AUGUR

What I worked on

  • Empirical analysis
  • Market research
  • Product design

Easing sexual health disclosure stigma with privacy and verification.

Stigma acts as a major deterrent for queer men in having conversations about their sexual health and staying engaged with regular testing. Fear of rejection, worries about privacy, and lack of access to care that feels safe or respectful are social pressures that put queer men at risk. AUGUR offers a portal to track, understand, and share verified sexual health results in a safe, privacy focused environment.

The AUGUR app shown across six phone screens, from onboarding through at-home test results.

Research process (1.5 months)

The problem

Applications for queer men like Grindr, Scruff, etc. encourage self reporting, and openness around sexual health conversations. However these conversations are awkward and affected by health and sexual stigma. Attitudes around positive status, a blank status section, or worries about false self reports for PReP adherence act as negative, stigmatizing reinforcements.

Recruiting for user interviews - Demographic recruiting proved dificult

Unfortunately, the sensitivity of this topic made demographic specific recruitment impossible. In the first research phase of the AUGUR project I consulted multiple related Sub Reddits, Hosted a month long recruitment survey on Survey Circle, and attempted word of mouth recruitment in my social circles but to no avail. Without a budget for paid targeting platforms, I opted for empirical analysis.

Empirical analysis - Using claude to sift through data

I gathered a corpus of 23 studies covering topics such as STI and HIV stigma, the use of technology in sexual health reporting and monitoring, testing adherence factors, and affecting socio-economic factors. I then used claude to help me analyze the studies, pull significant findings, and draw relational conclusions across studies.

MSM account for (U.S. statistics)

~3.4%

Of total US population

~67%

Of all HIV infections.

~50%

Of all primary syphillis infections.

  • Men who have sex with men (MSM) make up just ~3.4% of the total U.S population.
  • Disproportionately, MSM account for ~67% of all new HIV diagnosis.
  • And ~50% of all primary syphilis infections.
  • Additionally, 8 in 10 extra-genital STIs are asymptomatic.
  • Pre-existing STIs increase the risk of acquiring HIV by 2 to 5 times.

Early Hypothesis

This project began under the premise that integrating a sexual health app with pre-existing Electronic Health Records (EHR) systems would help solve the issue of stigma preventing MSM from discussing their results. Empirical evidence showed a different storry

What emperical analysis uncovered

  • ~ 1 in 5 MSM use Electronic Health Records (EHR) portals to share and discuss sexual health results.
  • ~ 64% of MSM with EHR access expressed wanting easier-to-understand lab result interpretations, citing medical lingo as a barrier.
  • ~36% of MSM seek at home STI kits.
  • Up to ~40% of MSM in compromised socio-economic situations lack EHR portal access and quality medical care.
  • MSM cite Stigma as a core factor in avoiding sexual health conversations, testing, and clinical care.

Conclusions

  • Across the board, MSM are underserved, lacking access to tools that support healthy sexual habits, fight stigma, and encourage active engagement in care.
  • Socio-economic disparities act as barriers from accessing and using EHR portals for monitoring or sharing their sexual health status.
  • Encouraging engagement requires a holistic approach that neutralizes clinical language, supports consequence free sharing, and makes results easy-to-understand.

Early Ideations with Claude Design (3 weeks)

Utilizing my key findings from the empirical analysis stage, I employed Claude Design to ideate on key design directions. This allowed me to quickly produce and analyze design directions for the two key feature sets; Onboarding and the Dashboard.

Onboarding -ideations

Claude Design onboarding ideation set 1.Claude Design onboarding ideation set 2.Claude Design onboarding ideation set 3.Claude Design onboarding ideation set 4.Claude Design onboarding ideation set 5.

My prompts focused on guiding Claude Design towards an onboarding flow that asked questions that would help sort a user into one of two testing methodologies: at-home testing, and clinical testing. I used my best judgement to select elements that made sense for the product I was trying to build while discarding many of the proposed suggestions because they were superficial or misaligned.

Onboarding - first high-fidelity pass

High-fidelity onboarding flow: account set up, testing method preference, and priority factors.

I refined the onboarding question sequence to most necessary steps which included account set up, testing method preference, and highest priority factors. My key focus was sorting users into the two testing groups and making the onboarding process easy and straightforward by eliminating fluff questions and unecessary interactions.

Dashboard

Claude Design dashboard ideation set 1.Claude Design dashboard ideation set 4.Claude Design dashboard ideation set 2.Claude Design dashboard ideation set 3.Claude Design dashboard ideation set 5.

Prompting for the dashboard revolved around solutions for tracking testing progress over time, keeping track of testing sequences, timely notifications, and sales prompts for testing or clinical appointments. I really liked the radial progress element as I felt it was a sleek, compact approach to indicating progress and allowed for supplemental information such as last/next exam dates to be shown in tandem.

I made the ultimate decision to separate merchandising opportunities into a separate page/flow altogether to keep information overload low.

Dashboard - first high-fidelity pass

High-fidelity at-home test kit dashboard flow, including the radial testing-frequency tracker and stepped STI panel progress.

These dashboard examples utilize an early design system that I created with Claude Design. This system was modified heavily for the final design as it lacked unity and resulted in visual clutter.

The feature elements in these examples incorporate the radial design and the stepped "STI panel in progress" tracker. These designs were modified to accomodate clinical testing flows, relying on timely notifications and clear indicators for errors and edge cases.

More Coming Soon!

While this project is complete, this case study is a work in progress.
Next steps include:
- outlining how ideation stages informed additional feature designs
- a total overview of the completed app design
- expected outcomes
- edge cases, business needs, and tradeoffs discussion.

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