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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

1 cohesive strategy

for climate era products across 6 different fields

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

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

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

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

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

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

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

25 countries…and growing

Ethiqly’s reach in classrooms around the world

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

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

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

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

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

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

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

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

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

200+

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

Smartly curated by Jennifer Dunlop Fletcher, the show features objects dating back to the late 1950s, from the Eames Office to the first iPod to a home CRISPR kit.

I've now seen the show twice. Here's what’s stuck with me:

So much of what comes out of Silicon Valley today has its roots in the DIY utopianism of the Whole Earth Catalog. Founded in the late 60s by Stewart Brand and a bunch of Stanford longhairs, the Catalog promised “access to tools" that would equip us to break free from our hidebound culture.

The title was inspired by Brand’s 1966 campaign to have NASA release a satellite photo of the Earth as seen from space—the first image we’d see of the "whole Earth." That picture, he believed, would unite humans in our belief in a shared destiny and encourage more peaceful, ecological, and holistic thinking.

When I was in my 20s, the Whole Earth Catalog spurred me to start my own DIY design magazine, ReadyMade, in the back of a used furniture warehouse in Berkeley. Whole Earth made designing a life on one's own terms seem within reach.

That spirit shines through in another standout of the exhibit: the recreated office of Charles and Ray Eames, down to the posters on the wall, the kilim rug, and a looping projection of their film for the World’s Fair (a serenade to industry and systems design). Everything they laid their mid-century paws on exudes a kind of singing-nun joy. Two things I love most about them: their philosophy that “Eventually everything connects—people, ideas, objects,” and that they employed the people they were designing for—Los Angeles locals, war veterans, and housewives.

There’s also the agitprop hijinks of Ant Farm; the stained leather scrappiness and propaganda of Marin’s craft guilds; and Heath Ceramics—the tableware preferred by my avocado toast.

And for us outdoorsy types, the centerpiece of the exhibit is a Bucky Fuller-inspired North Face tent, pitched alongside radically new 1970s climbing equipment made by Yvon Chouinard, the founder of Patagonia.

I had a feeling the iconic "one laptop per child" by fuseproject would be on hand (check!), and was excited to see my friend Eric's (of Stamen Design) dazzling data visualizations.

Having done a tour of duty at WIRED in its third year of publication (1995), it was great to see their eye-popping cyberpunk spreads on display, and I'm always happy to learn of companies like D-Rev that care enough about social impact to design an $80 high-performance knee (80 percent of the world's amputees have no access to modern prosthetics).

California design got swept up in the digital tsunami that WIRED was chronicling and all those "new tools" for connected living now look quaint. The first Apple desktop computer and Handspring Visor sitting under vitrines look like beige relics from a technocrypt.

IDEO’s Dennis Boyle, who led the Handspring Visor design team, told me that its eye module accessory is credited as being the first digital camera on a handheld electronic PDA. "It’s the precursor to today's cell phone cameras," he said.

I'm drunk on Kool-Aid, no doubt, but I walked away from this show marveling at how IDEO appears to be the aortic valve of California design. There are no less than five examples of our work on display: The prototype for the first Apple mouse, Thoughtless Acts? and Method Cards, the Handspring Visor, and the prototype for the Q Concept workstation, designed by David Kelley and Jim Yurchenco, Jane Fulton Suri, Dennis Boyle, and Martin Bone, respectively.

Yurchenco, who repurposed a butter dish and a roll-on deodorant ball procured at a local Palo Alto drugstore to make the earliest mouse, is struck by the crude tools designers had at their disposal back in the day:

“It was done using old techniques: a pencil and paper on a drawing board instead of 3D solid CAD to design the parts; manually machined injection molding tools and pieced together check models instead of 3D printed models. Of course, everything designed at that time was done the same way.”

Though it seemed impossible to design a mouse for less than $10 when Steve Jobs first proposed it, IDEO founder David Kelley and Yurchenco alighted upon a crucial insight:

“The most surprising thing that happened during the process was we were able to make [the mouse] low-cost by realizing it didn't have to be as precise as we first thought," Kelley says. "Because the user's human brain would intuitively move the mouse to exactly the right spot."

