Case study · Violet · 2023 to 2024   Draft · highlighted text is placeholder

Giving a personal health agent a character people trust

Violet is an LLM-based agent that supports people with chronic conditions between visits, around the clock. I led the foundational research that set its character: how it sounds, what it never says, and when it hands off to a care team.

Role
Staff UX researcher, research lead
Partners
UX design, content strategy, clinical
Timeline
Six months
Methods
Diary study, Wizard of Oz sessions, tone workshops

Situation

Care teams can't be there at 2 a.m. An agent can, if people trust it.

Context

  • Questions about symptoms, medication and daily routines come up between visits, when no one on the care team is available.
  • An LLM agent could answer around the clock, but how it should sound and behave was undecided.
  • Design, content strategy and clinical each held a different picture of the agent's personality.

Constraints

  • The agent had to escalate to a clinician in time, every time a symptom called for it.
  • The MVP was planned to launch within two quarters.
  • Tone rules had to be specific enough for content designers to write prompts against.
CSAT three months after launch
86%
Hours a day the agent answers
24
People in the foundational research
32

Task

Agree on who Violet is. Before anyone wrote a prompt.

Build one character framework that UX design, content strategy and clinical could all sign off on, covering personality, tone, boundaries and escalation.

One character

A shared personality

A short description every team could test a response against.

Clear boundaries

What it never does

The topics and phrasings the agent avoids, and what it says instead.

Timely escalation

When and how it hands off

The moments that go to a person, and how the agent explains the handoff.

Action

Three studies. Listen, simulate, then agree.

Study 1 · Diary study

What do people need between visits?

Participants managing chronic conditions logged the questions and worries that came up day to day.

N = 32, three weeks

Study 2 · Wizard of Oz

How should the agent sound?

A researcher played the agent in scripted conversations, switching tone and escalation styles between sessions.

N = 16 participants

Study 3 · Tone workshops

Can every team agree?

UX design, content strategy and clinical sorted sample responses into on-character and off-character.

Three workshops

Findings

Warm, brief and honest about its limits. People trusted the agent more when it said what it couldn't do.

  • A coach, not a cheerleader

    Participants wanted plain encouragement tied to their own goals. Upbeat filler read as fake and lowered trust.

  • Explained handoffs build trust

    An escalation that named who would follow up, and when, raised confidence in the agent rather than lowering it.

  • Consistency beats cleverness

    Small shifts in tone between conversations made people doubt that the advice was reliable.

“When it told me it was passing this to my nurse and why, I trusted it more, not less.”
Participant managing a chronic condition

Recommendations

What we built toward.

RecommendationWhyWhat it looks like
PersonalityPeople want plain encouragement tied to their goals.Warm and direct; never chirpy, never clinical jargon.
BoundariesOverreach is what breaks trust fastest.Never diagnoses; says what it can't help with and where to go instead.
EscalationExplained handoffs raise confidence.Names the person who will follow up and the time frame, every time.

Result

A character every team could build to. And people liked talking to it.

Product

  • The character framework aligned UX design, content strategy and clinical on Violet's personality and tone.
  • The MVP reached 86% CSAT within three months of launch.

Practice

  • The framework became the voice guide for later agent features.
  • Escalation wording was reviewed and approved by clinical leadership before launch.

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