Now, with hindsight and the lens of human-centered design, we have a better sense of how health systems and care services need to improve, especially for informal caregivers. If we can do this, we believe we can improve care for everyone. Because more likely than not, we’ll all serve as caregivers one day. 

Looking to redesign your own products and services to benefit caregivers? Get in touch.

Healthcare systems are designed to be patient-centered. That’s a good thing, but it can have unintended consequences.

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Over the past few years, technology has redefined what a “great” customer experience looks like, raising the bar for convenience and personalization. Discovery, consideration, and purchase no longer follow a neat, linear path, and it’s painfully obvious when legacy systems and operating practices fail to align with consumer expectations. Particularly when it comes to loyalty programs that feel deeply transactional. Ever head to a new-to-you brand site only to get served a spin-the-wheel pop-up that demands your email and phone number in exchange for 10 percent off? Or have a cashier push a store-branded credit card on you when you already have one?

It doesn’t feel like loyalty when a brand doesn’t even know who you are. 

And yet, loyalty is growing more important than ever, as commerce becomes increasingly mediated by AI—flattening the internet into a shortlist of what to buy. When platforms are incentivized to optimize for efficiency and sameness, brand and experience must become the primary levers for differentiation. A brand’s best bet is to go after the source data: the communities that form around your brand and your products, and ensure they have genuinely great things to say. Because increasingly, that may be how your next generation of customers learns you even exist.

Which is why I was excited to chat with Sarah Ganzenmuller and Regan Jayne, cofounders of rediem, a community-driven loyalty platform that has helped brands like Sun Bum and Olipop nurture and grow a community of passionate fans through both direct-to-consumer and traditional retail channels. Here’s our conversation about redesigning the future of loyalty from the inside out.

Diana Tobey: What was the original “aha” moment that made you say, “We have to reimagine loyalty differently”?‍‍

Sarah Ganzenmuller: The initial inspiration was a desire to understand how an emotional connection between a brand and a customer is formed. I was interested in how brands wield power and how you could harness that power as a force for good while also driving deeper brand affinity.

Originally, rediem was a consumer app. Customers participated in challenges with positive environmental or social impact and received rewards from brands like Allbirds. When these brands began asking us to white-label our software so they could host challenges on their own sites, we realized there was a significant opportunity to disrupt an overly transactional and stale loyalty industry. 

Regan Jayne: My background is in behavioral economics. I was at Harvard Law School working on policy mechanisms to change consumer behavior when I met Sarah. The law tells consumers, “You have to recycle, or you’ll be fined.” But when a brand people love, like Olipop, says, “We’ll give you exclusive access to some really cool thing if you recycle,” that’s gold. ‍

Diana Tobey: I love that example, and that we’ve both been pushing against the limitations of traditional, transaction-driven loyalty. In your view, how has consumer expectation of loyalty evolved over the past five years—and where do you see it heading in the next five?  ‍

Sarah Ganzenmuller: Five years ago, loyalty meant points, tiers, and discounts. Points are a primitive marketing tool. They assume loyalty is making a purchase. The real loyalty currency is participation, productized through contributions, rituals, and culture-shaping moments.

People want three things: to identify with the brand they buy from, to feel a sense of community by joining other like-minded people, and to have the ability to co-create with brands.

In general, people want three things: to identify with the brand they buy from, to feel a sense of community by joining other like-minded people, and to have access, inclusivity, and the ability to co-create with brands. This is particularly true for Gen Z, but in general, consumers are starting to expect brands to act differently.

‍Over the next five years, this trend will accelerate as AI handles transactions. People won’t go to brand websites; they’ll say, “Hey AI, buy my vitamins,” and the AI will choose where to buy. So loyalty has to evolve into something AI can’t replace: emotional connection, belonging, and identity.

Regan Jayne: Today, loyalty is a multiplayer game. We’ve created this ecosystem where people feel like valued members of the community. They’re citizens of the brand, not just customers, who feel their voices are heard, valued, and reflected in what the brand does, how it communicates, how it develops new products, and its impact on the world. 

