Cohort Analysis for Health Behavior Change Apps
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4 min read
Women's Health Writing Team
:
Feb 22, 2026 11:59:59 PM
We've all been there: staring at a dashboard that screams success while our bank account whispers failure. The vanity metrics are up and to the right, the team is celebrating, and somewhere deep in your gut, you know something's wrong. Welcome to the treacherous world of proxy metrics, where good intentions pave the road to strategic hell.
Like Gatsby's green light, proxy metrics promise something beautiful just out of reach. But unlike Fitzgerald's masterpiece, there's no romance in mistaking correlation for causation when your quarterly numbers come due.
Key Takeaways:
Here's the thing about proxy metrics: they're not inherently evil. They're tools, and like any tool, their value depends entirely on how skillfully you wield them. The problem arises when we treat them like gospel instead of what they actually are: educated guesses about what might matter.
Consider engagement metrics in content marketing. Time on page feels meaningful, doesn't it? Someone spending four minutes reading your blog post must be more valuable than someone bouncing after thirty seconds. But what if that four-minute visitor is a competitor doing research, while the thirty-second visitor bookmarked your pricing page and will convert next week?
This is where most organizations stumble. They pick proxies based on what's measurable rather than what's meaningful, then compound the error by forgetting these are proxies at all.
Not all proxies are created equal. Think of them as existing on a reliability spectrum, with direct revenue measurements at one end and pure vanity metrics at the other.
These sit close to actual business outcomes. Monthly recurring revenue, customer lifetime value, and qualified pipeline value all have strong predictive power because they measure factors that directly translate into business success. When these move, your bottom line typically follows.
Here we find metrics like lead quality scores, engagement rates, and customer satisfaction indices. They matter, but they require more context to be meaningful. A high Net Promoter Score is wonderful until you realize your most vocal promoters represent your smallest customer segment.
These are the sirens of the analytics world. Page views, social media followers, email open rates - they feel important and they're easy to track, but their connection to actual business value is tenuous at best. As marketing attribution expert Rand Fishkin notes, "The best metrics are often boring and hard to improve quickly, which is precisely why they're worth focusing on."
Here's where things get particularly insidious. Proxy metrics suffer from what I call context decay - the gradual erosion of the original reasoning behind why we chose them in the first place.
A startup might begin tracking daily active users because they genuinely correlate with revenue growth in the early stages. But as the product matures, user behavior changes, and market conditions shift, that correlation weakens. Meanwhile, the entire organization continues optimizing for DAU because "that's what we measure."
It's like continuing to navigate by stars when you're driving through a tunnel. The method isn't wrong, but the context has fundamentally changed.
The solution isn't to abandon proxy metrics altogether - that would be throwing out the navigational tools along with the outdated maps. Instead, we need to build measurement systems that are robust enough to handle uncertainty.
Before you choose any proxy, map the chain of logic from your metric to actual business value. If you can't draw a clear line from "increased email open rates" to "more revenue," you're probably measuring the wrong thing.
Set up regular reviews to check whether your proxies are still correlating with outcomes. This isn't a set-it-and-forget-it system. Market conditions change, customer behavior shifts, and your business model may need different indicators over time.
Don't put all your measurement eggs in one metric basket. Use multiple proxies that capture different aspects of success, and look for consensus across them. When your leading indicators disagree with each other, that's not noise - that's signal.
Choosing the right proxies requires understanding your business mechanics at a granular level. You need to know not just what happens, but when it happens and why it matters.
Consider the difference between a SaaS company and an e-commerce business. For SaaS, user activation rates within the first 30 days might be an excellent proxy for long-term retention. For e-commerce, that same metric could be meaningless if purchase behavior is seasonal or episodic.
The key is finding metrics that are both leading indicators and strong predictors. Leading because you want to influence outcomes before they're set in stone. Strong predictors because you need confidence that improving the proxy will actually improve the outcome.
The darkest timeline for proxy metrics is when they become targets rather than measures. This is Goodhart's Law in action: when a measure becomes a target, it ceases to be a good measure.
Teams start gaming the system, optimizing for the proxy while ignoring the underlying goal. Suddenly you have high email open rates from subject lines that would make a clickbait farm blush, or increased time on site from users who are confused rather than engaged.
The antidote is regular recalibration and a culture that values understanding over optimization. Ask not just "How do we improve this metric?" but "Why does this metric matter, and does it still matter in the same way?"
At Winsome Marketing, we help brands cut through the noise of vanity metrics to identify the proxy indicators that actually predict business success. Because in a world where data is infinite but insights are rare, knowing which numbers to trust isn't just helpful - it's survival.
Download any fitness app in January. Track your usage for twelve weeks. Join the 87% of users who abandon their health goals by March.
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