Gastric interoception influences eating behavior and emotions, making its modulation valuable for healthcare and human-computer-interaction applications. However, whether gastric interoception can be modulated noninvasively in humans remains unclear. While previous research indicates that abdominal-sound-driven haptic feedback resembles gut sensations, its impact on gastric feelings and gastric interoceptive behavior is unknown. We conducted three experiments totalling 55 participants to investigate how gut-sound-driven audio-haptic feedback applied to the stomach (1) affects user’s feelings (2) influences perception of hunger and satiety levels and (3) influences gastric interoceptive behavior, quantified with Water Load Test-II. Results revealed that audio-haptic feedback patterns (a) induced the feelings of hunger, fullness, thirst, stomach upset, (b) increased hunger level, and (c) significantly increased volumes of ingested water. This work provides the first evidence that audio-haptic stimulation can alter gastric interoceptive behavior, motivating the use of noninvasive methods to influence users’ feelings and behaviors in future applications.

Gastrointestinal sounds are a constant part of human physiology, offering potential insights into digestive functions and everyday bodily awareness. However, these sounds are rarely noticed and often socially stigmatised, remaining underexplored in HCI despite calls to recognise the gut as a site for embodied awareness. We extend HCI’s engagement with involuntary biosignals by positioning gut sounds as a uniquely generative context for interoceptive interaction design, where systems can scaffold awareness, reflection, and care. We conducted a week-long in-the-wild qualitative study with ten participants, which showed how making gut sounds audible reshaped bodily awareness, provoked affective responses, and prompted acts of reflection and tinkering. From these insights, we contribute four bodily perspectives – Registering, Reacting, Reflecting, and Responding- that capture the oscillatory nature of interoceptive engagement and offer design strategies that position biosignals as sites of curiosity, care, and awareness that are socially situated.

International audience