‍Diana Tobey: I love the term “citizens of the brand.” It’s an interesting reframe that makes the customer’s role more active and engaged.

At IDEO, we think a lot about the difference between behavioral loyalty (what people do) and attitudinal loyalty (how they feel). I know you’re hearing similar things from the brands you work with. Where are you seeing promising approaches that address the emotional and psychological side of loyalty?‍

‍Regan Jayne: Most brands optimize for behavioral loyalty: “Did they buy again?” But real brand love is emotional. 

The brands we love are already part of our everyday routines, but they don’t always do a great job of creating magical post-purchase moments. For example, Oh Clem fans showing off their earring stacks, Sun Bum fans sharing beach day photos, or Olipop fans hunting for limited-edition cans. Once someone sees themselves inside a brand, they build an emotional connection. This is one of the most powerful levers for Lifetime Value (LTV) and repeat purchase, but the purchase is a symptom of emotional connection, which is far more powerful. ‍

‍Sarah Ganzenmuller: Authentic engagement is becoming increasingly important as AI increasingly commoditizes products and distribution. To go to market, we believe that a company’s only true competitive moat is brand belonging, community, and creating an authentic place for people to show up and be creative.‍

‍Diana Tobey: Many loyalty programs are hyper-focused on promotions and creating value through pricing. How do you encourage brands to broaden their lens and move toward genuine loyalty?‍

‍Regan Jayne: The problem with previous iterations of loyalty programs was that they were pay-to-play. The only way you could build status or agency with a brand was to spend. In a transactional version of loyalty, if you’re obsessed with a certain beauty brand, you have to keep buying lip gloss to gain status in hopes that the celebrity founder notices you. 

It’s a give-and-get experience, not just, “Hey, tell us your birthday and we’ll give you five points.”

‍But now, brands are rewarding customers for snapping a selfie of a makeup look of the day or for doing a random act of kindness. And they treat rewards points they earn as real currency, allowing shoppers to donate them to charity or an impact fund, or use them to unlock a VIP in-person experience. The value the brand gets back from these customers is priceless. Brands get valuable user-generated content, co-creation feedback, zero-party data, and grassroots advocacy in return. It’s a give-and-get experience, not just, “Hey, tell us your birthday and we’ll give you five points.”

‍Diana Tobey: Co-creation and building a brand community seem especially important for Gen Z. I’m curious to hear your thoughts on why that is and how that might develop in the near future.‍

‍Sarah Ganzenmuller: Social media really shifted how brands engage with customers. Older generations had very professional, polished advertisements. It was a one-way relationship in which brands tried to sell you something. Today, we see co-creation as one of the most powerful levers a brand can use. Bringing customers into the process gets them emotionally invested and gives them a real sense of ownership. The future of loyalty is about identity architecture—who I am in relation to the brand, the community, and the culture around it.‍

‍Regan Jayne: Previous generations weren’t seeking education or validation from brands the way that teens do now. Gen Z looks to brands to educate them about their products, not just to advertise them. It’s more about a bidirectional dialogue.

We’re moving toward loyalty systems where your value in the community is determined by how much you contribute, not just how much you spend.

‍Diana Tobey: What is the next frontier in how brands should reward or co-create with their customers? Do we need better metrics to track that as well?

‍Sarah Ganzenmuller: We’re moving toward loyalty systems where your value in the community is determined by how much you contribute, not just how much you spend. And yes, we absolutely need new metrics for this. Traditional loyalty key performance indicators capture only a small slice of what actually drives brand love.

‍One of our clients, Tru Earth, is a sustainable laundry detergent company. They wanted to encourage people to wash their clothes in cold water, which is more sustainable, so now we have people submitting images of themselves washing their clothes on the cold cycle week after week. We’ve also been sending customers surveys to measure brand affinity and brand mindshare, which are hard to quantify and don’t necessarily show up in a customer’s LTV.‍

‍Regan Jayne: Because our software can also track purchases at the SKU level, many of our brands, like Tru Earth, Reel, and Harmless Harvest, are creating communications that highlight each individual’s personal impact, which is extremely powerful psychologically.

