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

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

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

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

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

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

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

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

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

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

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

3

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

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

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

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

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

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

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

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

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

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

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

1 cohesive strategy

for climate era products across 6 different fields

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

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

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

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

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

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

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

25 countries…and growing

Ethiqly’s reach in classrooms around the world

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

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

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

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

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

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

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

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

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

200+

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

The next time you enter a theater, take special note of the black curtains hanging onstage. I can almost promise they’ll be there. Short ones above the stage (called “trim”) obscure the overhead lights, while long ones on the side (called “legs”) hide the backstage performers. Black curtains are a set designer’s secret weapon.

Theater strives for suspension of disbelief. It’s the reason we cry when Romeo and Juliet kill themselves… even though we know the actors aren’t really dead. (They’re not even Romeo and Juliet, for that matter.) It allows an audience to imagine the world of the play far beyond the elements we see in front of us. In our heads, the vivid and colorful streets of Verona extend well behind the black curtains that frame the stage. And all the set designer had to do to create that illusion was hang some fabric.

Designers need to stop making slide decks and start hanging black curtains. As projects become more complex, it becomes impossible to represent an entire concept through words, images, and prototypes alone. Truly innovative designs can’t exist in our present world—they change it into something new. Taking cues from theater is one way to help people suspend their disbelief and bring them inside these new ideas. Here are three ways in:

Embrace Set Design

“Space creates behavior” is a mantra used by interior designers. But there’s a step missing in that equation: Space creates new mindsets, and new mindsets create new behaviors.

When we go to the theater, the curtain rises and we get our first glimpse into the world of the play. It’s the moment when an audience is asked to leave the reality of the theater (velvet seats, half-finished wine, smartphones, etc.) and enter an alternative reality crafted by the show.

Boardrooms are not a good place for achieving that effect. If we want people to engage with unprecedented ideas, we need to transport them out of their current reality. It’s absurd to assume that people will think differently when they are sitting in the same chair, at the same table, staring at the same drop-down projection screen they see everyday.

Even simple changes to a physical environment can drastically shift the way an audience (in this case, clients, investors, etc.) will approach a meeting.

Consider:

Lighting—a darkened room creates a sense of possibility and wonder.

The unexpected reveal—bring out a hidden element part-way through the meeting.

Sound—background noise or music helps guide people to an emotional state before, during, and after the show.

Play the Role of Director

Another way to shift a viewer’s mindset is to go at it directly. Direct them, as if they were an actor, and give them a new role to play and a new way to think.

At IDEO, mid-project meetings are often the most crucial point of contact with our clients. In those meetings, they must assess the opportunities we’ve uncovered through research, and decide which ones to pursue. If the audience defaults to their standard decision-making metrics, engineers will choose the most technically-feasible option, while the CFO might choose the most cost-effective path forward. Innovative ideas are difficult to judge in this way, so they can easily be left behind.

But asking these same people to make decisions from a different perspective can open up the room to new possibilities, and create excitement around the more difficult to imagine, yet more innovative ideas.

Here, you accomplish two things. First, by having them embody a new viewpoint, they are forced to drop their default mode of interaction and pick up a new way of thinking. Second, because the exercise feels inherently contrived, it offers participants a mental safety net. It’s not real—it’s make believe. When people let their guard down, that’s often when the real insights emerge.

Think about:

Directed actions—as soon as people are required to do something, they leave the passive audience state.

Physical movement—if people are required to stand up and move around, they automatically engage in a more meaningful way.

Assigning new roles—if people are required to observe and respond as someone other than themselves, they will come at the experience from a position of empathy.

Be a Reviewer

Anytime you engage with an unprecedented experience, the take-aways are not always clear. In the world of theater, new audience members might walk out of a show thinking, “I loved it!” or “I was bored!” or “I was bawling, but I’m not totally sure why.” A good theatrical experience should elicit some type of emotional reaction from the audience, but people may not have the necessary vocabulary to analyze it. Good reviewers can help translate the experience for the rest of the world and direct attention to what is important or meaningful.

