All moms want to give their babies the best start in life, and for many, that means nourishing their babies with breastmilk. However, breast pumping is often inconvenient and uncomfortable. Tethered to the wall, undressed, and surrounded by cords and dangling bottles, most mothers who pump are interacting with technology that hasn’t fundamentally changed in more than 25 years.

Passionate about solving this challenge, the startup Willow set out to completely re-imagine the breast pumping experience. The team at Willow envisioned a “dream pump” that would deliver what moms want most: mobility and discretion.

The Willow team approached IDEO to be a close partner in bringing their product to life. As a cross-disciplinary team of researchers, industrial designers, and mechanical engineers, IDEO, Willow, and Function Engineering worked together seamlessly to identify mothers’ unmet needs and resolve engineering complexities with a simple and elegant design.

The resulting product, Willow, is the first all-in-one, wearable breast pump that cuts the cords, ditches the mess of bottles, and fits easily inside a bra. Mobile, discreet, and hands-free, Willow allows women to achieve their breastfeeding goals without pressing pause on their own lives.

The final design of Willow was informed by research and in-person interviews with dozens of mothers, ranging from first-time to experienced pumpers. Insights about their personal routines, challenges, and workarounds guided the design team as they built more than 60 physical prototypes to understand how Willow could best fit into mothers’ lives. Learnings from those prototypes helped the team to define the size, shape, color, and materials of Willow, as well as each step in the pumping process.

One key design element that emerged from this iterative process was the simplicity of Willow’s architecture, which makes the pump easy to use, assemble, and clean. The pump contains just a few basic parts that snap together, and only two parts that need to be cleaned (both are dishwasher-safe).

Considering how personal the breast pumping experience is, the team aimed to help the pump feel less like a stark, mechanical device and more like a considered, modern, and personal accessory—a goal ultimately achieved through the pump’s colors, texture, and finish.

Because of Willow, mothers no longer need to plan their lives around pumping—it can happen anywhere, at anytime. Willow gives moms back their time and freedom and gives them choice; now moms can play with an older child, work, or enjoy precious relaxation time at home. With Willow, pumping breastmilk finally fits seamlessly into women’s active everyday lives.

More than 50 million people worldwide suffer from schizophrenia, yet only half receive psychiatric treatment. When they do, it usually involves medication and one-on-one therapy to treat the most visible symptoms, including hallucinations and paranoia. But the disease can also cause debilitating symptoms that medication can’t easily treat, such as social anxiety and isolation, lack of motivation, and memory deficits.

For people living with these symptoms, what might seem like simple activities—socializing, spending time outdoors, exercising—can sometimes feel overwhelming. And if patients aren’t given effective care, they can become even more isolated, and their physical health and quality of life suffer. They’re far more likely to let the rest of their treatment regimen slip, skipping medication or therapy sessions.

To help address these challenges, a digital health research group at the University of California, San Francisco (UCSF) approached IDEO with an idea to supplement the longstanding medication-and-therapy model with a tool to alleviate hard-to-treat symptoms, and more importantly, improve patients’ quality of life. It would require identifying unmet needs among patients and determining which kinds of interactions could have the greatest impact on young people with mental illness.

The outcome of that collaboration is PRIME, or Personalized Real-time Intervention for Motivational Enhancement, a digital platform that empowers young people with schizophrenia with the tools, motivation, and community of support they need to achieve their goals.

The simplicity of PRIME belies its deep functionality. The easy-to-use mobile app helps patients stay motivated to stick with behaviors that boost their health, social skills, and productivity, and it provides motivational coaching from trusted professionals and social connections with other patients.

How It Works

The PRIME app lets users set daily goals based on their particular needs. There are more than 500 small challenges to try—from inviting a friend to play basketball to spending time with a family member—and users can see their progress tracked through incremental successes over time.

Whenever users need help, trained motivational coaches are on hand to provide cognitive behavioral therapy coaching, encourage patients to achieve their goals (and to push beyond their comfort zones), and support their interactions with other users.

Tapping into its vibrant social network to help patients feel less isolated, PRIME prompts users to snap photos of happy moments, highlight important events in their lives, and share challenges they’re proud to have accomplished. Unlike Facebook, which can be overwhelming for some patients with schizophrenia, PRIME is a closed community where users can talk freely about their challenges with others who are just like them.

Click above to hear our audio story, or listen on SoundCloud.