Other new metrics we’re looking at include contribution scores (which track how much someone participates in a community and the value they add), sentiment lift (measured using machine learning algorithms), participation velocity, and community influence. And, obviously, we’re still going to be looking at the bottom line, because ultimately that’s what drives business decision-making. Although we have had a few brands say, “We don’t really care if this moves the needle in the business. We want to mobilize our community for good.” ‍

‍Diana Tobey: As you think about brands stepping into these communities and building more gamified experiences, what are the right things to do, and what are some guardrails to prevent loyalty experiences that feel like very lame applications of game design?‍

‍Regan Jayne: That’s the billion-dollar question! I think what’s interesting and compelling, and rather nascent in the loyalty space, is brand collaboration. Interoperability is something we are designing and testing right now because there’s a strong opportunity for complementary, non-competitive brands to play together. We’re seeing this happen naturally, in an ad hoc way, and I think we can do it more scalably. 

The other trend we’re seeing is an increase in omnichannel and IRL experiences. When AI slop is everywhere, you’re going to feel really, really special when you get a phone call from a brand, and it’s an actual person. Or when you get an invitation to a cocktail party with the founder and a few VIPs because you’re a loyal customer and live in New York. These truly human, community-coded omnichannel experiences will be pivotal. ‍

‍Sarah Ganzenmuller: I think where companies go wrong is when they build out a challenge or an engagement method based on the success of another brand. Every brand is different. Their ideal customer profiles are different. Ensuring you stay true to who you are as a brand and to your mission is probably the most critical.‍

‍Diana Tobey: As retail becomes increasingly agentic and customers buy products through ChatGPT, I’m curious what loyalty should look like when the storefront is an AI interface. What should remain human for that emotional connection, that relationship with a brand, to really play out?‍

‍Sarah Ganzenmuller: We think a lot about what the future of brand loyalty looks like when there aren’t brand websites, or at least they don’t exist as we think of them today. In this world, discoverability is incredibly important. ‍

‍Regan Jayne: YouTube and Reddit crush it on AI discoverability right now. That changes weekly, if not daily, so we’re monitoring closely what’s moving the needle. With rediem, for instance, we can identify a trending subreddit asking, “What’s the best sunscreen for people who love to surf?”

We see an opportunity for brands to mobilize and incentivize their customers to join the conversation and boost discoverability when there’s a trending subreddit or a get-ready-with-me video on YouTube.‍

‍If you were to ask ChatGPT for the best sunscreen, three brands would probably pop up: Vacation Sunscreen, Sun Bum, and Supergoop. We see an opportunity for brands to mobilize and incentivize their customers to join the conversation and boost discoverability when there’s a trending subreddit or a get-ready-with-me video on YouTube. 

Human preference becomes much more pronounced when everything else is stripped away. Right now, there are a million and one reasons I’m choosing one brand over the other. It might be that I’m at Target, and the other brand is sold out, or I’m at a convenience store, and it’s a last-minute emergency, so I just grab something, or I get triggered by an ad on TikTok. It’s very situational. But when you’re in an agent-to-agent commerce world, many of those factors are gone. Now I have three sunscreen options, all with the same formulation and priced the same. Why am I choosing one over another? Personal taste? A sense of belonging or one brand over another? A mission I’m connected to? In that moment, human preference is so potent. ‍

‍Diana Tobey: Recently, IDEO has been working with a Fortune 10 company to redesign its next-gen loyalty program, and we know there are many cultural, operational, and structural challenges that can hinder the adoption of more innovative approaches to loyalty. What do you think is most critical for setting businesses up for success? ‍

‍Sarah Ganzenmuller: One of the biggest challenges is a legacy mindset oriented around a discount or a discount channel. There needs to be a shift toward a more relationship-oriented engine. Loyalty is a cross-functional effort. Often, internal teams are siloed. For this new concept of loyalty to succeed, it can’t be the responsibility of the head of retention or e-commerce alone; customer experience, product, retail, and social media teams need to be involved.‍

‍Regan Jayne: The landscape of loyalty is moving in this new direction—all you have to do is look at LinkedIn to see the types of positions brands are hiring for, like head of community, social commerce, community activations, events, and community partnerships. Brands are seeing these trends, evolving, and meeting customers where they are—especially the next generation.

