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Mindfulness training for smokers via web-based video instruction with phone support: a prospective observational study

James M. Davis, Alison R. Manley, Simon Benjamin Goldberg, Kristin A Stankevitz, Stevens S. Smith

BMC Complementary and Alternative Medicine March 29, 2015 DOI: 10.1186/s12906-015-0618-3 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Prospective observational study Peer reviewed
Sample size 26
Population Low socioeconomic status smokers
Intervention Nicotine patches
Duration 8-week intervention; follow-up at 4 and 6 months post-quit
Measures smoking calendar with carbon monoxide breath-test, Five-Factor Mindfulness Questionnaire, Anxiety Sub-scale of the Depression Anxiety and Stress Scale
Topics Meditation
Citations 33
Registration NCT02164656
Key findings In 26 low-income smokers, a web-based Mindfulness Training for Smokers program with phone coaching and two weeks of nicotine patches produced biochemically confirmed 7-day abstinence of 23.1% at 4 months and 15.4% at 6 months post-quit. Participants showed significant increases in mindfulness and decreases in anxiety. The authors suggest efficacy and mechanisms deserve further study.

Abstract

Background: Many smokers are unable to access effective behavioral smoking cessation therapies due to location, financial limitations, schedule, transportation issues or other reasons. We report results from a prospective observational study in which a promising novel behavioral intervention, Mindfulness Training for Smokers was provided via web-based video instruction with telephone-based counseling support.

Methods: Data were collected on 26 low socioeconomic status smokers. Participants were asked to watch eight video-based classes describing mindfulness skills and how to use these skills to overcome various core challenges in tobacco dependence. Participants received eight weekly phone calls from a smoking cessation coach who provided general support and answered questions about the videos. On the quit day, participants received two weeks of nicotine patches.

Results: Participants were a mean of 40.5 years of age, smoked 16.31 cigarettes per day for 21.88 years, with a mean of 6.81 prior failed quit attempts. Participants completed a mean of 5.55 of 8 online video classes with a mean of 23.33 minutes per login, completed a mean of 3.19 of 8 phone coach calls, and reported a mean meditation practice time of 12.17 minutes per day. Smoking abstinence was defined as self-reported abstinence on a smoking calendar with biochemical confirmation via carbon monoxide breath-test under 7 parts per million. Intent-to-treat analysis demonstrated 7-day point prevalence smoking abstinence at 4 and 6-months post-quit of 23.1% and 15.4% respectively. Participants showed a significant pre- to post-intervention increase in mindfulness as measured by the Five-Factor Mindfulness Questionnaire, and a significant pre- to post-intervention decrease in the Anxiety Sub-scale of the Depression Anxiety and Stress Scale.

Conclusions: Results suggest that Mindfulness Training for Smokers can be provided via web-based video instruction with phone support and yield reasonable participant engagement on intervention practices and that intervention efficacy and mechanism of effect deserve further study.

Trial Registration: ClinicalTrials.gov: NCT02164656 , Registration Date June 13, 2014.

Comparable studies

Other observational and cohort studies on meditation, most cited first.

Study Year Design Participants
Using Self-Report Assessment Methods to Explore Facets of Mindfulness Undergraduate students 2006 Observational cohort
Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders Patients with generalized anxiety disorder or panic disorder with or without agoraphobia 1992 Observational cohort n = 22
Meditation experience is associated with increased cortical thickness Participants with extensive Insight meditation experience and matched controls 2005 Observational cohort n = 20
Meditation experience is associated with differences in default mode network activity and connectivity Experienced meditators and matched meditation-naive controls 2011 Observational cohort
Long-term meditators self-induce high-amplitude gamma synchrony during mental practice Long-term Buddhist practitioners and controls 2004 Observational cohort

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