{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T02:53:14Z","timestamp":1776826394823,"version":"3.51.2"},"reference-count":43,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2024,8,21]],"date-time":"2024-08-21T00:00:00Z","timestamp":1724198400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["MR\/W026430\/1"],"award-info":[{"award-number":["MR\/W026430\/1"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosdigitalhealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Digit Health"],"abstract":"<jats:p>Contexts in which people drink vary. Certain drinking contexts may be more amenable to change than others and the effectiveness of alcohol reduction tactics may differ across contexts. This study aimed to explore how helpful context-specific tactics for alcohol reduction were perceived as being amongst increasing-and-higher-risk drinkers. Using the Behaviour Change Technique Taxonomy, context-specific tactics to reduce alcohol consumption were developed by the research team and revised following consultation with experts in behaviour change. In four focus groups (two online, two in-person), N = 20 adult increasing-and-higher-risk drinkers in the UK discussed how helpful tactics developed for four drinking contexts would be: drinking at home alone (19 tactics), drinking at home with partner or family (21 tactics), in the pub with friends (23 tactics), and a meal out of the home (20 tactics). Transcripts were analysed using constant comparison methods. Participants endorsed four broad approaches to reducing alcohol consumption which encompassed all the individual tactics developed by the research team: Diluting and substituting drinks for those containing less alcohol (e.g. switching to soft drinks or no- or low-alcohol drinks); Reducing external pressure to drink (e.g. setting expectations in advance); Creating barriers to drinking (e.g. not buying alcohol to keep at home or storing it in less visible places), and Setting new habits (e.g. breaking old patterns and taking up new hobbies). Three cross-cutting themes influenced how applicable these approaches were to different drinking contexts. These were: Situational pressure, Drinking motives, and Financial motivation. Diluting and substituting drinks which enabled covert reduction and Reducing external pressure to drink were favoured in social drinking contexts. Diluting and substituting drinks which enabled participants to feel that they were having \u2018a treat\u2019 or which facilitated relaxation and Creating barriers to drinking were preferred at home. Interventions to reduce alcohol consumption should offer tactics tailored to individuals\u2019 drinking contexts and which account for context-specific individual and situational pressure to drink.<\/jats:p>","DOI":"10.1371\/journal.pdig.0000523","type":"journal-article","created":{"date-parts":[[2024,8,21]],"date-time":"2024-08-21T23:38:19Z","timestamp":1724283499000},"page":"e0000523","update-policy":"https:\/\/doi.org\/10.1371\/journal.pdig.corrections_policy","source":"Crossref","is-referenced-by-count":7,"title":["Cutting consumption without diluting the experience: Preferences for different tactics for reducing alcohol consumption among increasing-and-higher-risk drinkers based on drinking context"],"prefix":"10.1371","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5353-9152","authenticated-orcid":true,"given":"Melissa","family":"Oldham","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8794-8280","authenticated-orcid":true,"given":"Tosan","family":"Okpako","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0652-1937","authenticated-orcid":true,"given":"Corinna","family":"Leppin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claire","family":"Garnett","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Larisa-Maria","family":"Dina","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5637-5245","authenticated-orcid":true,"given":"Abigail","family":"Stevely","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Jones","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Holmes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2024,8,21]]},"reference":[{"issue":"4","key":"pdig.0000523.ref001","first-page":"263","article-title":"Alcohol Consumption and the Risk of Cancer: a meta-analysis","volume":"25","author":"V Bagnardi","year":"2001","journal-title":"Alcohol Res Heal"},{"issue":"10","key":"pdig.0000523.ref002","doi-asserted-by":"crossref","first-page":"1551","DOI":"10.1046\/j.1360-0443.1999.9410155111.x","article-title":"Exploring