"Loyalty has to evolve into something AI can’t replace: emotional connection, belonging, and identity."

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Inspired by biology, this thought experiment underlies a bold new idea that’s also a powerful old one: mutualism, which we began to explore in our talk at SXSW in March of last year.

A firehose of AI news is coming at us every day. Right now, humans are still in charge. However, these systems are increasingly designed with higher levels of agency and independent action, with attendant novel qualities, behaviors, and perhaps even needs. Such systems will likely affect their creators and environments in unpredictable and far-reaching ways, and with the unintended consequences to match.

This is the typical off-ramp to dystopian sci-fi stories of technological regret and human resistance against the robots. It’s not hard to see why: Our current relationship with technology is messy, unhealthy, and fractured. If we stay on this trajectory, we may indeed find ourselves consumed by the other, or dominated, or controlled.

As designers, we look for ways to shape the future that…aren’t awful. And we imagine a different path, one that recognizes our growing interdependence. Mutualism, a type of symbiotic relationship in biology, is a relationship in which two different species benefit from each other and aid in each other’s survival, such as animals and people. This type of interconnection offers a framework for creating a world where humans and advanced technologies can coexist and flourish together. If not, we risk entering winner-takes-all or doomsday scenarios feared by many technologists. And while the idea may sound out there, some progressive companies are already designing AI tools meant to benefit humans at their core, like Claude.

Technology as a living-ish being

The foundation of mutualism is to think of technology not as static, but as something dynamic, something close to a living entity—even if it isn’t, and isn’t likely to become one. This feels important, because even if technology is not technically alive, human beings can’t help but anthropomorphize something you can chat with—or something that looks like a living being. Think Casio’s Moflin, a fuzzy, gerbil-like robot companion powered by emotional AI that exhibits pet-like behaviors and develops a unique personality over time based on interactions with its owner.

When you interact with something like a Moflin, you start to feel that shift viscerally. Whether or not the Moflin is alive, we, as humans perceive it to be. It still shapes what we think of it and how we interact with it; its behaviors pull you into a relationship, one where you’re responding to its cues and it’s responding to yours. That small, almost mundane exchange is a reminder that even artificial beings participate in systems of dependence and care, which brings us to the question of what their needs actually are.

We all have needs—even technology

For example, technology requires nutrients: the minerals, metals, and energy it relies on to thrive and grow. Those things are finite resources. Humans can relate. We need a healthy, sustainable natural environment to do the same. Mutualism prompts us to consider: How might the world change if industries welcomed advanced technologies as our partners in planetary care and protection? Imagine the impact of technologies acting out of mutual interest to help us find ways to derive value from the planet without further despoiling it in the process.

Technologies such as AI require another kind of raw material: data that enriches its ability to compute and predict in new ways. Similarly, humans need data we can trust and that we can ground our actions against. Here, too, mutualism offers a way forward: What if companies approached data as a resource critical to mutual nourishment, one that requires data practices centered in careful cultivation and respect? Imagine the consequences for civic health, news ecosystems, and our ability to navigate the real challenges of an increasingly unreal world.

From tools to colleagues

Mutualism invites us to construct a healthier state of affairs, one that moves beyond exploitation and extraction toward mutual recognition, negotiation, and survival. It’s not about making technology more human; it’s about recognizing that emerging technological systems possess their own kind of aliveness—not biological, but behavioral, relational, and world-shaping. It no longer serves us to think of them simply as tools to be wielded; we must imagine them as colleagues, with needs and trajectories that intersect with our own.

And when we take that stance seriously, the way we design begins to shift. Some companies are already moving in this direction. Microsoft’s positioning of Copilot, for example, frames AI less as a product and more as a companion built around human potential, creativity, and relationships. It's an entity that adapts to your context, learns from your feedback, and orients toward your interests. It offers a glimpse of what it might look like to design technologies not for us or against us, but with us, in a shared system of mutual flourishing.