To measure the efficacy of PRIME, UCSF and IDEO combined traditional metrics, such as Patient Health Questionnaire scores and time spent in the app, with new metrics evaluating patients’ quality of life. For example, they studied the pictures of things that made users happy before and while using the app, and measured the frequency, depth, and quality of patients’ social interactions in the app based on word choice and punctuation.

Learnings from these human-centered metrics helped the team iterate further on PRIME’s design, so that the platform would generate even higher levels of engagement and stronger improvements in patients’ motivation and social functioning. In this 2016 peer-reviewed, clinical study, 80 percent of patients with schizophrenia achieved their daily goals, and users logged into the app an average of 4.5 times a week, far more than the expected rate of once a week.

PRIME has also made an impact on patients and their families on a personal level. The mother of one research participant was thrilled with the results. She told IDEO, “I wish you could have witnessed my daughter’s first response to seeing the faces and profiles on her phone. She looked at me, smiled, and said, ‘Everyone looks normal. Everyone looks like people you see every day.’ It was as if she looked into a mirror that reflected possibility and hope.”

Human-Centered Design

The PRIME platform is an example of how the human-centered design process can lead to first-of-its-kind innovations in the field of mental health care. PRIME designers conducted comprehensive interviews that led to a deep understanding of patients as whole people, not just conditions or sets of symptoms.

For Dr. Danielle Schlosser, lead researcher on the PRIME project at UCSF, collaborating with IDEO and applying design thinking to her research on mental health was illuminating. "[It] showed us that in order to engage our users, we needed to provide a safe and supportive community that directly catered to their needs. The insights we gained enabled us to create an experience that inspires patients to improve their quality of life by emphasizing their strengths. Working with IDEO helped us make powerful, creative leaps in our process, and build a digital health platform that’s already deeply impacting patients’ lives.”

The success of PRIME in treating schizophrenia has led to additional federal research funding, and the platform is now being expanded to treat a wider range of mental health conditions.

For example, in this recent, peer-reviewed study, PRIME helped patients with moderately severe depression experience a 50 percent reduction in symptoms, with a noticeable difference in just two weeks—far faster than the average of four to six weeks it takes for traditional medication and therapy to yield improvements. By the end of the depression study, 90 percent of participants said they had achieved their treatment goals, such as to “become happier” or to “feel less lonely.”

Numerous patients with schizophrenia and depression have already benefitted from PRIME’s unique offering, and the team is exploring ways to commercialize and scale PRIME to reach more people with mental health conditions.

New Yorkers are a tough lot, but damaging coastal storms will continue to test their resilience. More than 400,000 people live within the city’s floodplain and are at physical and economic risk. In the face of both natural and manmade challenges—from superstorms to confusing insurance regulations—many New Yorkers are not aware of their flood risk, or even that they should be thinking about it at all.

The Center for NYC Neighborhoods‚ a nonprofit that champions affordable homeownership for middle- and working-class families and communities, engaged IDEO to create a resource that could help New Yorkers keep their homes and finances safe. Launched in September 2016 with funding from New York State's Governor's Office of Storm Recovery, FloodHelpNY is an expansive platform that dismantles the complexity surrounding flood insurance and gives homeowners clear and simple guidance for assessing their flood risk and taking action toward resiliency.

Facing the complexities of insurance policy, shifting flood regulations, climate change, and citizen engagement, the design team began by engaging two vastly different groups of New Yorkers—those who had been battered by past storms and those not yet affected. Homeowners in the first camp were angry and frustrated by a system that had let them down after Superstorm Sandy. Homeowners in the second camp were simply unaware of their risk and had little idea of what might happen. The right design solution needed to encourage both groups to take action and learn about flood risk and insurance regulations, while also addressing divergent levels of need and preparedness.

To co-design solutions with homeowners, IDEO set up pop-up stations at neighborhood meetings in Canarsie, Red Hook, and Gerritsen Beach, and had flood-affected residents create paper prototypes of the resources they wanted in place the next time a storm hit. The team learned how residents contextualized their individual risk, which information they prioritized, and how their frustration could inform a better outcome. In Lower Manhattan, where residents are less aware of flood risk, the team set up a pop-up station with virtual reality viewers that simulated water rushing into the surrounding streets, a visceral wake up call that got them talking about flood recovery.

