In a large group of frequent drinkers who used a digital application offering tailored text-based support for reducing their alcohol intake, weekly drink amounts fell by 1/3 over 12 weeks. The study of real-world users shows promise for people who are uncomfortable with their drinking habits but may not meet the criteria for alcohol use disorder (AUD). Although they may be unlikely to aim for abstinence or to seek formal treatment, many are open to moderating their drinking.

Digital interventions, such as self-guided online programs and smartphone apps, are easily accessible and engaging. Studies have shown that text-based messaging interventions can result in short- and medium-term reductions in alcohol use. Digital programs that tailor content according to users' evolving outcomes, similar to clinical care , may be particularly effective.

Outcomes data are limited, however. For the study in Alcohol: Clinical & Experimental Research , researchers evaluated an adaptive, tailored digital application aimed at reducing excessive drinking among community-based users. The study involved a commercially available application rooted in health behavior change theory that received public attention during the COVID-19 pandemic.

The app incorporated elements of motivational interviewing, cognitive-behavioral approaches, tracking, and personalized feedback. Researchers analyzed the data of 46,400 self-selected users aged 21+ who logged their alcohol consumption for at least one day during.