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Discussion To our knowledge, this is one of the first studies to evaluate the efficacy of a digital CBT program for alcohol use within an RCT that also evaluated a clinician-delivered CBT treatment in comparison with standard outpatient treatment for individuals with AUD. During the trial, in the full sample, regardless of treatment group, participants demonstrated a significant increase in alcohol abstinence as well as a decrease in heavy drinking days over time. Although differences in alcohol abstinence between treatments were not apparent when the treatment and follow-up periods were examined separately, when the entire 8-month study period was considered, those assigned to digital CBT provided with brief weekly monitoring showed a greater increase in days abstinent from alcohol compared with standard treatment or clinician-delivered CBT. This is consistent with findings supporting the efficacy of this digital CBT program in an outpatient sample of individuals with various nonalcohol substance use disorders.41 Secondary outcomes measuring the use of coping skills and CBT knowledge favored digital CBT as well.

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