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Less than a month after launch, FEMA began promoting FloodHelpNY as a key resource for building flood resilience. The platform helps all New Yorkers learn what flood zone they’re in, or will be in, how that affects their insurance rates, and what steps they can take to mitigate their risk. It features a first-of-its-kind flood insurance rate calculator that can help homeowners get a rough idea of the costs they could face as insurance prices go up. It is also the main conduit to apply for the Home Resiliency Audit, a New York State-funded program that equips at-risk homeowners with vital documentation valued at over $800 that confirms their actual elevation and insurance costs—all with the personalized assistance of an engineer and housing counselor team. In the coming months, FloodHelpNY will expand further to offer homeowners free backflow valves that reduce the chance of sewers backing up during flooding, as well as access to more existing benefits for resiliency.

The New York City floodplain, which is expected to grow as tides continue to rise, threatens neighborhoods that are among New York’s oldest and most historic. The people who live there make the city work: teachers, police officers, subway operators. Many of these homeowners will watch their flood insurance premiums surge, year over year. It’s a troubling future, but one that FloodHelpNY is designed to help New Yorkers face, by guiding them toward greater resilience and assuring them that they aren’t alone.

Athletes looking to score big on game day could hit the gym, but they’d probably be better off hitting the sheets instead, according to Rise Science, a sleep analytics startup. Harnessing the latest sleep science, Rise helps players significantly improve reaction time and decrease false starts, lapses, and injuries, among other benefits.

While attending Northwestern University, the co-founders of Rise Science created a simple sleep app and light-touch coaching service, which they prototyped on the school’s Big Ten football team with positive results. They came to IDEO to optimize their customer experience and scale the business, and joined IDEO’s Startup in Residence program.

While observing coaches and players using Rise, IDEO saw the opportunity to better integrate the digital and hardware experiences and design a more robust, intuitive, and service-heavy on-boarding experience during the first few weeks using the system, when breaking old habits and incorporating new ones are most challenging.

At the end of the residence program, Rise left IDEO with a rebranded and optimized sleep training system. Here’s how it works: Players and coaches receive a short, in-person introduction to sleep coaching by a Rise employee. Players who opt in to the service receive a sleep-training kit that includes the Rise Coaching App; adaptive sleep plans tailored to their chronotype, age, game schedule, and training load; a part-human, part-machine sleep coach that continuously supports each player, monitors progress, and gives timely feedback; in-context education that provides daily and weekly sleep insights; and products like UV glasses, sleep mask, and bed sensor. In just a week of using Rise’s full sleep program, 97 percent of players report getting 54 more restorative minutes of sleep per night.

Recently, Rise Science added the Chicago Bulls, Miami Dolphins, and the University of West Virginia to their sleep-training roster, enhancing their performance, one good night’s sleep at a time.

“Coming into IDEO, we knew our service was letting customers down. When we left, we had the blueprint for the next version of Rise. We were able to solve and optimize sleep at a much larger scale,” said Jeff Kahn, co-founder and CEO of Rise Science.

I’ve always loved drawing. I had cool, encouraging parents who’d do things like let me draw an invitation to my 6th birthday party, then go make copies of it so that I had personalized cards to send out.

I remember discovering my mom’s college sketchbook in the basement when I was a teenager, and feeling like it gave me a window into who she was at that time of her life. I started keeping sketchbooks in 10th grade, and have managed to hold on to almost all of them since then.

In my career as a programmer, I live and work inside my computer screen. My professional body of work can sometimes feel so ephemeral—everything I’ve ever made could be wiped out by a really strong magnet. So it feels really nice to have some solid, double-layered bookshelves and bins full of sketchbooks to step back and look at sometimes.

Lately, I’ve been drawing complicated women in the evenings. A woman’s physicality is so much more political than a man’s—and to me, this makes it so much more powerful. A woman has more expectations placed on her physical looks—her clothes, her hair, even her expression—and that only makes it that much more of a provocation when those expectations are thwarted.

When I was a kid, I’d spend hours drawing Ariel from Disney’s A Little Mermaid. I'd sometimes catch myself unconsciously copying her expression with my own face. Even at 9 years old, I’d feel a little embarrassed when I felt a big, fake grin on my face. I liked Ariel and her gadgets and gizmos aplenty, but I wasn’t like Ariel. I was faking it.

Then in high school, when it was time for my exciting locking-myself-in-my-room-and-drawing-self-portraits period, I had to shift into thinking intentionally about what my face was doing while I drew from the mirror. I found that whether I was trying to make a specific kind of face, whatever came out ended up feeling like a character. And that somehow felt instantly more powerful than just the image in the mirror.

