Case study

Finding what was stopping patients from engaging

Patient research, behavioural data and usability testing revealed where users were dropping off — shaping a simpler sign-up journey and clearer product priorities for ongoing engagement.

Engagement
Ampersand Health, via Matter Of Form
A woman sitting on a sofa, framed by Ampersand Health’s brand shapes
Situation

A good product that people struggled to reach

Ampersand Health was founded by doctors and patients to help people living with long-term inflammatory conditions. Its app offered expert-led courses, self-management tools and a direct line to clinicians. But the website struggled to explain the product in a complex and sometimes taboo space. Most visitors left before downloading, and many who did download never finished signing up.

The website was the immediate focus. But as I looked at the wider journey, it became clear there was an opportunity to connect what users needed with where the product was heading. The team needed a shared view of customer behaviour, priorities and what success looked like.

The baseline
8 Product, content and engineering team members
2 Audiences to serve: patients and clinicians
18mo Engagement length
4 Major features launched
Task

Define success, then fix the journey to it

The short-term goal was subscription revenue. The long-term vision depended on users engaging regularly with the app’s tracking features.

My role was to set clear direction, build the team’s product maturity and deliver results against both.

Action

Starting with the people living with the conditions

I began by interviewing the founders and leadership to agree what success looked like. That shared definition became the basis for every decision that followed.

I then spoke with people living with IBS and arthritis to understand their experiences, ran usability tests and a heuristic review, and studied analytics to see where visitors dropped off.

The research showed that the problem went beyond the website. The journey needed to make the product easier to understand, easier to start using and more compelling to return to.

The website was rebuilt around two clear routes, one for patients and one for clinicians, with expert content and real patient stories to build trust.

In the app, I split sign-up into essential and optional details. Users gave only their name, email and condition at the start. Further information was gathered over time through A/B-tested emails and in-app prompts.

I also ran workshops with the team to shape the features that would bring users back each week, helping establish a clearer product direction and a more user-centred way of making decisions.

Result

A clearer product and a team that could steer it

Over 18 months, the team shipped a series of features designed to make the app part of users’ daily routines.

Digital therapy Expert-led courses to help users improve their daily health
Self-management tracking Tools to log symptoms, activity and diet
Personalised insights Weekly health reports showing users their progress
Clinical messaging A direct channel between users and their medical teams