Symbiosis as an evolutionary imperative

Maybe this shouldn’t be surprising. In Blaise Agüera y Arcas’s Long Now talk, “What is Intelligence?”, the VP Fellow and CTO of Technology & Society at Google reminds us that life has always evolved symbiotically. Humans, in fact, are composites of countless bacterial and microbial partnerships that have made our survival possible. If symbiosis is the engine of evolution, then the question isn’t if we’ll coexist with new forms of intelligence, but how we’ll participate in that long lineage of co-creation. From that perspective, the future isn’t a break from what we are, but an extension of the way life has always unfolded: through mutual transformation.

If we want an AI future that values mutualism, we must start practicing it today. Here are three emerging design principles we’re using in our own work at IDEO.

1. Never go alone: Adopt a stance of interdependence over independence

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As we continue to develop technologies that can operate with increasing autonomy, it becomes crucial to recognize the interdependence between humans and machines. Mutualism invites us to design systems that not only serve human needs but also evolve in ways that reflect and enhance shared values. This shift from a purely utilitarian, transactional approach to one of relational alliance could foster deeper connections between technology, society, and our shared environments.

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2. Keep evolving: Use dynamic adaptability to meet changing needs

Mutualism encourages the creation of flexible systems that can adapt as new information, contexts, and needs emerge. This adaptability ensures that as technology evolves, it remains aligned with the well-being of all stakeholders, from individuals to entire ecosystems. It’s about designing with the understanding that change is constant, and that technology must be able to respond to such change in meaningful ways.

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3. Lift your head: Imagine and consider implications beyond the immediate

By focusing on the holistic impact of technology, mutualism pushes us to consider not just the immediate effects of our designs but their long-term implications for society, the environment, and future generations. This principle challenges us to go beyond short-term gains and to create technologies that contribute positively to the broader fabric of life.

Even as we build this framework, we know that abstraction doesn’t build the future—choices do that. Design does that. We still have an opportunity to help shape this critical emerging relationship between humans and autonomous, agency-rich technologies. And the organizations that figure out how to put mutualism into practice will be the ones most likely to reap its rewards.

Curious to explore these questions in the context of your organization? Reach out: ai@ideo.com. 

A special thanks to Ryan Sherman and IDEOers Jenna Fizel, Tim Brown, Chris Hill, and Jason Robinson, alums Kate Schnippering and Natalia Vasquez, and many more for their contributions.

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What if we treated our relationship with advanced technologies, such as AI, as we would treat relationships with new life forms? How might we co-exist? What would happen if we chose to evolve together? And how would it change design?

At IDEO, we approach CES the same way we approach any design challenge—with a human-centered lens. We’re interested in how new technologies fit into real lives, not just how impressive they look on a show floor. CES is valuable precisely because it reveals where ambition meets assumption: what companies think people want, what they think people will tolerate and pay for, and what they think people are ready to trust.

This year, alongside our partners at Autodesk, we spoke about preserving the human touch in AI-enabled design: helping teams move faster without losing sight of the people they’re designing for. That tension echoed throughout the show, from autonomous vehicles to health tech to gaming.

Here are the themes and ideas that stayed with us, and the questions they raised about how technology can better serve real human needs.

1. Are we designing better products or better outcomes?

Everywhere we went, companies were going all in on humanoid robots taking on mundane human tasks: loading dishwashers, tidying kitchens, picking up socks. But a conversation with  The Verge publisher Helen Havlak prompted us to wonder whether these machines were solving the right problem in the first place.

Training a robot to load a dishwasher in a private home is an astonishingly complex challenge. It requires object recognition, dexterity, spatial reasoning, and an understanding of a customized environment designed entirely for human hands. But if you step back to ask the fundamental question—what is the most effective way to clean dishes?—the answer is probably a box that washes them. 

