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.

10

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

1. More than meets the eye

Tracking shots of winding country roads, and lingering peeks of sheet metal: car ads might seem as lifelike as it gets, but they’re often surprisingly realistic CGI, particularly for new cars that might not be public yet. To keep up that realism, post-production house The Mill’s neat solution has been to create a Transformers-like rig, with adjustable wheelbase, height, and driving style, to help its artists mimic pretty much any car, without costly shipping and availability worries. Take a closer look at the rig here.

2. The weird satisfaction of a close shave

For the crafty and OCD-inclined people—like us—who find pleasure in perfectly cubed fruit, watching cans being crushed, or a Leica body being painstakingly filed, relax and enjoy these slightly hypnotic videos of master Japanese ceramicist Abe Haruya at work.

3. Welcome to our open house

Kitchen of the future exhibitions stretch back half a century, but Arduino founder Massimo Banzi and acclaimed sci-fi writer Bruce Sterling have gone one further: they created Casa Jasmina, an open-source apartment in an old factory in Turin, to test what a connected home might look like in the future. Furniture and fittings are modular and hackable, and artists and companies are invited to submit ideas for connected appliances. Eventually, you’ll be able to rent the space out on Airbnb, says Banzi.

4. Getting conversational with computers

When Google’s AlphaGo deep learning software beat Go champion Lee Sedol, the world saw, via the media, a firsthand view of the power of artificial intelligence. But we’re still a long way from solving real problems, in part because interacting with AI is stuck at the computer science level. But an intrepid gang of interaction designers are building clever new ways for humans to better interact with these systems, argues computer vision and machine learning expert Greg Borenstein on Medium. Read the article here.

5. Go local with Airbnb

Fancy dining with a sumo wrestler, feeling frisky at a burlesque show, or getting your hands dirty with an urban farmer? Airbnb is helping travelers belong anywhere with a new product they’re testing. Called Experiences, it helps adventurous guests book escapades with local hosts. Check out Airbnb Experiences here.

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In this week’s Creative Caffeine, IDEO London serves up a quintuple shot of inspiration: post-production house The Mill’s transformer car; the weird soothingness of shaving ceramics; a visit to Arduino’s open-source apartment; designing with artificial intelligence; and drinks with a sumo wrestler, courtesy of Airbnb.

Name: Shruti Ramiah
Location: Munich
Role at IDEO: Design Research Lead
Joined IDEO: 2011
Website: www.shrutiramiah.com
Titillating Fact: I travel a lot for work, and one thing that helps me make every new place feel like home is the BBC World Service Radio (plus a healthy dose of BBC Radio 4). My grandfather used to tune into the World Service News every evening on Shortwave Radio. Now I have the digital radio on almost all the time, and I find the familiar voices very grounding. It’s also why so many of my conversations start with “So, I was listening to this show…”

1. Flash Forward

Flash Forward is a podcast about the future. Each episode starts with a little audio story playing out one potential future scenario—from the believable to the bizarre. I love the way Rose Eveleth brings intangible futures to life in these stories and then breaks them down to investigate the elements of the scenario.

2. New Philosopher

I discovered this magazine in Sydney. It’s one of many great independent magazines coming out of Australia. Each issue focuses on one theme that is relevant to contemporary life, and explores it from a variety of perspectives. I am amazed at how they make philosophical questions accessible and understandable. Don’t be put off by the name.

3. Jean Jullien

Jean Jullien is a wonderful graphic artist with a great light-hearted sense of humour in his work. Following him on Instagram ensures that there’s always a smile (or a smirk) waiting for me in my feed everyday. @jean_jullien

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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: Shruti Ramiah.

OUR FIRST TIP COMES FORM NJOKI GITAHI, SENIOR COMMUNICATIONS DESIGNER AT IDEO, WHO RECENTLY LED INDESIGN NOVICES IN NEW YORK THROUGH AN EMAIL-BASED INTRO TO ADOBE'S POWERHOUSE PUBLISHING TOOL.

Sometimes you need to cut to the chase. If you're learning a tool outside your discipline, it's usually because a deadline is looming and your go-to experts can't help. There's no time to luxuriate in lessons. You need Quick + Dirty tips: bite-sized tool tutorials to beef up your skills, one morsel at a time.

Working with hardware enables designers to create more meaningful, situation-specific interactions that might feel cumbersome or be impossible with software alone. Last year, I had the opportunity to work on a project with IDEO.org (a nonprofit design organization that launched out of IDEO with the mission to improve the lives of people in low-income communities through design) that tested my software and physical design skills. The brief: Apply low-cost sensor technology to precision agriculture for smallholder farmers in developing countries.

