Earinter: A Closed-Loop System for Eating Pace Regulation with Just-in-Time Intervention Using Commodity Earbuds
Rapid eating is common yet difficult to regulate in situ, partly because people seldom notice pace changes and sustained self-monitoring is effortful. We present Earinter, a commodity-earbud-based closed-loop system that integrates in-the-wild sensing, real-time reasoning, and theory-grounded just-in-time (JIT) intervention to regulate eating pace during daily meals. Earinter repurposes the earbud's bone-conduction voice sensor to capture chewing-related vibrations and estimate eating pace as chews per swallow (CPS) for on-device inference. With data collected equally across sessions in quiet and noisy environments, Earinter achieves reliable chewing detection (F1 = 0.97) and accurate eating pace estimation (MAE: 0.18 ± 0.13 chews/min, 3.65 ± 3.86 chews/swallow), enabling robust tracking for closed-loop use. Guided by Dual Systems Theory and refined through two Wizard-of-Oz pilots, Earinter adopts a user-friendly design for JIT intervention content and delivery policy in daily meals. In a 13-day within-subject field study (N=14), the closed-loop system significantly increased CPS and slowed meal-level eating pace, with statistical signs of carryover on retention-probe days and generally favorable comfort and usability. These effects should be interpreted as changes in eating-pace regulation rather than evidence of weight loss. Our findings highlight how single-modality commodity earables can support practical, theory-driven closed-loop JIT interventions for regulating eating pace in the wild.
Authors
- Y X Wang
- Zihang Zhan (ORCID: https://orcid.org/0009-0000-6857-6362)
- Zhixin Zhao
- Ka I Chan (ORCID: https://orcid.org/0009-0001-4560-1702)
- Leyi Peng
- Xiyuxing Zhang
- Yuanchun Shi
- Jun Fang
- Jiajin Li
- Mingze Gao
Institutions
- Qinghai University (CN)
- University of Michigan (US)
- Yale University (US)
- Tsinghua University (CN)
Publication Details
- Journal
- Proceedings of the ACM on Interactive Mobile Wearable and Ubiquitous Technologies
- Published
- 2026-09-30
- DOI
- https://doi.org/10.1145/3831629
- Primary Topic
- Dysphagia Assessment and Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00