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Enhancing the VA 526ez Filing Experience for Veterans Through Shadow Research

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The PACT Act is the largest healthcare and benefits expansion in VA history.

Client

The U.S. Department of Veterans Affairs (VA)

Timeframe

2023 - 2024

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Context

Disability compensation is often the first VA service that Veterans encounter, setting a precedent for their future experiences. The 526ez form, one of the most-used and longest forms on VA.gov, serves as the primary avenue for Veterans to file service-connected disability compensation claims. However, the application process—including the form length, error messages, and required service information—has been challenging for Veterans, requiring an average of 1.73 sessions to complete. They must recall extensive healthcare information related to their condition and provide both VA and private medical records.

Despite many known pain points of the form, our team lacked comprehensive understanding of the end-to-end Veteran experience of filing online. We needed a full picture of the experience leading up to a large prioritization effort with our VA stakeholders.Our goal was to identify pain points and barriers to filing that fell beyond the scope of typical usability testing and provide insight into the holistic experience of completing the 526ez. Our findings would also support the validation and prioritization of design debt.

Challenge

Much of the current effort around the 526ez focuses on stability, technical debt, and ensuring parity with the paper form. The team lacked a consistent and methodical way to validate our design debt, which can be as significant as technical debt for some Veterans, blocking access to their earned benefits. To address these challenges, we designed a research study to build a foundational understanding of the filing process and evaluate the current state of the 526ez.

Approach

We adopted a shadowing method, observing Veterans as they completed the form with their personal information in real time rather than using mock data and scenarios during testing. Shadow research, also known as contextual inquiry, was a new methodology for the VA ecosystem.

We focused on three main goals:

  1. Assess the current user experience of applying for disability benefits.
  2. Identify the pain points that lead to uncertainty, distrust, form exits, multiple sessions, and abandonment.
  3. Understand how Veterans plan for and adapt to the length and complexity of the 526ez.

Additionally, our product team sought more data to inform the much-needed prioritization of work on the 526ez. Given the form’s size and complexity, identifying especially acute or common problems would aid in developing the roadmap for future improvements. 

Methodology

We conducted 11 semi-structured interviews via Zoom, observing Veterans as they filled out the 526ez form, focusing on their attitudes and expectations. During these sessions, Veterans shared their screens and verbalized their thoughts while using their personal information to complete the form with the intention of filing. This approach provided us with valuable insights directly from the Veterans’ experiences.

We allocated up to two hours for each session, recognizing that Veterans would be discussing sensitive topics such as disability, PTSD, or Military Sexual Trauma. Therefore, our team adopted a trauma-informed approach to support Veterans throughout the process. For instance, we asked, "What are you hoping to get out of this session?" and shared resources through our recruiter after the sessions.

Key Findings

Through these interviews, we identified several key pain points and barriers in the filing process. Here are some of our key findings, though this is not an exhaustive list:

  1. Decreased Trust: Participants' existing level of trust in the VA influenced how they reacted to uncertainty throughout the filing experience. Lower trust levels led to higher frustration and skepticism when encountering issues.
  2. Complex Navigation: Participants had trouble navigating to the 526ez online form on VA.gov— even after login.
  3. Intent to File (ITF Errors): ITF errors lead participants to form exits–and potential abandonment.
  4. PTSD Wizard: The process of filing for PTSD is long and can be confusing.
  5. Review and Submit: A majority of participants who submitted their claim expected to receive a confirmation email with a copy of the claim from VA.

These high-level findings highlighted the need for targeted improvements to enhance the overall user experience and ensure that Veterans can successfully complete their disability compensation claims.

Three sections of the 526EZ form utilized during shadow research.
Various entry points for filing a claim for disability compensation on VA.gov. It highlights the placement of "how-to-file-claim" information above the fold, a "File a claim" link in the left navigation bar, and an introduction section with the "Start the Disability Compensation Application" link, noting that participants often scrolled past this crucial link.

Error message displayed while filing for disability compensation.
An error message displayed on the VA.gov site when a user's Intent to File request fails.

Solution

Recommendations

Our research findings supported a prioritization effort for new initiatives on the 526ez. VA stakeholders identified two key recommendations for the team to address first:

  1. Improve the PTSD/MST (Post-traumatic stress disorder/Military sexual trauma) application process to create a more trauma-informed experience for Veterans.
  2. Help Veterans keep track of their claims pre- and post-submission to build confidence in VA.gov.
Additional Outcomes

Our pilot paved the way for other VA product teams to use the shadowing methodology to gain a new perspective on the Veteran experience. We presented our case study to the VA design ecosystem, highlighting the challenges and benefits of the approach. In addition to this impact, we as a team felt more equipped to advocate for the needs of Veterans in our everyday work.

Learnings

While shadowing provided meaningful “real life” data, it took longer than anticipated to observe Veterans filing. When Veterans struggled with authentication or encountered an ITF error, we had no way to unblock them. Since we weren't using a staging environment or mock, some Veterans were blocked by authentication or other errors, leading to a loss of participants. To ensure an adequate sample size, we increased our number of participants mid-study.

Many Veterans expected the researcher to help them file, rather than just observe the experience. For future work, we will make sure our recruitment language sets clear expectations. 

Contributor: Evelyn Hilbrich Davis, Sr. UX Researcher