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Development and usability testing of a mindfulness-based smoking cessation app for adults with low income: "It's helped me to not react and grab a cigarette".

Journal of Health Psychology June 26, 2026 DOI: 10.1177/13591053261461905 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Qualitative usability study Peer reviewed
Sample size 16
Population Adults with low socioeconomic status who smoke
Duration 2 weeks
Topics Meditation
Key findings Participants reported that the app helped them reduce smoking, feel more confident coping with cravings, and recover from lapses, and they valued its simplicity, relatability, and mindfulness content. They recommended increasing interactivity and social support, improving smoking behavior tracking, and enhancing app esthetics.

Abstract

Adults with low socioeconomic status (SES) experience profound tobacco-related health disparities. This paper describes the development of a mobile application, iQuit Mindfully 2.0, to provide accessible mindfulness training for smoking cessation for adults with low SES. In the initial usability study, adults with low SES who smoked ( N = 16) used the app for 2 weeks and provided feedback through individual interviews, which were coded using NVivo. Participants appreciated that the app was simple and easy to use, relatable and personalized, and taught mindfulness practices for coping with stress and cravings. The app helped them reduce their smoking, develop greater confidence in their ability to cope with cravings, and recover from smoking lapses. Participants suggested ways to increase interactivity and social support, improve smoking behavior tracking, and enhance app esthetics. This feedback will be used to improve the app with the goal of providing accessible smoking cessation treatment for low-SES populations.

Comparable studies

Other qualitative studies on meditation, most cited first.

Study Year Design Participants
The varieties of contemplative experience: A mixed-methods study of meditation-related challenges in Western Buddhists Western Buddhist meditation practitioners and experts in Theravāda, Zen, and Tibetan... 2017 Qualitative study with mixed-methods
The Effects of Mindfulness-based Stress Reduction on Nurse Stress and Burnout Nurses in a hospital system 2004 Implementation study with mixed methods
An exploratory mixed methods study of the acceptability and effectiveness of mindfulness -based cognitive therapy for patients with active depression and anxiety in primary care Primary care patients with recurrent depression or recurrent depression and anxiety 2006 Exploratory mixed methods study n = 13
A qualitative study of mindfulness‐based cognitive therapy for depression Participants in mindfulness-based cognitive therapy in a mental-health context 2001 Qualitative study n = 7
Effortless awareness: using real time neurofeedback to investigate correlates of posterior cingulate cortex activity in meditators' self-report Meditators 2013 Qualitative study using grounded theory methodology

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