The women I like to draw now capture some element of that feeling. They may not be the definition of self-possessed, they may or may not be confident and composed, but they are self-aware, and in control of what they are putting out into the world. They may be performing a little, but they're doing it on their own terms, for their own benefit.

They’re from noir movies and punk bands. They’re artists, journalists, wastoids, and dweebies. I like to think they lived for themselves and as themselves—the most provocative act there is for any human. I admire them and want to see myself in them

“I have been drawing complicated women in the evenings lately.” Cambridge software designer Ashley Holtgraver reveals the secrets of her notebooks.

In Lima, Peru, people who give out free newspapers or sell water and snacks on the on-ramps to the highway use these little wooden crates to sit on or put products on. To avoid carrying the crates home every night, they tie a rope between the box and the railing, then drop it over the edge overnight. This keeps them from getting cleared or taken because they're virtually invisible from the other side. The crates aren't that valuable, but it's probably a hassle for vendors to carry them around or find new ones every day.

Human-centered design requires us to observe human behavior with beginner's eyes, so that we can spot the innate ways people interact with the world around them. We call these intuitive and unconscious reactions thoughtless acts, and IDEO designers collect photos of them to inspire the invention of new products, services, and experiences.

Bringing new design to the way we die—what we see, touch, feel, and hear—is an idea with a strong tailwind. Advocates like BJ Miller, who was profiled in the New York Times this week, are spreading the message that we can do better for people who are dying if we pay close attention to human needs.

Sen, who gives Miller a nod in her video (see below), felt this firsthand when she was hospitalized for an illness. As a musician who started playing the piano when she was 3, Sen found the sounds of the emergency room traumatizing, and left committed to do something to save others from having the same experience.

We became instant fans of Sen’s work when she submitted it to our OpenIDEO challenge on end-of-life care, and gave a talk during Re: Imagine, a subsequent citywide conversation about death. We caught up with her in Washington D.C., where she’s a fellow at the Halcyon Incubator, a program that supports social entrepreneurs, and asked how she’s planning to bring beautiful sound to the people who need them most.

IDEO: WHY IS MUSIC SO IMPORTANT AT THE END OF LIFE?

I would say sound is important at the end of life, which includes, but is not limited to, music. For instance, a lot of people mention nature sounds as something they want to hear at the end of life; other examples are voices of loved ones, laughter, etc. You can hear people's responses here.

Sound is important because some people say hearing is the last sense to go when we die. I believe it has a profound effect on our sense of dignity, not just for the person dying, but also for those around them.

IDEO: HAVE YOU SEEN EXAMPLES OF THIS?

Morgan, a palliative care nurse in NY, got in touch with me after she saw the idea on OpenIDEO. She said that her team started to play a song moments before a patient's death to liberate them from the ventilator, with the expectation that they would die in the next few moments. The question inspired her to use her own iPhone to play music for the patients. One cancer patient she became very close with shared his favorite music, and she played that for him. People’s preferences are different, so it’s tough to find something that’s universal. It’s very awkward to say, “I’m assuming you’re going to die soon, what kind of music do you like?” I got the impression that it was helping her team and the family members as much as the patient. You can’t interview the patient after they’ve passed away—“how was your dying experience?”—but you can talk to the family and the nurses. I heard from cancer nurses at Sibley that when a cure is not possible, they are empowered to heal in other ways—do something seemingly simple that makes a big impact.

A couple of people mentioned that they played music when their grandparents passed away. “I had a sense that she could hear the music or my voice even though she couldn’t react to me,” or “I have faith that she could hear me.” It’s a story that we create for ourselves, but, as those who are left behind, feeling that we have made a positive impact gives us a sense of peace.

IDEO: ARE YOU PILOTING SEN SOUND IN HOSPITALS?

Yes, we are already working with Sibley Innovation Hub (part of Johns Hopkins Medicine)—though not necessarily focused on "end of life"—to test our ideas to transform the sound experience for patients.

As for the "end of life" sound—for now it's an art/conceptual project. I record the voices of people sharing stories of the sound they wish to hear at the end of life, to raise awareness on the importance of sound.

I also believe that it is a way to build resiliency in the community, by allowing us to approach the taboo subject with a somewhat light-hearted, playful way. It's dreadful to imagine death itself, but by imagining the sound, it's somewhat more approachable.

