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Among undergraduates broadly, online norms\u2010based interventions provide consistent and cost\u2010effective reductions in alcohol use and related risks. However, research on norms\u2010based interventions for undergraduates with higher social anxiety symptoms is limited, and less is known about the longitudinal impacts of social anxiety symptoms on the efficacy of online, norms\u2010based alcohol interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Secondary analyses were conducted on data from a large randomized controlled trial (RCT) with undergraduates who reported past\u2010month heavy episodic drinking and were randomized to an attention control or a norms\u2010based intervention. Generalized linear models tested whether baseline social anxiety symptoms moderated the efficacy of receiving a norms\u2010based intervention versus a nonalcohol\u2010focused attention control condition at 3\u2010, 6\u2010, and 12\u2010month follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Social anxiety symptoms moderated intervention efficacy on the number of typical drinks consumed and descriptive norms at 3\u2009months, as well as injunctive norms at 3 and 12\u2009months. However, these effects appeared to be primarily driven by the individuals with higher social anxiety symptoms in the attention control group. Overall, norms\u2010based interventions demonstrated efficacy in reducing the number of typical drinks consumed, descriptive and injunctive norms, and negative consequences up to 12\u2009months later, regardless of social anxiety symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Results demonstrated that online norms\u2010based interventions were similarly efficacious for reducing drinking, negative consequences, and normative beliefs for undergraduates, regardless of social anxiety symptoms. Further, effects were maintained up to 12\u2009months. Thus, existing alcohol\u2010focused brief interventions are efficacious for those with higher social anxiety symptoms, even without adaptation for social anxiety\u2010specific concerns. Individuals with higher social anxiety symptoms who did not receive an active intervention reduced drinking beliefs and behaviors, although reductions were not maintained over time.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acer.70077","type":"journal-article","created":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T00:54:20Z","timestamp":1748912060000},"page":"1564-1575","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Are online norms\u2010based alcohol interventions efficacious for college students with higher social anxiety?"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4058-988X","authenticated-orcid":false,"given":"Katherine","family":"Walukevich\u2010Dienst","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Center for the Study of Health and Risk Behaviors University of Washington  Seattle Washington 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