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A significant subset of individuals with obesity have comorbid binge eating; yet, no behavioral treatment produces substantial improvements in both outcomes, and current treatment approaches cannot reach all people in need. We designed FoodSteps, a mobile intervention for obesity and binge eating that has potential for scale and more precisely matches this subgroup’s needs. We applied user-centered design methods to design the intervention to address the needs of its users. We are finishing a randomized trial testing the intervention and will soon start another trial to optimize FoodSteps into a highly personalized intervention.

Additionally, we are collaborating with different healthcare clinics to learn how FoodSteps could be implemented in real-world clinical practice. Taken together, this work aims to achieve the ultimate goal of establishing a scalable intervention that improves the precision of care for weight management and binge eating.

The PI is Andrea Graham, PhD.

Project Names

  • Testing Intervention Strategies for Addressing Obesity & Binge Eating
  • Designing a Mobile Obesity & Binge Eating Intervention for Implementation in Clinical Settings
  • A Micro-Randomized Trial to Optimize Just-in-Time Adaptive Intervention for Binge Eating & Weight-related Behaviors
  • Evaluating a Digital Intervention for Binge Eating and Weight Management among Adults with Food Insecurity  


  • National Institute of Diabetes and Digestive and Kidney Diseases grant, K01 DK116925
  • National Institute of Diabetes and Digestive and Kidney Diseases grant, R03 DK128531
  • National Institute of Diabetes and Digestive and Kidney Diseases grant, R01 DK133300


  • Graham AK, Wildes JE, Reddy M, Munson SA, Barr Taylor C, Mohr DC. User-centered design for technology-enabled services for eating disorders. Int J Eat Disord. 2019;52(10):1095-1107. doi: 10.1002/eat.23130. PMCID: PMC7265747.
  • Weinheimer EA, Chang A, Neubert SW, Wildes JE, Graham AK. Past, current, and future willingness to engage with treatment targets: Applying user-centered design to inform the design of a mobile behavioral intervention. Int J Eat Disord. 2020;53(4):611-617. doi: 10.1002/eat.23252. PMCID: PMC7271441.
  • Graham AK, Munson SA, Reddy M, Neubert SW, Green EA, Chang A, Spring B, Mohr DC, Wildes JE. Integrating user-centered design and behavioral science to design a mobile intervention for obesity and binge eating: Mixed methods analysis. JMIR Form Res. 2021;5(5):e23809. doi: 10.2196/23809. PMCID: PMC8145081.
  • Graham AK, Neubert SW, Chang A, Liu J, Fu E, Green EA, Kornfield R, Nicholas J. Applying user-centered design methods to understand users' day-to-day experiences can inform a mobile intervention for binge eating and weight management. Frontiers in Digital Health 2021; 3(42):e651749. doi: 10.3389/fdgth.2021.651749.
  • Venkatesh A, Chang A, Green EA, Randall T, Gallagher R, Wildes JE, Graham AK. Perceived facilitators and barriers to engaging with a digital intervention among those with food insecurity, binge eating, and obesity. Nutrients 2021; 13(7): 2458. doi:10.3390/nu13072458.
  • Liu J, Munson SA, Chang A, Voss C, Graham AK. Understanding self-monitoring to inform a mobile intervention for binge eating and weight management: A proof-of-concept randomized trial. Int J Eat Disord. 2022; Epub ahead of print. doi: 10.1002/eat.23700. PMID: 35277986.
  • Fu E, Neubert SW, Chang A, Smith JD, Graham AK. Characterizing behavior change techniques used in the self-management of binge eating and weight: Applying a user-centered design approach. Eat Behav. 2022; 44. doi: 10.1016/j.eatbeh.2021.101591. PMCID: PMC8885842.

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