{
    "abstract": "Approach bias modification (ApBM) and interpretation bias modification (IBM) are two promising adjunct treatments for alcohol use and social anxiety, respectively. However, the acceptability of combining ApBM and IBM into one program for people who experience both of these disorders is unknown. The present study describes the codevelopment of a new, hybrid ApBM\u00a0+\u00a0IBM program and provides insight into the perceptions of acceptability from service providers and emerging adults.\nService providers (n\u00a0=\u00a014) and emerging adults aged 18 to 25\u00a0years with lived experience of hazardous alcohol use and heightened social anxiety (n\u00a0=\u00a015) were recruited via online advertisements and through existing networks. All participants were shown a beta version of the program and asked to complete qualitative and quantitative questions to ascertain feedback on the program's acceptability and suggestions for improvement.\nThemes emerged relating to the ApBM\u00a0+\u00a0IBM program's quality and usefulness, appropriateness, motivation and engagement, and potential clinical value. The program was well received and deemed acceptable for the target age group. It was rated particularly highly with regard to the overall quality and ease of use. Emerging adults had fewer suggestions for how the intervention might be revised; however, there were suggestions from both groups regarding the need for a compelling rationale at the outset of treatment and a suggestion to include a motivational interviewing and psychoeducational-based module prior to the first training session, to increase user buy-in and engagement.\nThe current findings reflect positively on the acceptability of a hybrid ApBM\u00a0+\u00a0IBM for emerging adults with co-occurring hazardous alcohol use and social anxiety. Service providers and emerging adults identified a number of ways to improve the design and implementation of the program, which will likely improve adherence to, and outcomes of, the intervention when added as an adjunct to treatment as usual.",
    "authors": [
        {
            "affiliation": "The Matilda Centre for Research in Mental Health and Substance Use, (KP, NCN, MT, LAS), The University of Sydney, Sydney, New South Wales, Australia.",
            "firstname": "Katrina",
            "initials": "K",
            "lastname": "Prior"
        },
        {
            "affiliation": "Faculty of Social and Behavioural Sciences, (ES), Utrecht University, Utrecht, The Netherlands.",
            "firstname": "Elske",
            "initials": "E",
            "lastname": "Salemink"
        },
        {
            "affiliation": "Addiction Development and Psychopathology (ADAPT)-lab, (RWW), Department of Psychology & Center for Urban Mental Health, University of Amsterdam, Amsterdam, The Netherlands.",
            "firstname": "Reinout W",
            "initials": "RW",
            "lastname": "Wiers"
        },
        {
            "affiliation": "Department of Psychology, (BAT), School of Arts and Sciences, University of Virginia, Charlottesville, Virginia, USA.",
            "firstname": "Bethany A",
            "initials": "BA",
            "lastname": "Teachman"
        },
        {
            "affiliation": "The University of New South Wales, (MP), Sydney, New South Wales, Australia.",
            "firstname": "Monique",
            "initials": "M",
            "lastname": "Piggott"
        },
        {
            "affiliation": "The Matilda Centre for Research in Mental Health and Substance Use, (KP, NCN, MT, LAS), The University of Sydney, Sydney, New South Wales, Australia.",
            "firstname": "Nicola C",
            "initials": "NC",
            "lastname": "Newton"
        },
        {
            "affiliation": "The Matilda Centre for Research in Mental Health and Substance Use, (KP, NCN, MT, LAS), The University of Sydney, Sydney, New South Wales, Australia.",
            "firstname": "Maree",
            "initials": "M",
            "lastname": "Teesson"
        },
        {
            "affiliation": "Faculty of Medicine & Health, (AJB), Sydney School of Health Sciences, The University of Sydney, Sydney, New South Wales, Australia.",
            "firstname": "Andrew J",
            "initials": "AJ",
            "lastname": "Baillie"
        },
        {
            "affiliation": "Turning Point, (SC), Monash University, Melbourne, Victoria, Australia.",
            "firstname": "Samuel",
            "initials": "S",
            "lastname": "Campbell"
        },
        {
            "affiliation": "The Matilda Centre for Research in Mental Health and Substance Use, (KP, NCN, MT, LAS), The University of Sydney, Sydney, New South Wales, Australia.",
            "firstname": "Lexine A",
            "initials": "LA",
            "lastname": "Stapinski"
        }
    ],
    "conclusions": null,
    "copyrights": "\u00a9 2020 by the Research Society on Alcoholism.",
    "doi": "10.1111/acer.14452",
    "journal": "Alcoholism, clinical and experimental research",
    "keywords": [
        "Alcohol",
        "Anxiety",
        "Cognitive Bias Modification",
        "Internet Intervention",
        "Young People"
    ],
    "methods": null,
    "publication_date": "2020-11-05",
    "pubmed_id": "33146919",
    "results": "Themes emerged relating to the ApBM\u00a0+\u00a0IBM program's quality and usefulness, appropriateness, motivation and engagement, and potential clinical value. The program was well received and deemed acceptable for the target age group. It was rated particularly highly with regard to the overall quality and ease of use. Emerging adults had fewer suggestions for how the intervention might be revised; however, there were suggestions from both groups regarding the need for a compelling rationale at the outset of treatment and a suggestion to include a motivational interviewing and psychoeducational-based module prior to the first training session, to increase user buy-in and engagement.",
    "title": "Acceptability and Co-Development of an Online Cognitive Bias Modification Intervention for Emerging Adults With Hazardous Alcohol Use and Social Anxiety: A Mixed Methods Study.",
    "xml": "<Element 'PubmedArticle' at 0x788506db8fe0>"
}