The Perceived Suitability of Digitally Delivered Impulse-Focused Techniques in Binge Eating: A Qualitative Intervention Development Study

Eur Eat Disord Rev. 2026 Nov 14. doi: 10.1002/erv.70191. Online ahead of print.

ABSTRACT

OBJECTIVE: Impulsivity and inhibitory control difficulties are key mechanisms in binge eating behaviour in individuals with eating disorders. Digital interventions targeting these mechanisms are primarily developed for weight loss rather than the specific psychological and clinical needs of the population with binge eating, creating a gap in treatment. This study explored lived experience perceptions of digitally delivered impulse-focused techniques to inform future intervention development.

METHOD: Fourteen participants (2 males, 12 females) were recruited via social media for online semi-structured interviews. Participants viewed a short demonstration video of an existing impulse-focused dietary change intervention (ImpulsePal) and discussed the perceived suitability of its techniques for binge eating contexts. Data were analysed using Reflexive Thematic Analysis.

RESULTS: Three overarching themes were generated regarding the perceived suitability and potential risks of digitally delivered impulse-focused techniques; designing for accessibility, personalisation, and supportive communication; and unmet needs extending beyond impulse management, including connection, reflection, and self-awareness. Initial Guiding Principles for future digital intervention development in binge eating contexts are presented.

CONCLUSIONS: With careful adaptation, an impulse-focused intervention like ImpulsePal could complement existing support pathways, but further development and feasibility testing are required before wider testing or use in people with binge eating.

PMID:43033479 | DOI:10.1002/erv.70191