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Most alcohol interventions focus on reducing alcohol consumption; however, previous research indicates that focusing solely on alcohol use may not decrease consequences. Additionally, many alcohol interventions have diminishing engagement, and few are designed with young adults involved in the development process. Drawing on user\u2010centered design, this study sought to understand young adult perceptions, preferences, and needs for electronic interventions specifically aimed at reducing alcohol consequences.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using semi\u2010structured qualitative interviews, 21 young adult drinkers (ages 18\u201324; 57.1% female) shared their opinions regarding the need for electronic interventions (i.e., mobile or web\u2010delivered) to reduce alcohol consequences as well as their preferences for content, features, and ways to increase engagement. Interviews were coded and analyzed using a multi\u2010step thematic analysis approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>As part of our discovery phase of intervention development, content coding revealed four main themes. Participants perceived several <jats:italic>benefits of interventions<\/jats:italic> focused on alcohol consequences, such as promoting mindful alcohol use and reducing alcohol\u2010related harms. Participants also discussed <jats:italic>perceived limitations<\/jats:italic> of such programs, including believing consequences from drinking are unavoidable, necessary for learning, and associated with peer pressure. <jats:italic>Preferences for features<\/jats:italic> included real\u2010time tracking, personalized feedback, and psychoeducation along with <jats:italic>preferences for design<\/jats:italic> including non\u2010judgmental framing, interactive content, and a user\u2010friendly platform.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Engaging end users early in the development process is a valuable approach to increase intervention relevancy with the target population. This can also inform intervention content and design to maximize engagement and satisfaction (e.g., framing, features, and interactivity) while also reducing barriers identified early on (e.g., peer pressure).<\/jats:p><\/jats:sec>","DOI":"10.1111\/acer.15439","type":"journal-article","created":{"date-parts":[[2024,10,25]],"date-time":"2024-10-25T15:00:14Z","timestamp":1729868414000},"page":"2145-2159","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Discovering what young adults want in electronic interventions aimed at reducing alcohol\u2010related consequences"],"prefix":"10.1111","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7789-7245","authenticated-orcid":false,"given":"Chelsea D.","family":"Mackey","sequence":"first","affiliation":[{"name":"Department of Psychology University of Washington  Seattle Washington USA"},{"name":"Department of Psychiatry and Behavioral Sciences University of Washington  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gage L.","family":"Sibik","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Washington  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria","family":"Szydlowski","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Washington  Seattle Washington USA"},{"name":"Department of Psychiatry and Behavioral Sciences University of Washington  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica A.","family":"Blayney","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Washington  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7899-8120","authenticated-orcid":false,"given":"Christine M.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Washington  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2003-2312","authenticated-orcid":false,"given":"Mary E.","family":"Larimer","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Washington  Seattle Washington USA"},{"name":"Department of Psychiatry and Behavioral Sciences University of Washington  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7181-5050","authenticated-orcid":false,"given":"Brittney A.","family":"Hultgren","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Washington  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,25]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063\u2010020\u20104065\u20101"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/16094069231183620"},{"key":"e_1_2_9_4_1","unstructured":"Blayney J.A. 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