Introduction/Purpose: Online interventions (OIs) are increasingly used in mental health care due to benefits such as flexibility, convenience, accessibility, and cost-efficiency. While OIs show promise across various mental health conditions, research on their use for complex comorbid presentations, such as co-occurring eating disorders (EDs) and trauma symptoms, remains limited. EDs are serious psychiatric conditions, and co-occurring trauma contributes to poorer treatment outcomes, higher dropout rates, and relapse, with women being disproportionately affected. Given these challenges, trauma-informed, integrative approaches that address both EDs and trauma symptoms simultaneously are essential, but remain under-researched, particularly from the perspectives of those with lived/living experience - an important consideration for designing such interventions. The aim of this study was to explore the perceived facilitators and barriers to engagement with OIs among women with living/lived experience of EDs and/or trauma symptoms.


Method: Qualitative interviews with 13 women were conducted and reflexive thematic analysis was employed.


Results: Five themes were identified relating to the facilitators and barriers to engagement with OIs: 1) Safety, 2) Stability and Continuity, 3) Shared Experience, 4) Access and, 5) Content and Design.


Conclusion: The insights from this study have offered some clinical and research suggestions which are hoped to inform the future development of tailored and effective OIs for individuals experiencing concurrent EDs and trauma symptoms.