the dose-response relationship between alcohol consumption and the risk of several alcohol-related conditions: a meta-analysis","volume":"94","author":"G Corrao","year":"1999","journal-title":"Addiction"},{"key":"pdig.0000523.ref003","first-page":"1","article-title":"Alcohol consumption as a cause of cancer","author":"J. Connor","year":"2016","journal-title":"Addiction"},{"issue":"4","key":"pdig.0000523.ref004","doi-asserted-by":"crossref","first-page":"884","DOI":"10.1002\/ijc.21903","article-title":"The burden of cancer attributable to alcohol drinking","volume":"119","author":"P Boffetta","year":"2006","journal-title":"Int J Cancer"},{"key":"pdig.0000523.ref005","doi-asserted-by":"crossref","first-page":"S77","DOI":"10.1038\/bjc.2011.489","article-title":"The fraction of cancer attributable to lifestyle and environmental factors in the UK in 2010","volume":"105","author":"DM Parkin","year":"2011","journal-title":"Br J Cancer"},{"key":"pdig.0000523.ref006","first-page":"1135","article-title":"Global burden of 87 risk factors in 204 countries and territories, 1990\u20132019: a systematic analysis for the Global Burden of Disease Study 2019.","volume":"396","author":"GBD 2019 Alcohol Collaborators","year":"2020","journal-title":"Lancet"},{"key":"pdig.0000523.ref007","author":"World Health Organisation","year":"2018","journal-title":"Global status report on alcohol and health 2018, Global status report on alcohol and health 2018."},{"issue":"2","key":"pdig.0000523.ref008","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1111\/add.13895","article-title":"All drinking is not equal: How a social practice theory lens could enhance public health research on alcohol and other health behaviours","volume":"113","author":"PS Meier","year":"2018","journal-title":"Addiction"},{"issue":"9","key":"pdig.0000523.ref009","doi-asserted-by":"crossref","first-page":"1568","DOI":"10.1111\/add.13397","article-title":"Developing a social practice-based typology of British drinking culture in 2009\u20132011: Implications for alcohol policy analysis","volume":"111","author":"AK Ally","year":"2016","journal-title":"Addiction"},{"issue":"April","key":"pdig.0000523.ref010","article-title":"How is alcohol consumption and heavy episodic drinking spread across different types of drinking occasion in Great Britain: An event-level latent class analysis.","volume":"127","author":"J Holmes","year":"2024","journal-title":"Int J Drug Policy"},{"issue":"13","key":"pdig.0000523.ref011","doi-asserted-by":"crossref","first-page":"1721","DOI":"10.1080\/10826084.2017.1307408","article-title":"Heterogeneity in Drinking Practices in England and Wales and Its Association With Violent Behavior: A Latent Class Analysis","volume":"52","author":"C. Lightowlers","year":"2017","journal-title":"Subst Use Misuse."},{"issue":"6","key":"pdig.0000523.ref012","doi-asserted-by":"crossref","first-page":"811","DOI":"10.1177\/0959354307083496","article-title":"Old Clothes and an Older Look: The Case for a Radical Makeover in Health Behaviour Research.","volume":"17","author":"F Mielewczyk","year":"2007","journal-title":"Theory Psychol"},{"issue":"4","key":"pdig.0000523.ref013","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1111\/add.12862","article-title":"The impact of friends on young adults\u2019 drinking over the course of the evening-an event-level analysis.","volume":"110","author":"J Thrul","year":"2015","journal-title":"Addiction"},{"key":"pdig.0000523.ref014","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1111\/add.13633","article-title":"Drinking with mixed-gender groups is associated with heavy weekend drinking among young adults.","volume":"112","author":"J Thrul","year":"2017","journal-title":"Addiction"},{"issue":"3","key":"pdig.0000523.ref015","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1111\/acer.14560","article-title":"Combinations of Drinking Occasion Characteristics Associated with Units of Alcohol Consumed among British Adults: An Event-Level Decision Tree Modeling Study","volume":"45","author":"AK Stevely","year":"2021","journal-title":"Alcohol Clin Exp Res"},{"issue":"6","key":"pdig.0000523.ref016","doi-asserted-by":"crossref","first-page":"767","DOI":"10.15288\/jsad.2021.82.767","article-title":"How are all drinking occasions, intoxication occasions, and all alcohol consumed distributed across different drinking occasion types? A typology of drinking occasions in Finland","volume":"82","author":"P M\u00e4kel\u00e4","year":"2021","journal-title":"J Stud Alcohol Drugs."