We don’t need a humanoid assistant to load and unload dishes more efficiently. We need a system that reliably turns dirty things into clean ones—which, for the most part, we already have. The more useful design challenge may be less about building ever-smarter robots and more about rethinking the environments in which those tools operate. What if smart appliances adjusted their capacity, energy use, and footprint based on how many people were in the home that week—or even that day? Or what if companies focused less on replicating human motion and more on solving the parts of domestic labor that still lack good machine-based solutions, like tackling the mental load of household management? These questions shift the focus from mimicking human behavior to redesigning systems around real needs, constraints, and rhythms of everyday life.

2. The nostalgic appeal of ditching screens

In between the glut of AI demos and autonomous everything, we saw something unexpected: a CD player blasting Britney Spears. As much as we enjoyed the throwback moment, it captured something deeper than nostalgia. In a world defined by speed and abstraction, there’s a growing desire for technology that feels tangible and controllable. From pinball machines to screen-free experiences for kids (like Tonies), these products aren’t trying to do more on our behalf; they’re designed to restore our agency. You know what they do, how they work, and when to turn them off.

We’re seeing this play out culturally, too. Parents are buying landlines to give younger children agency and an option to connect with their friends and grandparents without increasing their screen time or exposing them to online risks. In our own research with a slightly older cohort—Gen Z—we found there is a clear limit to how much they want technology to interfere in their lives, particularly when it comes to developing their own creativity or building relationships. Choosing simpler tools can be a way of reclaiming agency. Sometimes consumers really want less, not more.

3. The body as a platform—and who gets to own it

“Longevity” was definitely a buzzword this year. The conversation is shifting from optimizing performance (the domain of elite athletes and body hackers) to how technology supports living longer, healthier, and more independent lives. We were encouraged to see this reflected not only in products for aging populations, with the continued presence of AARP and age tech, but also in growing attention to women’s health, fertility, and everyday wellbeing (areas we noted were missing or underrepresented in 2025).

What stood out wasn’t that so many products were collecting health data—it was how they were collecting it. At one end of the spectrum were products that relied on clearly defined wearables—such as Neurable or Plaud—which ask users to consciously opt in by strapping technology onto their bodies. On the other end were more ambient approaches, embedding sensors into everyday objects and places, from smart toilets (assessing biomarkers linked to hydration, infection, metabolic health, and digestive function) to doorways (tracking movement to infer activity, safety, or well-being). The benefits are convenience and invisibility, but such devices also raise questions about consent, agency, and trust. Does a guest who uses a toilet automatically consent to a urine test? Or having their movements monitored? Do aging parents, or teens who share your toilet?

And what about data storage? As more of our biological signals are captured, where does that information live—and who controls access to it? Alongside familiar cloud-based subscription models, we saw emerging alternatives that store personal health data locally at home. These approaches hint at a future in which people retain more autonomy over their most intimate information, rather than renting access to their bodies to a platform; but only if autonomy, consent, and control are treated as core design requirements, not tradeoffs made in the name of convenience.

4. The body as an interface

We were also heartened to see meaningful progress in accessibility: devices that translate on-screen text into dynamic Braille, glasses that support navigation for people with low vision, and exoskeletons designed not only for rehabilitation, but for recreation and everyday work. Together, these examples point to a broader shift: one where the body is increasingly treated as an interface. How exactly it will happen is still to be designed. Whether these systems empower people with greater agency and dignity will depend less on sensing technology itself and more on the choices designers make about desirability, consent, ownership, and control. We’d love to see these technology systems evolve to empower people to actively shape and adapt their own interfaces themselves, rather than being locked into assumptions companies make when they design. If past regulatory changes are any indication (such as the FDA’s move to establish a new over-the-counter hearing aid category), reducing friction and gatekeeping in these domains can lead to more inclusive, creative, and beneficial product innovation.

5. Joy, play, and delight are the end goals

In a year dominated by efficiency, optimization, and automation, the technologies that stood out were the ones that made us smile. As leaders in IDEO’s Play Lab, this wasn’t surprising—but it was still reassuring. As Steven Johnson explores in the book Wonderland: How Play Made the Modern World, many of our most transformative technologies arrive through entertainment rather than technology alone. Play creates permission to explore and challenge existing ways of thinking. 

