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Few digital evidence\u2010based treatments have been tested among community\u2010based samples of people with AUD. The present trial of Computer\u2010Based Training for Cognitive Behavioral Therapy (CBT4CBT) (1) assessed CBT4CBT usability and acceptability and (2) explored alcohol\u2010related outcomes by study condition in a non\u2010treatment sample of people with AUD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      For the current two\u2010arm clinical trial, a non\u2010treatment sample of people with lifetime AUD and current heavy drinking was recruited using\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/researchmatch.org\">ResearchMatch.org<\/jats:ext-link>\n                      and randomized (3:1) to the CBT4CBT program or an assessment\u2010only control, stratified by sex (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009160 total; CBT:\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009109; Co:\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200951). Study assessments included post\u2010intervention acceptability ratings and self\u2010reported alcohol\u2010related measures administered at baseline, post\u2010intervention, and 1\u2010month follow\u2010up.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participants were 68.1% female and 31.9% male, in their early forties (\n                      <jats:italic>M<\/jats:italic>\n                      \u2009=\u200942.6, SD\u2009=\u200915.7, range 19\u201376\u2009years). Most participants identified as white (65.0%) or Black (27.5%) and non\u2010Latinx (89.4%). Acceptability ratings and usability measures for CBT4CBT were favorable and comparable to studies among clinical treatment samples. Participants in the CBT4CBT group demonstrated faster reductions in the percentage of drinking days and were significantly less likely to report any heavy drinking days than those in the control condition at 1\u2010month follow\u2010up. The CBT4CBT group reported higher recovery scores than the control group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The present study provides benchmark data on the use of CBT4CBT in a sample of people with AUD not receiving treatment. Findings have important clinical and research implications for expanding the reach of evidence\u2010based addiction treatment beyond traditional treatment settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acer.70383","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T10:30:46Z","timestamp":1786012246000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Digital Cognitive Behavioral Therapy Reduces Heavy Drinking Among a Non\u2010Treatment Sample of People With Alcohol Use Disorder: A Feasibility Trial With CBT4CBT"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6862-9548","authenticated-orcid":false,"given":"Anna Beth","family":"Parlier\u2010Ahmad","sequence":"first","affiliation":[{"name":"Department of Psychology Virginia Commonwealth University  Richmond Virginia USA"},{"name":"VA Advanced Postdoctoral Fellow in Mental Illness Research and Treatment, Serious Mental Illness Treatment Resource and Evaluation Center Ann Arbor VA Health Care System  Ann Arbor Michigan USA"},{"name":"Department of Psychiatry Michigan Medicine  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6416-7673","authenticated-orcid":false,"given":"Nicole","family":"Boss","sequence":"additional","affiliation":[{"name":"Department of Psychology Virginia Commonwealth University  Richmond Virginia USA"},{"name":"Department of Obstetrics and Gynecology, School of Medicine Virginia Commonwealth University  Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8898-3257","authenticated-orcid":false,"given":"Amber R.","family":"Green","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine Virginia Commonwealth University  Richmond Virginia USA"},{"name":"Institute for Drug and Alcohol Studies Virginia Commonwealth University  Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0887-9461","authenticated-orcid":false,"given":"Michelle","family":"Eglovitch","sequence":"additional","affiliation":[{"name":"Department of Psychology Virginia Commonwealth University  Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ren","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Psychology Virginia Commonwealth University  Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5560-458X","authenticated-orcid":false,"given":"Caitlin E.","family":"Martin","sequence":"additional","affiliation":[{"name":"Institute for Drug and Alcohol Studies Virginia Commonwealth University  Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6014-2500","authenticated-orcid":false,"given":"Lori","family":"Keyser\u2010Marcus","sequence":"additional","affiliation":[{"name":"Institute for Drug and Alcohol Studies Virginia Commonwealth University  Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7258-2367","authenticated-orcid":false,"given":"Dace S.","family":"Svikis","sequence":"additional","affiliation":[{"name":"Department of Psychology Virginia Commonwealth University  Richmond Virginia USA"},{"name":"Department of Obstetrics and Gynecology, School of Medicine Virginia Commonwealth University  Richmond Virginia USA"},{"name":"Institute for Drug and Alcohol Studies Virginia Commonwealth University  Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,6]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2023.05.003"},{"key":"e_1_2_13_3_1","first-page":"129","article-title":"An Evaluation of Cognitive Behavioral Therapy for Substance Use Disorder: A Systematic Review and Application of the Society of Clinical Psychology Criteria for Empirically Supported Treatments","volume":"30","author":"Boness C. 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