In design, crafting the takeaway message becomes a crucial exercise. It’s important to tell people how ideas and concepts can translate back to their real-world experience. If the most brilliant concepts can’t be understood beyond the context of a highly theatricalized presentation, there’s no way it will ever have impact in the world.

Consider:

A summary—what's the essence of what they just experienced?

Analysis—what's the deeper meaning or purpose this connects to?

Drafting a plan—what actions should take place as a result of the experience?

Innovation is a tricky business. As designers, we are tasked with creating unprecedented experiences that help shift the world into the future, yet we are stuck discussing them in the present. Creating innovative work is not enough. We must create innovative ways of sharing that work to help audiences suspend their disbelief and imagine the future that might exist.

Illustrations by Megan Crabtree.

Two things are required for design success: the right idea, and the ability to convince people of its value. In recent years, designers have become more interested in storytelling to make the case for their solutions. I'd like to take that method a step further, by embracing theater.

As a little kid, I always loved drawing, but I didn’t actually get serious about art until high school. At first, I was just doodling on my homework and in my notebooks in my spare time, but by my senior year I thought it would be cool to set a deadline, and complete a sketchbook front to back in one year. It was a good outlet for my stressed and angsty teenage self. The first one took a while—definitely more than a year—but after completing it, I was hooked.

In a way, these notebooks act as a diary for me—I remember where I was mentally and emotionally for each drawing. Over time, my work has become a lot less about how angry I was that day, and more about colors, patterns, and shapes.

I like to draw simple lines and shapes, and for each composition, I typically just wing it. I’m sure there’s a meaning to whatever I’m drawing, but when I’m working on it, I’m actually not thinking too hard about it. It’s all stream of consciousness. I draw to de-stress and because it’s fun.

I ended up creating this bald, baby-like thing to represent a person or a feeling I was having. A lot of people have told me they can relate to my work, and I think it’s because of that character. It has no real defining features other than looking vaguely human, so a lot of people can put themselves in its shoes. I often get asked if it’s a boy or a girl or this or that, but it really doesn’t matter what it is.

As for the others, the only character that has a specific role is the little angry-looking black blob I draw from time to time. Originally, it showed up inside other character’s bodies as a stomach. I had a lot of stress-related stomach issues, and whenever I was feeling particularly bad, I’d draw it into a piece. I’m not great at telling people I don’t feel well, or that something is wrong, so my sketchbook is a good outlet. Recently I’ve just been hiding it around in parts of drawings for no particular reason.

People also ask me about my fish—they seem to be one of my more popular elements. I don’t actually have a particular fondness for fish, I just really love drawing patterns and their scales are the perfect platform.

I started posting each drawing to Tumblr just so I could see the development of my style. Now, it has more than 26,000 followers, which is crazy. Even though it’s super flattering to get such a huge response, I still have no interest pursuing illustration professionally. I draw because it’s fun.

Over the years that I’ve been doing this, I’ve learned that sometimes, you just have to stop talking and start doing. Actually forcing myself to set goals and do the work even when I didn’t feel motivated has been intensely rewarding. Not every drawing I make has to be good, and not every sketchbook is going to be finished within a year—I actually missed my 1/1/17 finish deadline. But my current sketchbook is some of the best work I’ve ever made, and I’m very proud of it—even though I’m only halfway finished.

From the moment we noticed industrial designer Felicia Chiao sketching her latest masterpiece between meetings, we (and our Instagram fans) were hypnotized by her bold colors, intricate patterns, and subtle textures. In this installment of What’s in my Moleskine, we invite you to dive into the dreamlike world Felicia has built in her sketchbooks—we guarantee you'll be hypnotized, too.

1. How hydrated are you?

I pulled this April Fool's prank on the Palo Alto office a few years back. People remarked that it was surprisingly useful and actually led to behavior change. — Albert Leung, IDEO Palo Alto

Tech and design firms love pranking and poking fun at themselves—some of our favorites from years past include Google's self-driving bicycle and Mark Zuckerberg's collaboration with H&M, including a "collection pack" of seven gray t-shirts and one pair of jeans.

