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Commercially available, technology\u2010assisted options are flexible and highly accessible, yet often not empirically validated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Individuals desiring alcohol moderation (age 21+) self\u2010selected to use Sunnyside\u00ae, a web application with tailored and adaptive text messaging. The evaluable dataset included 46,411 members who completed a baseline assessment, enrolled in the program, and tracked their drinking at least once. An adaptive and customizable weekly plan was generated from typical drinking patterns, goals, and weekly reported progress. Personalized daily messages included reminders for real\u2010time drink tracking, plans, and available interactive messaging with peer coaches. Generalized mixed\u2010effect growth models characterized change in drinks per week and daily drinking for 12\u2009weeks after enrollment. Models allowed for nonlinear change and individual variability across members and weeks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A majority (64.3%) of members reported typically drinking 7 of 7\u2009days per week at baseline. During tracking, drinks per week decreased most in the initial weeks and slowed thereafter, with an overall 33% reduction in weekly drink counts. More severe alcohol\u2010use patterns and concern over drinking at baseline were associated with greater relative benefit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Drinking patterns appeared amenable to change during 12\u2009weeks of daily drink tracking with Sunnyside\u00ae, a tailored web program to reduce drinking and improve overall wellness. Overall, the findings of this naturalistic study, one of the first of its kind, supplement data from randomized clinical trials and support the use of adaptive, technology\u2010assisted tools for alcohol moderation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acer.15414","type":"journal-article","created":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T15:49:52Z","timestamp":1724428192000},"page":"1784-1794","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Self\u2010reported alcohol consumption during participation in a text messaging\u2010based online drinking moderation platform"],"prefix":"10.1111","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0162-4256","authenticated-orcid":false,"given":"Nehal P.","family":"Vadhan","sequence":"first","affiliation":[{"name":"Northwell  New Hyde Park New York USA"},{"name":"Department of Psychiatry Zucker School of Medicine at Hofstra University  Hempstead New York USA"},{"name":"Institute of Behavioral Science Feinstein Institutes for Medical Research  Manhasset New York USA"},{"name":"Department of Psychology Hofstra University  Hempstead New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5347-4291","authenticated-orcid":false,"given":"Hayley","family":"Treloar Padovano","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Human Behavior Brown University  Providence Rhode Island USA"},{"name":"Department of Behavioral and Social Sciences Brown University  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frederick J.","family":"Muench","sequence":"additional","affiliation":[{"name":"Northwell  New Hyde Park New York USA"},{"name":"Department of Psychiatry Zucker School of Medicine at Hofstra University  Hempstead New York USA"},{"name":"Clear30 LLC  Hastings on Hudson New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Svetlana","family":"Levak","sequence":"additional","affiliation":[{"name":"Northwell  New Hyde Park New York USA"},{"name":"Department of Psychiatry Zucker School of Medicine at Hofstra University  Hempstead New York USA"},{"name":"Institute of Behavioral Science Feinstein Institutes for Medical Research  Manhasset New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"Allen","sequence":"additional","affiliation":[{"name":"Cutback Coach, Inc.  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