Moments That Matter: Co-designing Just-in-Time Support for Disordered Eating Behaviors

Abstract: Eating disorder (ED) is a psychiatric condition that involves behaviors like binge and restrictive eating with severe health consequences, particularly prevalent among young women. While technology interventions exist, they typically focus on retrospective reflection or general management, missing the time window when an ED behavior is taking place. In this work, we conducted co-design sessions with 22 young women experiencing EDs to develop ideas for Just-in-Time (JIT) interventions, followed by interviews with five experts specialized in ED treatment. We found that eating plays varied roles in participants’ lives—from a means of gaining autonomy to automatic physiological responses—leading to design ideas including behavioral warnings, appetite management, food option redirection, psychological support systems, etc. By examining the characteristics of these designs with expert perspectives, we discuss what JIT support means for ED care and how to make it effective and sustainable.