Department of Psychiatry; Department of Medicine, Division of Preventive and Behavioral Medicine
Alternative and Complementary Medicine | Behavior and Behavior Mechanisms | Health Information Technology | Psychiatry | Substance Abuse and Addiction
BACKGROUND: Tobacco use is responsible for the death of about 1 in 10 individuals worldwide. Mindfulness training has shown preliminary efficacy as a behavioral treatment for smoking cessation. Recent advances in mobile health suggest advantages to smartphone-based smoking cessation treatment including smartphone-based mindfulness training. This study evaluates the efficacy of a smartphone app-based mindfulness training program for improving smoking cessation rates at 6-months follow-up.
METHODS/DESIGN: A two-group parallel-randomized clinical trial with allocation concealment will be conducted. Group assignment will be concealed from study researchers through to follow-up. The study will be conducted by smartphone and online. Daily smokers who are interested in quitting smoking and own a smartphone (n = 140) will be recruited through study advertisements posted online. After completion of a baseline survey, participants will be allocated randomly to the control or intervention group. Participants in both groups will receive a 22-day smartphone-based treatment program for smoking. Participants in the intervention group will receive mobile mindfulness training plus experience sampling. Participants in the control group will receive experience sampling-only. The primary outcome measure will be one-week point prevalence abstinence from smoking (at 6-months follow-up) assessed using carbon monoxide breath monitoring, which will be validated through smartphone-based video chat.
DISCUSSION: This is the first intervention study to evaluate smartphone-based delivery of mindfulness training for smoking cessation. Such an intervention may provide treatment in-hand, in real-world contexts, to help individuals quit smoking.
TRIAL REGISTRATION: Clinicaltrials.gov NCT02134509 . Registered 7 May 2014.
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Citation: BMC Psychiatry. 2015 Apr 14;15:83. doi: 10.1186/s12888-015-0468-z. Link to article on publisher's site
DOI of Published Version
Garrison, Kathleen A.; Pal, Prasanta; Rojiani, Rahil; Dallery, Jesse; O'Malley, Stephanie S.; and Brewer, Judson A., "A randomized controlled trial of smartphone-based mindfulness training for smoking cessation: a study protocol" (2015). Open Access Articles. 2503.
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