Jane Fulton Suri still expresses surprise that a simple deck of cards (Method Cards), which were published in 2003, became the foundation for IDEO's design approach:

“At the time it wasn’t obvious that sharing information about our approach and sensibilities would be a powerful way for IDEO to lead the way. It's now core to IDEO's strategy to create design tools and empower others in the world at large.”

Three of the four designers quoted above still work at IDEO. And that reminds me of another thing I love about California designers:

They never stop trying to make things better by making better things.

Next up: Nick Pajerski interviews "Designed in California" curator Jennifer Dunlop Fletcher.

If my heart were a painting, it would be on permanent loan to California. I love its shaggy optimists who turn drained swimming pools into skate parks. Its fog and fearless politics. Its pioneers and garage inventors and beat poets who came in search of a Golden State. I'm a big believer in the design that was born here, too, which is on display at the SFMOMA’s "Designed in California" exhibit through May 27, 2018.

My friend Stefan suggested I try a different mindset. Instead of trying to get things right, I should put myself in “play mode.” From his email:

Right then, I was working on an illustration for part of my book where some early readers got confused. But I wanted to get it right, so I’d been putting it off. "Okay," I thought. "I can afford to waste an hour on this."

I tried play mode. I told myself the next hour didn’t matter—I was just goofing around and having fun. I set a timer. I made about 15 rough sketches. Then the hour was up. And I hadn’t gotten it right. But I’d broken the ice, and I was in the zone, so I kept working. Thirty minutes later, I had an illustration I was happy with. And the whole thing was fun rather than stressful. Play mode worked!

I’m writing this post to remind myself of the value of play mode. Next time you talk to me and I say, "I’m stuck," tell me to flip the switch.

This post was originally published on Jake Knapp's blog.

I get stuck a lot. I get stuck writing, editing, making slides, designing, replying to email. I get stuck anytime I want to get something right.

But there are limitations to voice-enabled interactions. They’re slow, embarrassing when other humans are around, and require awkward trigger phrases like “Okay, Google” or “Hey, Siri.”

Thankfully, though, talking into midair is no longer our only—or best—option.

The new iPhone introduced a camera that can perceive three dimensions and record a depth for every pixel, and home devices like the Nest IQ and Amazon's Echo Look now have cameras of their own. Combined with neural nets that learn and improve with more training data, these new cameras create a point cloud or depth map of the people in a scene, how they are posing, and how they are moving. The nets can be trained to recognize specific people, classify their activities, and respond to gestures from afar. Together, neural nets and better cameras open up an entirely new space for gestural design and gesture-based interaction models.

These new options beg the question: Of the existing interaction modalities—haptics (touch), sound (voice), and vision (gesture)—which is better to use when, and why?

The use case points toward an answer. When you’re SCUBA diving, or water skiing, or directing traffic on the deck of an aircraft carrier, the auditory channel isn’t available, so gesture or touch become essential.

In an operating room, a surgeon’s hands are sterile; she can’t flip through radiology scans—only speech and gesture are available. If you’re conducting an orchestra or on a military raid you can’t call out commands, so we’re back with gesture.

WATCH: From Charlie Chaplin to Cricket, there are a wide range of sources to inspire us as we design for gestural communication.

To dig into it further, our team at the Cambridge studio snagged a camera like the one in the new iPhone and performed a series of experiments to figure out when gesture might be the best choice.

First, we gave pairs of people an idea, then we asked them to make a four-handed pose to express that idea.

Then we recorded stories and tracked people’s hands using computer vision to study when we naturally deploy gestures to amplify emotion or explain a concept.

WATCH: Tracking how we gesticulate to bring stories to life.

WATCH: Ask a group of people to perform an action or request and you get some variation. The trick is finding gestures that are as universal as possible.

Lastly, we trained a neural network to recognize a small set of gestures, and used these to control a Philips HUE light set and a Spotify station to create an installation for the office.

WATCH: Using a set of gestures, we trained a few devices in our office to respond to our cues and adjust the lights and music.

In messing around with these exercises, we discovered that gestures need to be either sequential, like a sentence—noun then verb, object plus operation. For example, for “speaker, on,” one hand designates the noun, and the other the verb: You point to speaker with left hand and turn the volume up by raising right hand.

