Bedtime App-Guided Mindfulness Meditation in Patients With Insomnia: Mixed Methods Feasibility and Acceptability Pilot Study.
JMIR Formative Research September 30, 2025 Yan Ma, Peter M Wayne, Janet M Mullington et al.
A pilot study tested the feasibility of a 4-week bedtime mindfulness meditation program guided by a smartphone app for people with chronic insomnia. Of 13 participants recruited, 10 completed the protocol (77% retention). Completion rates for physiological and psychometric data exceeded 90%, and app use compliance was 91%. Preliminary analysis showed improvements in sleep quality (Pittsburgh Sleep Quality Index change -3.7), insomnia severity (Insomnia Severity Index change -4.5), and presleep arousal (Pre-Sleep Arousal Scale change -7.7). Qualitative interviews revealed benefits including decreased catastrophizing, acceptance, body awareness, and relaxation. The hybrid in-lab and at-home study design was deemed feasible and acceptable for future research.