A packaging redesign solved a patient compliance problem and increased revenue by 35%.

A health company was losing revenue because patients weren't returning their STI test kits

A health company partnered with an American Midwestern state to provide at-home STI testing kits. Payment from the state was contingent on returned samples. Roughly 80% of patients never sent back their samples, costing revenue and leaving infections undetected in the community.

Approach

Our researcher designed the study, but execution fell to the client's warehouse staff, not a dedicated research team. The study was built around their existing workflow, using low-cost stickers that the staff applied manually, with no extra headcount and almost no added time.

  • Used journey mapping and behavioural models to identify where and why patients abandoned the return process

  • Hypothesis: branded packaging compromised patient privacy by signalling sensitive health information. Unbranded boxes would keep the patients more anonymous and remove a key barrier to returning samples

  • A/B experiment to test the impact of unbranded packaging on return rates

  • Conducted a separate A/B test on blood collection instructions and instruments to identify usability barriers

What the data showed

+35%

increase in sample returns after removing branding.

+35%

increase in revenue — directly tied to return rates.

0.5–5

fewer new STI cases per treated individual.

Outcome

Packaging redesign: As results showed a 35% lift in returns and revenue, the company switched to unbranded packaging. A low-cost change with direct commercial and public health impact.

Usability fix: Confusing instructions made sample collection difficult. When results were shared with the company, they revealed that 1 in 10 returned samples contained insufficient blood to test. This wasted resources and put patients through an unpleasant experience twice. It was a problem hiding in plain sight. With this issue now identified, the company updated both the instructions and instruments to eliminate it.

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