XR app with AI chatbot for pediatric patients who are experiencing long-term hospitalization

About

UU is an immersive mixed reality experience designed to reduce anxiety and loneliness for pediatric patients during extended hospital stays. Developed during the 2023 PICO DevJam Hackathon, it combines spatial computing with an

LLM-powered virtual companion to create playful, emotionally supportive interactions.

Impact

2023 PICO DevJam Hackathon Best MR Design and 2nd Prize

Presented at 2024 Meaningful XR Conference at Stanford University

Tools

Figma

Adobe illustrator

C4d

Unity

PICO XR

Team

PM / Product Designer - me
PM - Siyue S
Visual Designer - Siqi C
XR Developer - Xiaoan L
Developer - Alan R
Visual Designer - Shun H

My Role

Product strategy/lead
User research
UX/UI/Visual design
Design system

Design lead

Final output showcase

UU’s introduction!

Landing page

Select feature

Choose two ways of discovery

Gesture interaction

Gesture recognition

Companion feature in the daytime: Choose a story

Companion feature in the daytime: Tell a tory

Companion feature in the daytime: Interactions in the story

Companion feature at night: Idle state UU

Companion feature at night: Voice trigger UU show up

Companion feature at night: Learn and explore the universe

Discovery feature: Exploration in the hospital !

Discovery feature: Intro to MRI !

Discovery feature: Intro to nurse station !

Cognition feature: Learn about Cell !

Companion feature: Emails from friends, and other patients

Companion feature: Read emails

Discovery feature: Wall paint

Discovery feature: Wall paint selection

Discovery feature: Wall paint color palette

Discovery feature: Choose paint brush

Discovery feature: Paint brush

Discovery feature: Drawing a master piece!

Part of Design System

background

The project was inspired by the documentary film Life Matters (2019). It depicts a dream about child patients fighting against cancer in a gamified way in a Chinese public hospital. Besides the side effects of treatments, children in long-term hospitalization suffer from unimaginable torture (fear, loneliness, loss of control, and despair). I hope that through the design, I can find a solution that could help them alleviate the pain during the treatment process.

Problem

25%

In this project, I decided to focus on leukemia because it is the most common pediatric cancer, comprising 25% of all cancer types.

85%

The 5-year relative high survival rate of leukemia is 85%, which means they have a high chance of returning to normal life after hospitalization.

According to my research, child patients with Leukemia may have a lot of problems and difficulties during long-term hospitalization in Chinese public hospital:

Long treatment:


Most patients take a total treatment about 3 years to get healed


Restrained activities:


Get treatment in an unfamiliar environment with restrictions

Psychological risk:

Long-term hospitalization may cause isolation

Social demand:

Need the company of friends to share stories and get support

Solution

We designed the virtual character and user interfaces for the XR app with design system. For the 2023 PICO DevJam hackathon, we also made a prototype implemented in VR headset using unity.

Research question 1

How do pediatric patients think and feel during hospitalization?

With this question, I conducted secondary research using methods such as interviews and the examination of real medical cases. I interviewed 8 medical staff members in Chinese public hospital who are strongly associated with pediatric patients and 2 leukemia pediatric patients’ parents. Out of ethical considerations, I refrained from direct conversations with the patients.

I conducted the interview with medical staff members and patients’ parents in Mandarin Chinese. If you read Mandarin, please feel free to check the full interview and ideation notes in my Miro board.

Research question 2

What do pediatric patients with Leukemia need during the treatment process?

I went through 10+ papers related to leukemia treatment in China and come out with the Leukemia treatment experience map. Then, I approach to the touchpoint of each treatment stage for the design ideation.

Hospitalized

Remission

Induction

33d

The fear of an unknown illness needs to be calmed

The adverse reactions brought by treatment will not only bring physical and mental pain, but also have obvious adverse

effects, which need to be pacified

More intense treatment, more intense physical pain, need to be soothed

After high intensity chemotherapy and radiotherapy, the body's immunity is almost zero, requiring close care

Extremely weak, in need of close care, high sterility requirements, high diet requirements, demanding details of life

long-time Hospitalization, need to be connected with the outside world immunity is low, need to control infection

Possible positive effects of the treatment

Get pessimistic and tired of the world, think that they are incurable or painful, lose confidence in treatment, lose enthusiasm for life, and they need to regain their confidence in life