},{"issue":"2","key":"pdig.0000523.ref017","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1111\/1467-9566.12103","article-title":"Staying \u201cin the zone\u201d but not passing the \u201cpoint of no return\u201d: Embodiment, gender and drinking in mid-life.","volume":"36","author":"AC Lyons","year":"2014","journal-title":"Sociol Heal Illn"},{"issue":"2","key":"pdig.0000523.ref018","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1080\/13676261.2015.1059931","article-title":"\u2018That right level of intoxication\u2019: A Grounded Theory study on young adults\u2019 drinking in nightlife settings.","volume":"19","author":"G Aresi","year":"2016","journal-title":"J Youth Stud."},{"issue":"1","key":"pdig.0000523.ref019","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1111\/1467-954X.12361","article-title":"Did you ever hear of police being called to a beer festival?\u2019 Discourses of merriment, moderation and \u2018civilized\u2019 drinking amongst real ale enthusiasts","volume":"65","author":"T. Thurnell-Read","year":"2017","journal-title":"Sociol Rev."},{"issue":"1","key":"pdig.0000523.ref020","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13012-020-01073-0","article-title":"Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework","volume":"16","author":"F Ros\u00e1rio","year":"2021","journal-title":"Implement Sci"},{"issue":"2","key":"pdig.0000523.ref021","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1093\/tbm\/iby043","article-title":"The development of Drink Less: an alcohol reduction smartphone app for individuals who drink excessively","volume":"9","author":"C Garnett","year":"2018","journal-title":"Transl Behav Med"},{"key":"pdig.0000523.ref022","doi-asserted-by":"crossref","first-page":"1","DOI":"10.12688\/f1000research.51416.1","article-title":"Refining the content and design of an alcohol reduction app, Drink Less, to improve its usability and effectiveness: A mixed methods approach.","volume":"10","author":"C Garnett","year":"2021","journal-title":"F1000Research."},{"key":"pdig.0000523.ref023","doi-asserted-by":"crossref","first-page":"102534","DOI":"10.1016\/j.eclinm.2024.102534","article-title":"Effectiveness of a smartphone app (Drink Less) versus usual digital care for reducing alcohol consumption among increasing-and-higher-risk adult drinkers in the UK: a two-arm, parallel-group, double-blind, randomised controlled trial.","volume":"70","author":"M Oldham","year":"2024","journal-title":"eClinicalMedicine."},{"issue":"8","key":"pdig.0000523.ref024","doi-asserted-by":"crossref","first-page":"1431","DOI":"10.1111\/j.1360-0443.2012.03845.x","article-title":"Identification of behaviour change techniques to reduce excessive alcohol consumption","volume":"107","author":"S Michie","year":"2012","journal-title":"Addiction"},{"issue":"4","key":"pdig.0000523.ref025","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1111\/j.1464-0597.2008.00341.x","article-title":"From Theory to Intervention: Mapping Theoretically Derived Behavioural Determinants to Behaviour Change Techniques.","volume":"57","author":"S Michie","year":"2008","journal-title":"Appl Psychol"},{"key":"pdig.0000523.ref026","first-page":"e42319","article-title":"Evaluating the Acceptability of the Drink Less App and the National Health Service Alcohol Advice Web Page","volume":"26","author":"M Oldham","year":"2024","journal-title":"Qualitative Interview Process Evaluation J Med Internet Res"},{"key":"pdig.0000523.ref027","first-page":"1","article-title":"A Qualitative Framework for Collecting and Analyzing Data in Focus Group Research.","author":"Onwuegbuzie","year":"2009","journal-title":"Int Joournal Qual Methods"},{"issue":"2","key":"pdig.0000523.ref028","doi-asserted-by":"crossref","DOI":"10.12968\/ijtr.2008.15.2.28189","article-title":"Focus group methodology: Part 1: Considerations for design.","volume":"15","author":"P. Plummer d-Amato","year":"2008","journal-title":"Int J Ther Rehabil."