{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T09:03:08Z","timestamp":1780477388580,"version":"3.54.1"},"reference-count":32,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T00:00:00Z","timestamp":1746662400000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R01MH135458"],"award-info":[{"award-number":["R01MH135458"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000027","name":"National Institute on Alcohol Abuse and Alcoholism","doi-asserted-by":"publisher","award":["K99AA029459"],"award-info":[{"award-number":["K99AA029459"]}],"id":[{"id":"10.13039\/100000027","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000027","name":"National Institute on Alcohol Abuse and Alcoholism","doi-asserted-by":"publisher","award":["R37AA012547"],"award-info":[{"award-number":["R37AA012547"]}],"id":[{"id":"10.13039\/100000027","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000027","name":"National Institute on Alcohol Abuse and Alcoholism","doi-asserted-by":"publisher","award":["T32AA07455"],"award-info":[{"award-number":["T32AA07455"]}],"id":[{"id":"10.13039\/100000027","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alcohol, Clinical and Experimental Research"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Personalized feedback\u2010based interventions for reducing high\u2010risk alcohol use among college students vary in length and intensity. Comprehensive multicomponent personalized feedback interventions (PFIs) include more material and have greater intensity compared to briefer, single\u2010component interventions such as personalized normative feedback (PNF). However, while PFIs may offer more comprehensive support, their lengthiness can potentially reduce attention and engagement with the intervention content, impacting their overall efficacy. This study examines how attentiveness\u2014the degree to which participants engage with and process the intervention material\u2014differs between single\u2010 and multicomponent interventions and how this variation moderates the efficacy of PFIs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A secondary analysis of a longitudinal randomized clinical trial was conducted, involving 1137 undergraduates reporting past\u2010month heavy episodic drinking (63% female; mean age\u2009=\u200920.1\u2009years). Assessments occurred at baseline and 3, 6, and 12\u2009months postintervention, with primary outcomes including drinks per week and negative alcohol\u2010related consequences. Intervention conditions included (a) assessment\u2010only control (AOC), (b) multicomponent PFI, and (c) single\u2010component PNFs. Generalized linear mixed models were used to evaluate attentiveness as a moderator of treatment efficacy across multicomponent PFI, single\u2010component PNFs, and AOC conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Analysis detected significantly higher attentiveness levels in single\u2010component PNFs compared to the multicomponent PFI (\n                      <jats:italic>b<\/jats:italic>\n                      \u2009=\u20090.35,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). A three\u2010way interaction (Time \u00d7 Condition \u00d7 Attentiveness) indicated that the efficacy of multicomponent PFI versus AOC on drinks per week was only significant for those reporting moderate\u2010to\u2010high attentiveness levels, not for those with low attentiveness. When comparing multicomponent PFI to single\u2010component PNF, multicomponent PFI outperformed single\u2010component PNF only when attentiveness was high; conversely, when attentiveness was low, single\u2010component PNF outperformed multicomponent PFI.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>While the simplicity of PNF allows for easy implementation with minimal cognitive effort, multicomponent PFI demonstrates greater efficacy potential, particularly when comprehended thoroughly. Future research could explore strategies to enhance attentiveness with multicomponent PFI, such as sequential delivery across multiple sessions to optimize its benefits.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acer.70033","type":"journal-article","created":{"date-parts":[[2025,5,22]],"date-time":"2025-05-22T23:41:34Z","timestamp":1747957294000},"page":"1139-1148","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["When less is more: How attentiveness impacts the efficacy of online personalized feedback interventions for college student alcohol use"],"prefix":"10.1111","volume":"49","author":[{"given":"Dahyeon","family":"Kang","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Washington Medical Center  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8655-1190","authenticated-orcid":false,"given":"Scott","family":"Graupensperger","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Washington Medical Center  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4616-5180","authenticated-orcid":false,"given":"Marilyn","family":"Piccirillo","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Lewis","sequence":"additional","affiliation":[{"name":"School of Social Work University of Texas Arlington  Arlington Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine T.","family":"Foster","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Washington  Seattle Washington USA"},{"name":"Department of Global Health University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary E.","family":"Larimer","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Washington Medical Center  Seattle Washington 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