Informed intuition

Before heading to the field, our small team started by researching precision agriculture practices and technologies for farms and households. We found inspiration in devices like Parrot Flower Power. Even so, we really had no idea what a good precision agriculture device could be, or what challenges farmers faced. But at IDEO, we believe that you learn best by doing. So we quickly ginned up three devices to facilitate conversation with farmers: the Magic Stick, the Ambient Sensor, and the Rice Shoot.

The Magic Stick

Physically, the Magic Stick was inspired by traditional farming tools like rakes and shovels. The tip of the stick was a temperature/humidity sensor that could be stuck into soil or crops that have been harvested and put in storage. Digitally, the Magic Stick created a data table that combined temperature and humidity with GPS location.

The Ambient Sensor

The goal of the Ambient Sensor was to help prevent the growth of a common toxin that spoils crops in storage in many parts of the world. The sensor tested the environment for the conditions that the toxin thrives in: high humidity and temperature. We designed the device to hang on a storage shed wall, and if high humidity and temperature conditions were detected, LED feedback would alert farmers and prompt them to ventilate the space.

The Rice Shoot

We designed the Rice Shoot to measure the water content of rice fields, making the process of rice paddy irrigation more resource efficient, and potentially increasing yields and reducing disease.

We brought our early prototypes to many farms in Kenya, Tanzania, and Myanmar—countries where IDEO.org had existing relationships. During our travels, we spent our days designing, wiring, and programming in the back of bouncing trucks, tidal river boats, and turbulence-prone airplanes. All the people we spoke with were smallholder farmers who need to farm in order to live. Together, we discussed the challenges of growing specific crops in specific regions, as well as any personal challenges they faced. In northern Myanmar's dry zone, we learned that there were no consistent optimal irrigation practices for betel nut, a cash crop that is a big part of the region's economy. Each farmer was watering at different times of day and for different lengths of time, with different yields.

Introducing the Betel Meter

Our time researching with these farmers showed that what they really needed was an upgraded Magic Stick—something with a brain. So we created the Betel Meter, a device that helps farmers create optimal irrigation for betel nut.

The Betel Meter is planted in key positions in a field and takes moisture readings once an hour. Once a day, a farmer presses the meter’s button. A green LED signifies that soil has a healthy moisture level and the farmer can irrigate normally. Red LEDs signify that the soil has been too dry, and farmers should keep irrigation taps open for an additional five or ten minutes. Blue LEDs signify when soil conditions are too wet.

To build the Betel Meter's brain, we used a TinyDuino from TinyCircuits, an Arduino compatible micro-controller with the power of an UNO. The TinyDuino, which is about the size of a quarter, has a brilliant architecture that allows any additional functionalities beyond basic processing to stack on top of each other. This allowed us to keep the core device small, even though it has a real-time clock, a data SD logger, and GPS boards.

Creating the baseline data for the meter turned out to be one of the biggest challenges of the project. Because optimal irrigation for betel nut in an agricultural zone as specific as northern Myanmar is unknown, we had to rely on white-paper research and some intuition. We first researched ideal moisture conditions for all plant life. Then we normalized evaporation rates for water in sandy soil, and cross referenced it against average temperatures for each month in the region.

The physical

The physical design was equally tricky, since the meter needed to withstand extreme weather for long periods of time to protect the sensitive electronics inside. Luckily, we had IDEO.org's Design Director and Co-Lead of the San Francisco studio, Adam Reineck, on the team. He quickly designed a 3D model in Solidworks and printed the form in nylon, which stood up against heavy rain—and even a sandstorm.

Our early prototypes used USB power banks; however, we knew that the Betel Meter had to be an “always-on” device with a reliable and constant power source. We opted for solar power, something the team had experience with. We began by hacking panels out of old solar camping lights and adding a few resistors and extra batteries to the circuit. That way, we could ensure that the device would store enough energy to power the micro-controller and components through the night.

Once we had our prototype, we returned to Myanmar to field test the Betel Meter, planting four of the devices in two fields. Not only did the Betel Meter provide irrigation feedback, it also recorded and created what we believe to be the first-ever dataset around optimal soil moisture for betel nut. People from all over the region came to see and take photos of the meter, and we were continuously asked to come back with the final working product.

From here, our ideal next step is to add machine learning that allows the device's software to evolve from its own data.

Working on the Betel Meter changed my personal approach to design and how I attack problems. Now, on every project, I try to find opportunities to create products that reach deeper into people’s physical lives than pixels on a screen.

Working with such an amazing team, in such a great place and on a product that challenged me the way the Betel Meter did, changed my life. I will be joining the team full time at IDEO.org in New York City this fall, where, hopefully, I will be part of the next chapter of the Betel Meter.

Read more on Fast Company

In my last article, I wrote about a hobby of mine: translating physical objects into digital experiences as a way to test my skills. Like most interaction designers these days, I am fascinated by understanding how digital can connect to our physical reality.

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.