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OBJECTIVE: Reliable identification of pro-eating disorder (pro-ED) content online suffers from two pervasive problems: (1) existing methods predominantly rely on text-based signals, failing to capture the inherently multimodal nature of multimedia content; and (2) these methods struggle to keep pace with the rapid evolution of references, memes, terminology, and contextual cues that underlie this content. Together, these limitations point to a gap: the absence of expert-annotated reference standards capable of supporting real-time research and robust multimodal detection model training for pro-ED content on short-form video (SFV) platforms. METHOD: To address this, we propose the development of zeitgeist-aware multimodal (ZAM) datasets, which are continuously curated collections of annotated multimodal pro-ED content with inclusion criteria that evolve alongside the memetic zeitgeist: the variable essence of what is considered pro-ED as new media and references come into the cultural zeitgeist and are absorbed and interpreted in online spaces. RESULTS: We present a rationale for such datasets, outline approaches for their curation, and describe our progress toward that end. DISCUSSION: This ZAM curation method may benefit stakeholders across several fields who are interested in how pro-ED sentiment is encoded and transmitted through SFV content across time, including for the purpose of responsive moderation efforts.
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Shaveet et al. (2026) studied this question.
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