Janna Safran

Hello!

For the past decade, my work has centered on a set of questions that sit at the intersection of health, behavior, and communication: Who do people trust with their health? How are health beliefs formed? How does knowledge translate into action? What makes someone engage with a system, disengage from it, or feel that it was never designed for them in the first place?

Those questions first took shape through my sociology work, where I became interested in the power of language to shape stigma, identity, and behavior. Research on HIV and tuberculosis in South Africa pushed that further: understanding why information alone is rarely enough, how trust influences health decisions, and how access and experience determine whether people remain engaged in care.

My MPH at Columbia gave those questions a broader systems lens. Through population health and health systems strengthening, I studied how individual behavior is shaped by the structures around it—how services are designed, delivered, communicated, and accessed, and where friction emerges between systems and the people they are meant to serve.

I then carried that perspective into applied work, from community-led water enterprises in Ghana and India to statewide adolescent health initiatives in the United States.

Today, I bring that background in public health, behavioral science, sociology, and health communication into AI conversation design. I’m interested in how LLM-based systems interpret context and respond to people—and in the judgment required to determine when they should ask more, adapt, act, or stop.

Portrait of Janna Safran

What I do

Conversation design

Conversational workflowsConversation architecturePrompt & instruction designIntent & routing logicFallback & recovery designEscalation & human handoffKnowledge-base designConversation testing & iteration

Behavior & communication

Motivational InterviewingStages of ChangeTrauma-informed careHealth literacyBehavioral motivationInformation & cognitive burden

Research

Mixed-methods researchUser interviewsSurvey designThematic analysisUsability & concept testingResearch synthesis

Systems & product

Journey mappingDecision logicAI prototypingExperiment designCross-functional translation

Tools

BotpressClaude / Claude CodeGPTFigmaQualtricsSPSSExcelCodaSalesforce

I learn best hands-on: I'd rather build with a new tool than read about it first.

Education

  • Columbia University · Master of Public Health (MPH)
  • Dickinson College · Sociology (B.A.)