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Mindfulness training app effect on a cigarette smoking quit attempt: Investigator-blinded 58-county RCT.


ABSTRACT:

Background

Cigarette smoking is the leading cause of preventable cancers. A majority of the 34 million people who currently smoke report wanting to quit. Mindfulness training (MT) apps offer a guided telehealth intervention to foster individual's behavioral practice of meditation. We present the main outcomes of a parallel-group RCT that tested app-MT versus attention control on smoking behavior.

Methods

We enrolled adult residents from across California who smoked daily and were willing to make a quit attempt (N = 213). Participants completed daily sessions in 10-minute segments for 14 consecutive days. Participants then started a quit attempt and reported daily smoking for 28 days following the quit date using the timeline follow back measure.

Results

Seven-day point prevalence abstinence (PPA) for each week during the 4-week quit period ranged from 21.8-27.7% for App-MT and 17.9-19.6% for controls. The intention-to-treat sample revealed app-MT outperformed controls on proportion of abstinence days during the quit period (OR = 2.00, CI 1.03-3.87, p=.041). While 7-day PPA for week 4 favored App-MT, significance was not reached (OR = 1.65, CI 0.84-3.23, p=.148). The mean number of cigarettes smoked per day among smokers was 4.95 for app-MT versus 5.69 for controls (OR = 0.81, CI 0.71-0.92, p=.002) suggesting harm reduction in continued smokers.

Conclusion

A MT app prescribed for two weeks leading up to a quit date showed advantage over controls for total abstinence days and fewer cigarettes smoked in a diverse sample encompassing urban and rural residents. These findings yield implications for the utilization of apps to reduce exposure to the carcinogenic properties of cigarette smoke.

SUBMITTER: Black DS 

PROVIDER: S-EPMC10715839 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature

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Publications

Effect of a mindfulness training app on a cigarette quit attempt: an investigator-blinded, 58-county randomized controlled trial.

Black David S DS   Kirkpatrick Matthew G MG  

JNCI cancer spectrum 20231001 6


<h4>Background</h4>Cigarette smoking is the leading cause of preventable cancers. A majority of the 34 million people who currently smoke report wanting to quit. Mindfulness training apps offer a guided telehealth intervention to foster individuals' behavioral meditation practice. We present the main outcomes of a parallel-group randomized controlled trial that tested app-based mindfulness training vs attention control on smoking behavior.<h4>Methods</h4>We enrolled adult residents from across C  ...[more]

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