Another surprising insight: Gestures are generation-specific.

When asked to signal turning up the volume, a few people twisted an invisible knob, but most of the under 30s lifted a palm or made a pinching gesture with their fingers.

After analyzing our results, we boiled our thoughts down to four reasons to opt for gesture over voice or touch:

1. Speed: If it needs to be fast, gestures are much quicker than speaking sentences.
2. Distance: If you need to communicate from across the room, gesture is easier than dealing with volume.
3. Limited lexicon: If you don't have a thousand things to say, gestures work well. The smaller the gesture set for a given context, the easier it is to remember. (Thumbs-up/thumbs-down, for example.)
4. Expressiveness over precision: Gestures are well-suited to expressing emotional salience. A musical conductor communicates a downbeat and tempo, but also so much more: dolco, marcato, confidence, sadness, longing, and more.

It's exciting to imagine a whole new category of products that will take advantage of gesture’s subtlety, expressiveness, and speed.

How might we use gesture in unexpected ways? I’d love to hear your thoughts.

Many thanks to the rest of the team: Lisa Tacoronte, Todd Vanderlin, Jason Robinson, Danny DeRuntz, Brian Standeford, Eric Chan, and Ari Adler.

Since Siri was introduced in 2010, the world has been increasingly enamored with voice interfaces. When we need to adjust the thermostat, we ask Alexa. If we want to put on a movie, we ask the remote to search for it. According to some estimates, some 33 million voice-enabled devices reported for duty in American homes by the end of 2017.

“I don’t think of myself as a collector, I just keep the stuff that happens in my life," Kelley says. And what happens over the course of a life in design adds up.

Kelley, who founded IDEO 40 years ago and went on to launch Stanford's d.school, has a lot of stories to tell, and most of them are connected to stuff—stuff IDEO made, stuff given to him by other designers and architects like Ettore Sottsass (who also designed Kelley's house), stuff that unlocks memories and, not infrequently, gets him choked up. (SPOILER ALERT: skip to 1:54 where he points out a picture from his wedding. One of the guests is IDEO cofounder Bill Moggridge, the father of interaction design, who died in 2012.)

Take a tour of David Kelley's office shelves

The wall of wooden cubbies in Kelley's small Palo Alto office is crowded with prototypes, model automobiles (Kelley is also a car buff who owns about 20 vehicles, including a 1954 Chevy pickup), and other curios like a giant "I" that lights up and is inscribed with his life's story. His coworkers fabricated it for him in the company shop for his 50th birthday.

In fact, Kelley has a small museum of birthday keepsakes that IDEO designers have given him over the years: a giant spotlight, an old motorcycle, and one of those mechanical horses that costs a dime to ride, purchased from a grocery store.

Inspiration and materials for those gifts often came from University Art, the Palo Alto supply store down the street from the studio. "There was a guy named Jim, lovely white haired guy," Kelley says. Jim was the store manager, and when Kelley told him he was starting a new company down the street and would like to open an account, Jim replied that they'd have to charge $50 a month to qualify. Kelley admitted he didn't know if they'd be able to do that. "Fast forward a few years, Jim was still there and we had about 350 employees and we were charging $50 a minute. Jim would always remind me of that story..."

Kelley's collecting gene runs in his family. His mother used to call it "shopping in the basement." She'd go down to the first floor of the house and dig up something from Kelley's past and send it to him for his birthday.

"Things would show up in the mail: My leather pouch that I would keep my marbles in when I was a little boy; my boy scout uniform. I'm kind of in that same vein as my mother. I'm keeping things that are meaningful. When I am sitting around, I can look at the model we made of the first mouse or the Christmas card we made in 1993 and I just think, it's pleasurable now; it's going to be even more pleasurable as I get older."

Though IDEO still makes stuff, much of what we design, along with what we consume, has become less tangible. And it's a good thing—there's not much more room on Kelley's shelves.

It's not everyday that you see the first ever example of something you love. So, when David Kelley invited us into his office and pulled an early prototype of the Apple Mouse off his shelf, I let out an audible gasp.

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.