},{"issue":"6","key":"pdig.0000523.ref029","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","article-title":"Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups.","volume":"19","author":"A Tong","year":"2007","journal-title":"Int J Qual Heal Care"},{"issue":"8","key":"pdig.0000523.ref030","first-page":"1842","article-title":"The AUDIT alcohol consumption questions: reliability, validity, and responsiveness to change in older male primary care patients","volume":"22","author":"KA Bradley","year":"1998","journal-title":"Alcohol Clin Exp Res"},{"issue":"0","key":"pdig.0000523.ref031","first-page":"1","article-title":"Insights for conducting real-time focus groups online using a web conferencing service.","volume":"6","author":"J Kite","year":"2017","journal-title":"F1000Research"},{"key":"pdig.0000523.ref032","first-page":"S50","volume-title":"Lancet","author":"J Holmes","year":"2022"},{"key":"pdig.0000523.ref033","unstructured":"Stevely AK, Garnett C, Holmes J, Jones A, Dina LM, Oldham, M. Optimising measurement of information on the context of alcohol consumption within the Drink Less App amongst people drinking at increasing and higher risk levels: a mixed-methods usability study. JMIR."},{"issue":"42","key":"pdig.0000523.ref034","article-title":"The behaviour change wheel: A new method for characterising and designing behaviour change interventions","volume":"6","author":"S. Michie","year":"2011","journal-title":"Implement Sci"},{"issue":"06","key":"pdig.0000523.ref035","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/S0065-2601(06)38002-1","article-title":"Implementation Intentions and Goal Achievement: A Meta-analysis of Effects and Processes.","volume":"38","author":"PM Gollwitzer","year":"2006","journal-title":"Adv Exp Soc Psychol."},{"issue":"5","key":"pdig.0000523.ref036","doi-asserted-by":"crossref","first-page":"266","DOI":"10.12968\/bjon.2013.22.5.266","article-title":"Focus group interviews part 3: Analysis.","volume":"22","author":"O Doody","year":"2013","journal-title":"Br J Nurs"},{"issue":"March 2021","key":"pdig.0000523.ref037","doi-asserted-by":"crossref","first-page":"107093","DOI":"10.1016\/j.addbeh.2021.107093","article-title":"The \u201calcoholic other\u201d: Harmful drinkers resist problem recognition to manage identity threat.","volume":"124","author":"J Morris","year":"2022","journal-title":"Addict Behav."},{"key":"pdig.0000523.ref038","first-page":"3","article-title":"Alibi marketing? Surrogate marketing? Brand sharing? What is the correct terminology to discuss marketing for alcohol-free and low-alcohol products which share branding with regular strength alcohol products?","author":"N Critchlow","year":"2024","journal-title":"Addiction"},{"issue":"9","key":"pdig.0000523.ref039","article-title":"Doctor, Can I Drink an Alcohol-Free Beer?\u201d Low-Alcohol and Alcohol-Free Drinks in People with Heavy Drinking or Alcohol Use Disorders: Systematic Review of the Literature.","volume":"14","author":"E Caballeria","year":"2022","journal-title":"Nutrients"},{"issue":"6","key":"pdig.0000523.ref040","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1080\/15374410903258967","article-title":"Development and validation of the drinking motive questionnaire revised short form (DMQ-R SF).","volume":"38","author":"E Kuntsche","year":"2009","journal-title":"J Clin Child Adolesc Psychol."},{"issue":"August","key":"pdig.0000523.ref041","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.abrep.2018.08.001","article-title":"Understanding drinking among midlife men in the United Kingdom: A systematic review of qualitative studies.","volume":"8","author":"H Parke","year":"2018","journal-title":"Addict Behav Reports"},{"issue":"1","key":"pdig.0000523.ref042","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12889-022-14188-4","article-title":"Exploring changes in temporary abstinence in increasing and higher risk drinkers in England and Dry January participation in users of the Try Dry app in the UK between 2020 and 2021.","volume":"22","author":"M Oldham","year":"2022","journal-title":"BMC Public Health."},{"key":"pdig.0000523.ref043","author":"OFCOM","year":"2022","journal-title":"Digital exclusion A review of Ofcom\u2019s research on digital exclusion among adults in the UK"}],"container-title":["PLOS Digital Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pdig.0000523","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,21]],"date-time":"2024-08-21T23:38:51Z","timestamp":1724283531000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pdig.0000523"}},"subtitle":[],"editor":[{"given":"Haleh","family":"Ayatollahi","sequence":"first","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2024,8,21]]},"references-count":43,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2024,8,21]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pdig.0000523","relation":{},"ISSN":["2767-3170"],"issn-type":[{"value":"2767-3170","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,21]]}}}