Klaus W
WorkDementia Caregiver
UX Research · Healthtech · 2024 / 2026

Dementia
Caregiver

A usability evaluation of a caregiver monitoring app, and the re-analysis I ran a year later that reframed the findings as a trust and safety problem.

Role
2024 · designed and ran the team evaluation. 2026 · solo re-analysis into a redesign brief.
Team
Team of four in 2024. Solo for the 2026 re-analysis.
Duration
6-week evaluation in 2024. Re-analysis in 2026.
Status
Evaluation complete. Re-analysis complete. 2026 redesign in progress.
01 · Brief

An evaluation,
and a second look, a year later

Many caregivers don't live with the person they care for. The person with dementia is home; the caregiver is at work, or across town. Background research described the pattern: leaving work mid-shift when something felt wrong, and a low background dread on the quiet days. The not-knowing was its own cost.

In 2024 my team evaluated a caregiver monitoring prototype. In 2026 I re-analysed the same data alone, and it reframed everything. This case study documents both passes.

8
Tasks evaluated
4
Participants
81.5
SUS score
02 · Research

A five-second promise,
and my job in evaluating it

The prototype was a mobile app built on a single promise, call it the five-second rule: within seconds of opening it, the caregiver should know where the person with dementia is. Every feature either delivered that or supported it.

GPS tracking
Live location from a personal device carried by the PwD.
Geofencing
The caregiver draws safe and dangerous zones on a map.
Alerts
Fire the moment the PwD crosses into a dangerous zone.
Emergency contacts
One tap to the people who can actually respond.
Home camera
A live feed for a direct look when the status isn't enough.
The prototype's home screen, David's status card at the top, four core feature tiles below
The status card sits above the fold, so the caregiver's first glance answers "is everything okay" before anything else loads.

The project was a team of four; research, concepts, and prototyping were shared. In the final week I unified our high-fidelity screens under one iOS-based system. The evaluation itself was mine, I designed the eight tasks, wrote the questionnaires, ran every session and interview, and authored the report.

The team's unified high-fidelity Figma prototype, cover frame
One iOS-based system, unified in the final week, so the evaluation tested a coherent product rather than four people's separate screens.
03 · Concept

An evaluation with targets,
not just observations

The evaluation tested all eight features against targets set in advance. For a safety-critical app, success can't be defined after the fact: if a caregiver can't check location in under fifteen seconds, or set a geofence without help, calling those tasks "usable" in hindsight means nothing. The targets forced a definition of success before a single participant arrived.

01
Task performance
Eight tasks, each with a pre-set target for completion, time, and difficulty.
02
SUS
A System Usability Scale score for the prototype overall.
03
Interviews
Semi-structured and post-task, to explain what the numbers couldn't.

Four participants worked the Figma prototype remotely, screen-shared. Eight tasks ran against the targets. Three are worth watching.

A remote evaluation session, split screen with prototype on one side and task instructions on the other
Remote, split-screen sessions, prototype one side, task script the other, so participants worked naturally while their misses were captured live.
04 · Craft

Three tasks worth watching

The SUS was 81.5; six of eight tasks passed target; three of four participants said they'd recommend the app. On its own terms, the prototype did well. But three tasks are worth watching, one that passed cleanly, one that failed on the numbers, and one that passed the numbers while the stopwatch disagreed. The distance between those last two is the rest of this case study.

A comparison of tasks 1, 4 and 8 showing what the metric said against what the participant actually did
Against target, Task 1 clears and Task 4 fails outright, but Task 8 clears the metric while hiding a 1.27-minute search beneath it.
The Safe / Dangerous toggle read as a header, not a choice, so half the participants built the wrong kind of zone before noticing.
The notification centre with two tabs at the top, Notification on the left, Alert on the right
The alert tab was obvious once found; the failure was expecting it here at all, so P4 searched the menu bar first.

The other five tasks echoed these at smaller scale, two shared Task 4's discoverability problem, three passed as cleanly as Task 1.

05 · Build

Eight problems,
three underlying causes

The evaluation was finished; the data wasn't. Task 8 kept coming back to me. The metrics answer one question, can the user do the thing, and Task 8 passed it: three of four completed it unassisted, P4 rated it easy.

But there's a second question the metrics never ask: does the user's confidence match reality. P4 said easy and spent 1.27 minutes finding the alert. In a low-stakes app that gap is minor friction. In an app whose whole promise is finding the person in seconds, it's the failure the numbers can't see.

One participant said the task was easy. She spent 1.27 minutes finding the alert.

Observation, 2024 evaluation

Once I had that lens, Task 8 stopped looking like a one-off. The same gap ran through the evaluation, and grouped by the kind of gap, eight scattered task problems collapsed into three root causes.

Eight evaluation tasks grouped into three root causes, with Task 8 spanning two of them
Grouped by the gap between metric and behaviour, eight task problems collapse into three root causes, Task 8, which started it, spans two.
Status trust
Silent failure of critical status
Tasks 1, 6, and 8 all passed on the metrics, and all three let the caregiver form confidence about location, battery, or an alert without confirming it matched reality. The failure mode isn't a wrong answer, it's not knowing when to doubt a right-looking one.
Geofencing
Dual-mode cognitive load in geofencing
Tasks 2 and 4 asked participants to learn two things at once: the safe / dangerous distinction (a toggle that read as a header) and the drag gesture to set radius (with no numeric confirmation). Two new mental models in one flow was the shared failure.
Urgency
Urgency-mismatched flows
Tasks 5 and 8 were the most time-critical flows in the app, yet carried the visual weight of ordinary settings. For a stressed caregiver, that friction becomes the reason the app gets bypassed for a direct 000 call.
06 · Outcome

A report, a brief,
and a redesign in progress

The 2024 phase produced a graded, mixed-methods report. The 2026 phase produced what the report couldn't: a compact analytical brief, three root causes, each tied to specific tasks, each with a design implication clear enough to build from. Those three causes are the brief for the redesign I'm on now.

81.5
SUS score
The 2024 mixed-methods report was submitted, graded, and closed.
8 → 3
Root causes
Eight tasks were reframed into the three root causes that form the 2026 redesign brief.

Reflection

  1. 01The 2024 evaluation was rigorous in method but small in sample: four participants, all female, none with real dementia caregiving experience. The findings held internally, but before any of them generalise they need users who actually live the problem. Rigour of method is not rigour of sample.
  2. 02Coming back to my own data a year later, with different questions, changed what I could see. That wasn't luck; it was distance. In future evaluations I want to build the "come back later with fresh questions" step in on purpose, not by accident.
  3. 03The distinction I ended up drawing, between whether the user can do the thing and whether their confidence matches reality, isn't specific to this app. Any interface with real-world stakes benefits from asking both. That's the lens I take forward.