ARFID can be persistent over multi-year periods in youth cohorts, which supports building for long-term daily use.
Source: Prospective 2-Year Course and Predictors of Outcome in ARFID (2025)Before dinner flow: open game -> clear 1 mission -> done
Jump To MissionResearch + Product Translation
Science Model for Will Gruber's Nibble Build
This page documents how evidence is translated into product behavior. Full internal notes are maintained in the repository research document.
Pediatric ARFID can involve significant medical complexity and hospitalization burden.
Source: Pediatric Hospital Utilization During Medical Stabilization for Patients With Eating Disorders (2024)CBT-AR youth data shows meaningful food-variety gains but incomplete full remission, reinforcing the need for adherence-friendly daily tools.
Source: CBT-AR Proof-of-Concept (2020)Parent-led ARFID models demonstrate feasibility, supporting in-app parent scripts and home exposure coaching.
Source: ARFID Parent Training Protocol Pilot RCTGamification helps behavior/knowledge most when tied to structured behavior mechanics, not decoration alone.
Source: Gamification and Diet in Children/Adolescents Meta-analysisAction planning and implementation intentions improve and sustain child dietary behavior.
Source: Action Plans in Serious Video Game RCTDecision Rules
- • Every core game loop feature must map to a behavior-change mechanism.
- • No pressure-to-eat rewards. Process actions only (look, smell, touch, tiny taste attempt).
- • If a feature could increase shame, urgency, or family conflict, redesign it.
- • Keep child session length short enough to avoid turning into school-like workload.
- • Any medical guidance surface must include explicit care-team escalation language.
Current Priorities
Engagement
Mission draft choice quality, completion rate, and next-day return.
Clinical Fit
Exposure process adherence, safe-food progression, and distress trends.
Safety
Clear red-flag pathways with immediate care-team escalation prompts.