A Cardiovascular Behaviour Change Intervention


Hamilton Health Sciences


Qualitative Research

User Interviews



Visual Design



After having a heart attack, many patients stop following their treatment plan—attending cardiac rehab and taking medication—and one in 10 will die from a second incident within just one year. That’s why a team of doctors started a research project to mail out reminders that would engage patients with information in order to prevent another heart attack. The project began as a dense, 10-page text-heavy document until Pivot joined the team to improve the UX and efficacy of this important, patient-centred intervention.


After in-depth user interviews Pivot made recommendations on content and continued on to design the document as a series of engaging mailed booklets.

Prior to working with Pivot, the team didn’t consider building a series of user-friendly booklets that emphasized different pieces of information. By conducting interviews and creating personas, we used design thinking to implement five distinct touch points with many detailed infographic and goal-setting elements to create a more compelling and usable intervention.


Five touchpoints were sent out to 500 patients over the course of 1 year after their heart attack. This pilot project tested to see if the designed information improved patient uptake and adherence to their post-myocardial infarction treatment plan (medication + cardiac rehab).

Published Links

The team spearheading the project have published a paper after the randomized control trial outlining the project, process, findings, and outcomes.

Read it in the BMJ here.