I would love to continue exploring ways to implement the idea with hospice and palliative care centers, and we are in conversation with a couple of facilities. I have done this as an artist and will always continue to do that, but I’m at the point where I’m transitioning to trying to inspire a team to do this.

It’s going to take time: Any medical conference you go to is about winning the fight [against death]. But this is a project to build resiliency in the community. There’s no wrong answer. If a young person says to me “I don’t like to think about how I’m going to die,” that’s okay. But I want to help people build a sense of community, to create music or sound or jam with the person with the same illness but not the same geographical location—connecting people who really need it through music and art.

For more about Yoko's work check out her piece in the OpenIDEO End of Life story collection.

Humans really like the sound of the ocean. We like it so much, the lapping of waves top the list of last sounds we wish to hear before we die. That’s one thing you’ll learn from Yoko K. Sen, an ambient electronic musician whose project, Sen Sound, aims to transform what we hear at the end of life, replacing shrill alarm bells and bleeping machines of the hospital with a soothingly oceanic sonic environment.

I have three. Instead of writing in a journal, I want to summarize each day in a creative drawing. I also plan to listen to more podcasts. And, whenever someone asks me, "How are you?", I will try to never to say "good," and instead use a more descriptive adjective.
—Katie Kirsch

I really want to work on being in the moment—which means putting down the phone, and being delighted by who and what is around me.
—Amy Bonsall

My creative resolution: Write, draw, or create more physical letters and postcards for friends and family (at least one per month!). And use more of the Airpost service that we helped design out of IDEO Tokyo!
—Mike Peng

I have two. One, to be more aware of what contexts and situations work in favor of my creativity. And two, to inspire others around me to be creative.
—Michaël Harboun

I plan to sew a new outfit and wear it, turn my photos into different series and make a portfolio website, and to read a Poem-A-Day.
—Rebecca Lee

I'm going to try to dedicate the first hour after waking up exclusively to creative pursuits, rather than looking at email, social media, or cat videos. This will require getting up early every day, so fingers crossed.
—Neil Stevenson

My resolution is inspired by Julia Cameron's morning pages. But since my practice is choreographic (I'm a dancer/choreographer outside of IDEO), I'm resolving to create a movement phrase everyday. I’m not sure yet what the dance equivalent to three pages of writing is, but I'll figure it out.
—Eileen Farrell

Slackline (or highline in this case) is both a new habit and skill. I find that balancing on a line is a powerful way of coming to terms with fear and a kind of forced meditation, counterintuitively creating fear and calm at the same time.
—Jonah Houston

I want to learn to lathe wooden baseball bats. I'm looking to make an art piece to show in a gallery.
—Samuel Bertain

I plan to find a living space that inspires me to do good work; to sign up for a class so I can make arts around other people and osmose creative energy (and hopefully give back too?); and to be more intentional about my passwords (I don't have a method to my madness, it's just madness).
—Momo Miyazaki

I am pushing my modern calligraphy for 2017. I did a class this year and for Christmas have ordered books and more pens. I am hoping to also try out brush lettering. I follow Seb Lester on Instagram and he makes it look so easy... even though it’s not.
—Bobbie Brightman

I will download and use the Headspace app.
—John Ravitch

I want to channel Charlie Rose and learn how to host better video interviews on Creative Confidence. I also want to rock climb more.
—Suzanne Howard

In 2016, I did the 100 day project, which got me going on weaving and watercoloring. In 2017, I want to create my first large-scale tapestry. Who knows if it'll happen... we'll see!
—Emma Scripps

I want to to start writing again. I used to write a lot, both for fun and as a freelance advice columnist, but have gotten away from it in recent years. Doesn't matter to me if this manifests in jokes, stories, reflections, whatever—so long as pen meets paper and my brain is flexed regularly.
—Adam Moulter

I want to do at least one thing each week to celebrate the ubiquitous creativity in New York City. It can be a concert, a class, or just a walk around a new neighborhood to explore the graffiti and architecture. I moved here a year ago and have so much more to explore!
—Shauna Carey

I want to say "I don't know" more, so I learn something.
—David Good

Illustrations by Matt Avallone.

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After the ball drops and the champagne is gone, we have 365 days ahead of us to be more creative people, with new and better habits, mindsets, and skills. Seeking inspiration? Here are some of IDEO designers’ resolutions for 2017.

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.