gray and black spoon in person's hand
a close up of a business card on a table

Pursuant Health

Increasing User Retention Through Persuasive Nudges

ROLE

Pursuant Health

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TIMELINE

August - September 2025

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TEAM

Ashlyn McClendon, Mandy Lin, Mili Parikh

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SKILLS

UX Research, UX Design, Usability Testing

OVERVIEW

We devised persuasive nudges to increase user retention at Pursuant Health Kiosks

As a team of 3 user researchers + designers, we conducted user research and redesigned the onboarding system over 28 weeks to encourage user account creation and retention

User Research

Conducting 6 user research methods with a total sample of over 2,500 unique participants

Prototyping & Testing

Going wide in ideation based on design implications from research and rapidly testing concepts with users.

Iterating with Feedback

Continuously iterating on concepts and validating product decisions with experts and users alike.

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PROBLEM

Most people don't create accounts and return to Pursuant's health kiosks

Pursuant has over 4600 kiosks across the US and their kiosks have delivered over 275 million screenings so far. Their kiosks provide free and accessible health screenings through a national network of FDA-cleared medical kiosks.




In spite of having such a huge network of kiosks, they are facing huge problems with user retention and user data collection and/or profiling to help improve their services.


So, Pursuant Health gave us a challenge:




How might we design a seamless and secure onboarding experience that encourages users to create accounts and return to the kiosk?
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SOLUTION

We Created a Redesigned Onboarding with New Phone-Friendly Methods

The result of around 4 months of UX research and design was a redesigned onboarding system, a new QR code phone login, and a 1 step log in for returning users using their mobile wallet

Shows users the benefits

Shows users the value of the using the kiosk on the welcome page

Uses intentional color contrasts, reduces visual clutter and streamlines the onboarding options

Before
After
Before
After

Turning a 10 step process to 3 simple steps

Task analysis from user research helped us to turn a long process into a simple easy to follow onboarding

Apple Wallet Quick Log In

Shows users the value of the using the kiosk on the welcome page

Uses intentional color contrasts, reduces visual clutter and streamlines the onboarding options

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USER RESEARCH

We engaged with 2000+ users through 6 user research methods

Each user research method focused on the solving the core issue of user retention.

Literature
Review

LITERATURE
REVIEW

6 papers analyzed

Field
Observations

FIELD
OBSERVATIONS

4 hours total

Contextual
Interviews

CONTEXTUAL
INTERVIEWS

8 interviews

Heat Map
Survey

HEAT MAP
SURVEY

16 responses

User Preference
Survey

USER PREFERENCE
SURVEY

2,267 responses

Competitive &
Comparative Analysis

COMPETITIVE & COMPARATIVE

2 competitors, 1 comparison

2 competitors
1 comparison

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USER RESEARCH | LITERATURE REVIEW

Existing literature showed us that the medical kiosk boom in the US has a critical flaw: A systemic neglect of user experience

We analyzed 6 peer reviewed papers and noted the key findings.

Here's what we learned:

The medical/health kiosk market is experiencing robust growth, projected to reach $1.8B by 2028.
(Grand View Research)

Usability evaluations were reported in only 20.1% of academic papers on health kiosks.
(Maramba et al)

Virtually no studies on medical kiosks assessed adherence to accessibility standards.
(Bhutani et al)

Research in adjacent fields, such as mobile health apps, shows that UX is a key factor in driving adoption and usage.
(Lemon et al)

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USER RESEARCH | FIELD OBSERVATIONS

To gain a deeper perspective of how users interact with these kiosks we observed users interacting with the kiosk at select Walmarts. We developed a semi structured protocol for these sessions and asked users some questions after their sessions.

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USER RESEARCH | CONTEXTUAL INTERVIEWS

We conducted contextual interviews with 8 users, each lasting around an hour. This gave us a chance to go in depth into user preferences and understand their choices.

We analyzed our findings from the observations and contextual interviews on to an affinity maps to gather insights from our qualitative data:

Users are concerned about sharing personal information and too many steps in the process discourages use
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USER RESEARCH | KIOSK SIMULATION SURVEY

Users choose Guest option because they are not sure how long signing up will take

We simulated the kiosk interface on a survey and tracked where users tend to tap to learn more about user behavior.

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USER RESEARCH | USER PREFERENCE SURVEY

Pursuant helped us deploy an exit survey to 500 random kiosks across the nation where we got a large sample size of 2000+ responses to understand user preferences.

Users feel more confident entering information
on their phones.
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COMPETITIVE & COMPARATIVE ANALYSIS

We analyzed Pursuant's key competitor, Higi and analyzed McDonalds' kiosks and Withings, a health tracking app.

Competitors heavily use persuasive language to motivate users and push opportunities to create an account once users have experienced the benefit of the service.
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DESIGN DECISIONS

We made 5 design decisions based on the findings from our research

Our design implications were based on key user needs like need for privacy, efficiency, and trust.

The redesign must show the users that the information they enter is in return for something of value to them
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DESIGN SYSTEM

The design system was based on Pursuant's brand colors for familiarity, but had a focus on enhanced user feedback, readable fonts, and general visual hierarchy based on priority

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SKETCHES & PROTOTYPES

Initially, we brainstormed concepts, created sketches and tested those with users.

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EVALUATION

We evaluated our final prototypes with 3 industry experts and 4 users using the cognitive walkthrough framework and System Usability Score (SUS) metrics

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FINAL DESIGN

Explore our final design on Figma:

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REFLECTIONS

Explore our final design on Figma:

Other Projects

I build with clarity, focus, and user centricity, I am also looking for the next big thing to contribute to.

I build with clarity, focus, and user centricity, I am also looking for the next big thing to contribute to.

I build with clarity, focus, and user centricity, I am also looking for the next big thing to contribute to.

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