Healthy

Early Stage

Chemotherapy

Stem Cell

Transplant

Cure

Recurrent

Newly

diagnosed

7d

PRE-

treatment

7d

hrs

2wk

months

2wk

Maintenance

2yr

Consolidation

56d

Delayed

Intensification

2wk

Touchpoint

The little patient need to switch between hospital and home environment

Getting used to the treatment environment and the treatment response, needs to be distracted

Needs to be distracted from the painful treatment

Maintenance treatment requires access to the outside world, but also requires close adherence to medical advice

Transplant

Room

Touchpoint

Emotion:stubborn, impatient, fear, alienated, anxiety, isolated

Reasons:experiencing physical discomfort caused by the side effects of the drug/ stress of the diagnosed with the disease and leaving the familiar environment

Emotion: self-esteem, inferiority, anxiety,depression, reduced social adaptability

Reasons:physiological changes the use of hormones and chemo drugs

Emotion: Difficulty to adapt to normal life, anxiety, conformism, lack of social ability

Reasons:long-term hospitalization, isolation

Emotion: High risk of mental breakdown and trauma

Reasons:unable to have friends or peers

Takeaway

Looked into the treatment, we hope to design for every stage of medical treatment and explore potential features. Then we developed our main design features based on deep-down medical research on cognitive and behavior therapy.

3 Design principles

Expand the Environment

Use XR to transform the hospital room into an engaging and explorable space.

Support Learning Through Play

Help children understand medical procedures using interactive and age-appropriate experiences.

Reduce Emotional Burden

Design a virtual companion that provides comfort, encouragement, and a sense of companionship.

From principles to experience - product journey map

To transform research insights into a cohesive product experience, I mapped the patient's treatment journey and identified opportunities where UU could provide the greatest emotional and educational support. The journey map became the foundation of the product, helping prioritize the three core features—Companion, Discovery, and Cognition—and defining how they work together across different stages of hospitalization.

Character design

Introduce virtual character UU

What kind of friends can give young patients warm company and strong support? After analyzing the characteristics of various companion characters in animation, films, television works, and our own friends, we created UU, this cute buddy.

UU

Personalities:

UU’s story:

Willing to express but better at listening

Round Body

Light and Agile

White and Clean

Bouncy and Soft

Dim Glow

Cute and Naive

Tenderly Look

Kind and Patient

“Little mysophobia”, can't stand sticky things

Adventure and Travel

Write a diary/photography/record life

Play with friends

Collect meaningful things on the journey

Magic Tricks

Teleport

Story-telling

UU is a little explorer who likes to travel around. Have been to many places, met many friends, and wrote them in the diary. This time, UU came to the earth, looking for the bravest soul.

Here, UU and the little patient met. "Let me accompany you", said UU.

Short stay turned into long-term companionship. UU wants to grow up with the child and completes a story in their life journey.

Hobbies

From Parallel Universe

Personality

Appearance

Expression

Material

Personality Traits

Color

Round Face

Empathetic Look

Always smiling

Round Head

No edges or corners

translucent

Silicon like

fluffy

Mocha like

patience

kindness

Characteristics of the companion role

Warmer tones

luminescent

Light color

Proactive

Friendly

Gentle

Being a Good Listener

Reliable

Have similar interests

Companionship

Humorous

Round Belly

Appreciated Qualities

in Friends

Characteristics of a “Reliable Friend”

When I‘m sick

I‘d like to hear my friends saying that

Communicate Effectively

Won’t get embarrassed even when no one’s talking

Soft tone

Sincere look

The Person Who Speaks To Me First

Good Temper

Won’t force me to do things that I don't like

Emotionally

stable

Quiet not

noisy

Problem

solver

Ability to Make People

Feel at Ease

Happiness maker

Similar experiences

Similar hobbies

Positive values

considerate

empathetic

Get used to the other's presence

Never worried that they would leave

Share the

happiness

Comfort and Care

Play toys

Someone’s there with me, when I wake up

Mom’s hug

dad’s shoulder

Being cared and asked patiently

do not want to talk

Diversion

during injection

Divert Attention

“I’ll always be

there for you”

Provide

Confidence

“Not feeling alone”

Virtual Friend “U”

“U” has the same pronunciation as “友”, a Chinese character stands for “friend”

Support my

decisions

“You’re already

excellent”

Encouragement

Takeaways

  1. Translated extensive healthcare research into a cohesive product strategy and end-to-end XR experience.

  2. Balanced emotional design, technical feasibility, and accessibility when designing for pediatric healthcare.

  3. Used rapid prototyping and continuous iteration to evolve an ambitious concept into an award-winning XR prototype.

  4. Identified clear next steps for clinical validation, MVP definition, and long-term product adoption.

Photos & love