Morris, James and Tattan-Birch, Harry (2026) Effects of 'no safe level' and 'cutting down' alcohol messages on problem recognition, defensive processing, and self-efficacy in heavy drinkers: a randomized experimental study. Psychology & Health, Early online, pp. 1-21. https://doi.org/10.1080/08870446.2026.2731572.
External website: https://www.tandfonline.com/doi/full/10.1080/08870...
This study tested a 'no safe level' of alcohol consumption message on psychological outcomes relevant to drinking behaviour, compared with a gain-framed 'benefits of cutting down' message. Adults drinking at risky or harmful levels (AUDIT- ≥ 5; = 485) were randomised to one of three messages: Control ( = 165), No Safe Level ( = 163), or Cutting Down ( = 157). Outcomes included problem recognition, defensive processing (message derogation, fear), risk recognition and self-efficacy. Compared with the control, the 'No Safe Level' message increased problem recognition (standardised mean difference = 0.22, 95% confidence interval [0.03, 0.41]), elicited stronger fear (0.92, [0.73, 1.11]), and greater derogation (0.89, [0.69, 1.09]), but reduced self-efficacy (-0.23, [-0.43, -0.02]). The 'Cutting Down' message modestly increased fear (0.30, [0.10, 0.49]) and reduced self-efficacy (-0.28, [-0.48, -0.08]) but had little effect on problem recognition or derogation. Neither message affected risk recognition. Direct comparison showed 'No Safe Level' generated more fear and derogation than 'Cutting Down', but effects on problem recognition were uncertain. No moderation by drinking level was found. Overall, the 'No Safe Level' message prompted mixed psychological responses, suggesting further attention is warranted to determine exactly what public health goals such messages may assist.
B Substances > Alcohol
F Concepts in psychology > Attitude > Attitude toward substance use
G Health and disease > Substance use disorder (addiction) > Alcohol use disorder
J Health care, prevention, harm reduction and treatment > Health related issues > Health information and education
N Communication, information and education > Message / Language (portrayal of use)
N Communication, information and education > Information use and impact
N Communication, information and education > Information transfer / dissemination > Information transfer from research evidence to practice
VA Geographic area > International
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