AN IDEA WORTH RESEARCHING
Sensor technology implementation for research, treatment,
and assessment of eating disorders
Cheri A. Levinson PhD | Caroline Christian BS | Shruti Shankar-Ram BA |
Leigh C. Brosof MS | Brenna Williams BA
Department of Psychological & Brain Sciences,
University of Louisville, Louisville, Kentucky
Correspondence
Cheri A. Levinson, Department of
Psychological & Brain Sciences, University of
Louisville, KY.
Email: cheri.levinson@louisville.edu
Abstract
Sensor technology has made huge technological advances in the past decade. Many
sensor technologies (e.g., wearable wristbands) have been integrated into health
research with the ability to substantially improve health outcomes and reduce health
care costs. Despite the rapid technological developments in sensor technology, little
research has examined sensor technology in eating disorders (EDs). The overarching
aim of the current article is to briefly review the literature on sensor technology and
health outcomes, including EDs, and discuss several potential ideas for the applica-
tion of sensor technology in the treatment, assessment, and diagnosis of EDs. We
will also present data from a feasibility case study with an ED participant and healthy
control providing a brief example of how wearable sensor technology might be
implemented in ED research. Overall, we will discuss how sensor technology could
be used to improve treatment and assessment of EDs and represents an idea in need
of more research in the ED field.
KEYWORDS
sensor technology, anorexia nervosa, bulimia nervosa, eating disorders, health outcomes,
technology
1 | INTRODUCTION
Sensor technology (both wearable and nonwearable) has made huge
technological advances in the past decade. Although assessment and
treatment of physical and mental health conditions were previously
restricted to laboratory or clinical environments, sensor technology
allows for objective, real-time monitoring of behavior in a naturalistic
setting. The increasing ease in collecting these data allows for detec-
tion of behavioral patterns, with the potential to predict future behav-
ior in “the real world,” which has implications for treatment and
individualized care. Despite the rapid technological developments and
application of sensor technology in other fields, little research has
applied sensor technology to eating disorders (EDs). Ultimately our
aims are to (a) show why sensor technology holds strong potential for
the advancement of research, assessment, and treatment in the ED
field and (b) discuss ideas for how the ED field might integrate sensor
technology to advance the current state of ED research.
2 | WEARABLE AND NONWEARABLE
SENSOR TECHNOLOGY DEFINITIONS
Wearable sensors gather information primarily on physiological phe-
nomena (e.g., heart rate and skin conductance), as well as movement
or acceleration (for a review of these types of measurements and
methods, please see Lymberis and Dittmar [2007]). These sensors can
be worn on various parts of the body, such as the wrist, chest, or
ankles, or can be integrated into clothing and accessories
(e.g., glasses). In contrast, nonwearable sensors track environmental
data (e.g., temperature) and detect movement (Ding, Cooper,
Pasquina, & Fici-Pasquina, 2011). These sensors are typically installed
Received: 9 January 2019 Revised: 23 May 2019 Accepted: 28 May 2019
DOI: 10.1002/eat.23120
Int J Eat Disord. 2019;1–5. wileyonlinelibrary.com/journal/eat © 2019 Wiley Periodicals, Inc. 1