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Medicine› Epidemiology› Substance Abuse Treatment and Outcomes

Hazardous drinking — Approach-avoidance training of implicit alcohol and drinking-identity associations

Submitted 2026-10-22

Field: Medicine › EpidemiologyType: No effect foundArea: hazardous drinkingTarget: Approach-avoidance training of implicit alcohol and drinking-identity associationsStage: randomized trial

Hypothesis

Approach-avoidance training, which had shown early promise for shifting implicit alcohol associations, and two new versions targeting implicit drinking identity, would change implicit associations and reduce drinking in US undergraduates.

What failed

Across two studies (300 social drinkers and 288 at-risk drinkers randomised to real or sham training in two sessions), none of the three training variants produced evidence of change in implicit alcohol associations or drinking outcomes; the only difference was a drop in drinking-refusal self-efficacy in one sham group.

Broken assumption

Two sessions of computerised approach-avoidance training are enough to shift implicit alcohol cognition and drinking in student drinkers.

Why

The authors conclude the training was ineffective at this dose in this population and suggest more severe populations, higher dose, combination with other treatment or more gamified tasks.

From the published paper: Lindgren et al. PLoS ONE, 2015. ↗CC BY

Research ideas from this failure

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Links in published research

Where this experiment's genes are known to matter outside its own research area, and the papers behind those links. Sources: Open Targets Platform and Europe PMC.