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Self-reported adherence to the intervention (average causal mediation effect [ACME]\u2009=\u2009\u22120.250, 95% CI\u2009=\u2009\u22120.42, \u22120.11) and self-monitoring behaviour (ACME\u2009=\u2009\u22120.235, 95% CI\u2009=\u2009\u22120.44, \u22120.03) both partially mediated the effect of the intervention (versus comparator) on alcohol reduction. Following the recommendation (self-reported adherence) and the tracking (self-monitoring behaviour) feature of the Drink Less app appear to be important mechanisms of action for alcohol reduction among increasing and higher risk drinkers.\n                  <\/jats:p>","DOI":"10.1038\/s41746-024-01169-7","type":"journal-article","created":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T10:04:01Z","timestamp":1719828241000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Do engagement and behavioural mechanisms underpin the effectiveness of the Drink Less app?"],"prefix":"10.1038","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6589-299X","authenticated-orcid":false,"given":"Claire","family":"Garnett","sequence":"first","affiliation":[]},{"given":"Larisa-Maria","family":"Dinu","sequence":"additional","affiliation":[]},{"given":"Melissa","family":"Oldham","sequence":"additional","affiliation":[]},{"given":"Olga","family":"Perski","sequence":"additional","affiliation":[]},{"given":"Gemma","family":"Loebenberg","sequence":"additional","affiliation":[]},{"given":"Emma","family":"Beard","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0529-4135","authenticated-orcid":false,"given":"Colin","family":"Angus","sequence":"additional","affiliation":[]},{"given":"Robyn","family":"Burton","sequence":"additional","affiliation":[]},{"given":"Matt","family":"Field","sequence":"additional","affiliation":[]},{"given":"Felix","family":"Greaves","sequence":"additional","affiliation":[]},{"given":"Matthew","family":"Hickman","sequence":"additional","affiliation":[]},{"given":"Eileen","family":"Kaner","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0063-6378","authenticated-orcid":false,"given":"Susan","family":"Michie","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4049-993X","authenticated-orcid":false,"given":"Marcus","family":"Munaf\u00f2","sequence":"additional","affiliation":[]},{"given":"Elena","family":"Pizzo","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2797-5428","authenticated-orcid":false,"given":"Jamie","family":"Brown","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2024,6,29]]},"reference":[{"key":"1169_CR1","unstructured":"Babor, T., Higgins, J., Saunders, J. & Monteiro, M. 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M.O.\u2019s salary is partially funded by Medical Research Council (MR\/W026430\/1). J.B. has received unrestricted research funding to study smoking cessation from Pfizer and J&J, who manufacture smoking cessation medications and sits in an unrenumerated role on the scientific advisory board for the SmokeFree app. C.G. and M.O. have done paid consultancy work for the behaviour change and lifestyle organization, \u2018One Year No Beer\u2019, providing fact checking for blog posts. F.G. is employed by NICE and previously by Public Health England PHE; he has no other conflicts of interest. R.B. is currently employed by the Office for Health Improvement and Disparities. M.H. is co-director of NIHR Health Protection Research Unit in Behavioural Science and Evaluation and a trustee for the Society for the Study of Addiction. Outside the submitted work, E.K. has previously co-authored papers that analysed raw market research consumer-based data provided to Newcastle University under a direct contract with Kantar Worldpanel at no cost to Newcastle University. Kantar Worldpanel received reimbursement from AB InBev to cover the costs of the data, Kantar WordPanel having similar commercial relationships with other customers who pay to have data collected on food and non-food items available for sale in supermarkets and other retail outlets covered by the WorldPanel.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"174"}}