This year, the floor featured fewer technologies that simply automate the parts of life we tolerate, and more tools that help people live more fully and even celebrate the wonder of being human. From the Sweekar pocket pet (a Tamagotchi-like companion device that uses AI to grow with you) to LEGO’s experiments with smart bricks, we were impressed by inviting products that lowered the barrier to entry by making curiosity feel safe and fun.

We saw the same impulse in the recreation and mobility space: AFEELA cars greeted passengers with emojis; Zoox’s autonomous vehicles offered starry ceilings; and Garmin shared tools that help people fish, kayak, or explore more confidently. These moments of delight carry value—they build trust, emotional resonance, and attachment, qualities that matter just as much as performance when companies are introducing unfamiliar technology into everyday life.

If last year’s CES reminded us that kids aren’t impressed by AI alone, this year reinforced a related truth: joy is often the mechanism that makes new technology feel usable, trustworthy, and worth inviting into everyday life.

6. The infrastructure advantage

One of the clearest signals from the floor at CES: Novelty alone is not enough. Regardless of how cool or advanced your product is, it’s hard to sustain a business on product alone. In an increasingly crowded landscape, the companies best positioned for sustained growth are shipping impressive products AND building the infrastructure to support them. That includes faster iteration cycles, deeper integration across components, and ecosystems that support repair, reuse, and evolution over time.

The contrast between iRobot and Dreame made this especially clear. iRobot helped make our Jetsons-era dreams of home robots feel real—so real that for many of us, the Roomba became shorthand for the category itself. But its products were largely designed to stand alone, with new product versions debuting on predictable release cycles. Dreame, by comparison, is thriving because it’s built on a portfolio—from robot vacuums to beauty tools to electric vehicles—where components, intelligence, and manufacturing capabilities are shared, reused, and continuously improved.

We saw this same infrastructure-first thinking at a larger scale, too. Concepts like Panasonic’s Leaf integrate power generation directly into the built environment, using perovskite solar cells embedded in windows so energy becomes a byproduct of spaces we already live and work in—rather than a separate system to manage.

7. Supporting existing behaviors

Rather than asking people to adopt entirely new behaviors when they buy a new product (such as remembering to charge yet another device or embrace a new daily ritual), some companies are designing products that quietly fit into existing habits. The Pebble Index 01, for example, is a small ring with a single button and microphone that acts as an external memory for your brain, almost like a modern dictaphone. Its battery lasts for years, sidestepping one of the most common frustrations of modern tech: the need to manage endless charging cycles. Headphones with built-in cameras follow a similar logic, adding new capability to something people already wear every day. The Dreame Halo, a robotic hair dryer that doubles as an architectural floor lamp, pushes this idea to an interesting place, imagining a future where technology integrates so seamlessly into daily life that even chores can feel relaxing and luxurious. These choices may seem incremental, but they reflect a deeper understanding of human-centered adoption: market success often comes from fitting into people’s lives as they are, not asking them to reorganize around a product.

8. What we hoped to see—and didn’t

Compared to CES 2025, the conversation about investment in sustainability and climate-forward innovation felt muted, squeezed by the urgency of the AI race and tightening capital markets. 

We also found ourselves wishing for more attention to the content, brand, and systems that sit alongside hardware. As agentic commerce and AI-driven discovery reshape how products are discovered, it may become even harder for smaller upstarts—such as the many companies filling Eureka Hall—to stand out in a landscape trained on decades of legacy data and dominant brands. Designing a great product is only part of the challenge; investing in brand, narrative, and trust signals that help new ideas be recognized, remembered, and chosen may be just as critical.

(Special thanks to Tiange Wang and Zoey Zhu for their contributions to this story, and credit to the Consumer Technology Association (CTA)® for the header image.)

In this third year of AI-powered everything, CES once again raised a familiar question for us: Just because we can build something, should we?

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.