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BMC Psychiatry

, 15:83

Substance-related disorders, addiction and impulse control

Abstract

BackgroundTobacco 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-DesignA 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.

DiscussionThis 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 registrationClinicaltrials.gov NCT02134509. Registered 7 May 2014.

KeywordsSmoking Smoking cessation Mindfulness Meditation Smartphone application App Mobile health Craving Mood Experience sampling Ecological momentary assessment  Download fulltext PDF



Author: Kathleen A Garrison - Prasanta Pal - Rahil Rojiani - Jesse Dallery - Stephanie S O’Malley - Judson A Brewer

Source: https://link.springer.com/







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