2. Homecoming surprise

Back in 2012, I decided it would be fun to "redecorate my roommate's bedroom while she was away for work. It took 18 hours and 76 rolls of Saran Wrap to pull off, but every aspect of her life was covered in bright plastic wrap when she returned. I may have gone a bit over board: Each shoe was wrapped individually, then as a pair; I wrapped each piece of makeup, then wrapped them all together in a group; each thing on her wall was wrapped and rehung; every single book and article of clothing in her closet was accounted for. I honestly think—and I say this in a non-sarcastic way—that pulling this off was one of the things I'm most proud of in my life... which may say something about me. —Adam Moulter, IDEO Cambridge

3. Fluffy biscuits

When I was a kid, my parents made homemade buttery biscuits for us on April Fool's Day. The catch was they embedded cotton balls in the center. When we bit in, we got quite a mouthful!
—Sarah Buchanan, IDEO Palo Alto

4. Puppy love

April Fool's Day is a well-observed holiday in my household. Last year, I put this ad up on Craigslist in three different cities with my father's and two brothers' phone numbers. They received upwards of 100 phone calls and texts (each!) within the hour. —Em Havens, IDEO San Francisco

5. Not-so-current events

My mom was a prank legend in our house. April Fool's Day was a standard spectacle. She had a simple guiding principle for her pranks: Prank them early in the morning before they realize what day it is. One year, my dad, who routinely read the morning paper before work, was sitting with his coffee flipping through the day's events. My mom could hardly contain herself, but Dad didn't quite catch on. When he got to the business section, he suddenly said, "That's odd, I thought the markets went down yesterday and this says they went up." Mom burst out laughing—she had saved last year's April 1st paper for an entire year!
—Chris Waugh, IDEO Alum

Designers love a good side project—Halloween costumes, fancy proposals, Rube Goldberg machines—and April Fool's pranks are no exception. Check out some of the over-the-top pranks IDEO designers have pulled on their friends, family, and coworkers—and steal an idea for yourself!

Name: Farzad Azimpour, MD
Location: Palo Alto
Role at IDEO: Director of Health (biodesigner and cardiologist). I develop new medical technologies with a specialized team in the Design for Health group. We cover everything from biometrics and robotic surgical devices to future healthcare delivery systems, and anything else that hinges on human interaction and decision-making.
Joined IDEO: 2015
Instagram: @farzad.azimpour
Titillating Fact: I do a lot of “mode-switching,” flipping between totally different roles and mindsets. It's my way of cognitive interval training. One day I’m in the emergency room performing cardiopulmonary resuscitation (CPR) on someone with a drug overdose-induced cardiac arrest, and the next day I’m with an IDEO team interviewing someone struggling with addiction—in their home as the police bang on the door.

1. Hot Thoughts

Austin-based indie-rock band Spoon, aka “rock stars for the thinking person,” is releasing a new album called Hot Thoughts, previewed at an intimate set of performances this week at SXSW. I’ve been listening to them since medical school and find some of my best work comes from a late night tapping my pen and feet to their sonic genius.

2. The Current

Listener-supported Minnesota Public Radio (MPR) produces one of the coolest, most progressive radio services you’ll find anywhere, and they stream it live. This is where I discover new music to get me through the coldest winter months on the road.

3. The American Association for the Advancement of Science (AAAS)

This is one of my favorite resources for the wide landscape of scientific research. It’s where you’ll learn of new micro mechanisms to explain macro systems. Their peer-reviewed specialty journals span everything from cell-signaling and translational medicine to robotics, environment, and space. Out-nerd anyone at the next party.

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In this series, we ask IDEO designers to share the stuff they're digging right now—tools, books, music, sites, people, places—so you, too, can drink from the fount of inspiration bubbling up here. This week's guest star: Farzad Azimpour, MD.

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.