02
Abbott · FreeStyle Libre

UX Audit & Lifecycle Experience Design

Reducing early adoption risk by identifying UX friction and redesigning the full patient lifecycle experience — from first touch through confident device use.

UX Audit Experience Design CRM Architecture Patient Lifecycle Medical Device Health Canada
Abbott FreeStyle Libre
↓ 20%
User drop-off reduction
88-day
Lifecycle engagement program
Health Canada
Regulatory context
Challenge
Problem reframe
UX approach
Decision log
Research → insight
Deliverables
Hindsight
The challenge

FreeStyle Libre was expanding CGM access into a mainstream healthcare audience — but the onboarding experience was built for early adopters. Drop-off during the critical first-use period was the measurable consequence. Patients received the right content at the wrong time, without a lifecycle experience model that understood where they were in the adoption journey.

My role: I owned end-to-end UX strategy and experience design for the FreeStyle Libre patient lifecycle — defining the lifecycle experience framework, CRM communication architecture, behavioral sequencing model, and service blueprint that aligned clinical, regulatory, and digital delivery teams.

From brief to reframed problem

The brief came in as a content and communications problem. The diagnosis revealed something structurally different.

Client brief

"Improve the onboarding communications program — patients aren't engaging with the content we're sending them during device activation."

Reframed UX problem

This isn't a content engagement problem — it's a sequencing alignment failure. The communication architecture was built around a content calendar, not a patient readiness model. Patients were receiving advanced CGM management content before they'd established basic device confidence. The content was correct. The timing was wrong. The fix isn't better content — it's a lifecycle UX model built around behavioral readiness stages.

This reframe drove the entire service blueprint approach — moving from a calendar-driven CRM model to a readiness-staged behavioral sequencing system across 10 phases and 88 days.

UX approach

I approached this as a lifecycle UX alignment problem — not a content or campaign problem. I mapped the behavioral and emotional arc across the full first-use period — from device activation through sustained engagement — and used that model to redesign the communication sequence, content prioritization, and channel timing.

Early communications established device confidence. Mid-arc introduced lifestyle integration. Later-stage shifted toward habit reinforcement and long-term self-management behaviors. Ten distinct phases across 88 days, each with a defined behavioral objective and content design logic.

Key design decisions
Decision point Alternatives considered What we chose & why
Program structure — calendar-based vs. behavior-triggered
Maintain the existing Day 1 / Day 3 / Day 7 calendar model with improved content.
Behavior-staged sequencing across 10 phases. The calendar model was the root cause of drop-off — timing didn't reflect patient readiness.
Phase count — 3-phase vs. 10-phase
Simpler 3-phase model: onboarding, engagement, maintenance. Easier to implement and explain internally.
10-phase model. The 3-phase structure aggregated behavioral moments that needed different content treatments — collapsing them would have obscured the design opportunities.
Content strategy — clinical-first vs. behavior-first
Lead with clinical accuracy and device specifications, per regulatory team preference.
Behavior-first framing with clinical accuracy staged in as patients progressed. Early clinical content was a primary driver of cognitive overload and drop-off.
Drop-off intervention — reactive vs. proactive
Reactive: detect inactivity, send re-engagement email after 7 days of non-use.
Proactive: Phases 4 and 7 designed specifically around known drop-off risk points before inactivity occurred. Prevention at the predicted failure point outperformed reactive reengagement.
Research → insight → recommendation
Research input
Drop-off data + CGM adoption literature + competitive audit

Quantitative analysis of where patients disengaged across the 88-day program. AI-augmented review of CGM adoption research. Competitive audit of 6 CGM and chronic condition onboarding experiences.

Key insight
Drop-off clustered at two specific transitions, not randomly distributed

Drop-off spiked at week 1 post-activation (device confidence gap) and weeks 4–5 (lifestyle integration demand before habit was established). The calendar crossed both transitions without acknowledging them.

UX recommendation
Design Phases 4 and 7 as drop-off mitigation phases

Phase 4 addressed the device confidence gap before advancing to lifestyle content. Phase 7 front-loaded behavioral reinforcement before introducing self-management complexity. Both designed around the known failure mode.

Transferable to

Connected health device onboarding & wellness app retention. Identifying readiness-stage transition points and designing proactively around predicted drop-off moments applies to any connected health or wellness platform managing a critical first-use period — CGM, insulin pumps, remote monitoring, mental health apps, and fitness platforms all face the same lifecycle UX challenge.

Figure 01 · Audit Deliverable
UX Audit — Patient Readiness vs Content Timing

UX audit — patient readiness vs. content timing analysis. The foundational audit deliverable identifying the sequential gap that produced the 20% drop-off. Five patient readiness stages mapped against actual CRM content delivery timing, with a 12-point friction inventory across sequencing, content architecture, CTA logic, and support visibility. Core finding: the content was clinically accurate — the sequencing was wrong. Resequencing existing content to match patient readiness stage resolved the Week 1–2 drop-off window without requiring new content creation.

Figure 02 · Deliverable
Full CRM Wireframe Suite

Full CRM wireframe suite — 13 email frames across the 88-day lifecycle arc, including A/B variants and mobile layouts. Mid-fidelity delivery designed for MLR review alignment and development handoff. The wireframe canvas covers the complete programme sequence from device activation through graduation, with consistent type styles, color tokens, and component states applied across all frames.

Figure 03 · Deliverable
Service Blueprint

Service blueprint — UX lifecycle architecture. The FreeStyle Libre CRM onboarding service blueprint defined the full patient lifecycle UX arc — establishing the phase structure, behavioral sequencing, and experience design logic across an 88-day engagement program across ten distinct phases from device activation through program graduation.

Figure 04 · Deliverable
Lifecycle Communication Model

Lifecycle communication experience design — translated the service blueprint into a complete experience design architecture spanning the full onboarding arc. Early communications established device confidence; mid-arc introduced lifestyle integration; later-stage shifted toward habit reinforcement and long-term self-management behaviors.

Figure 05 · MLR-approved artifact
Email Experience Design

MLR submission artifacts — final Health Canada approved email experience design. Three emails represent distinct UX phases: device orientation, clinical understanding, and behavioral reinforcement at a known UX drop-off risk point.

Role
UX strategy and experience design lead
Deliverables
UX audit, wireframe suite, service blueprint, CRM architecture, MLR-approved assets
Regulatory context
Health Canada
Industry
Medical devices · Continuous glucose monitoring
If I ran this again

The 10-phase behavioral model was the right architecture. Two things I'd add: a feedback loop that lets the phase sequence branch based on actual engagement signals — patients who demonstrate device confidence early advancing faster, patients showing inactivity signals getting a different intervention path before Phase 4. The data existed to support it; the CRM architecture didn't act on it. I'd also bring HCP-side journey design in earlier — the intersection between patient onboarding and prescriber communication is where the sharpest alignment gains are.