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User Engagement with Clinician-Developed Guided Meditations on a Global Digital Platform: A Multi-Method Study

Paulette S Smith

Journal of Technology in Behavioral Science November 3, 2026 DOI: 10.1007/s41347-026-00746-9 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational multi-method study (descriptive platform analytics plus reflexive thematic analysis of public comments) Qualitative Peer reviewed
Sample size 29
Population Public user comments (29 of 59 extracted) on a single clinician-developed Insight Timer guided meditation account, plus platform analytics for that account's listeners and followers
Duration Platform plays counted since February 2025; no intervention or follow-up length stated
Topics Meditation
Key findings The account recorded 6,688 total plays since February 2025, with follower and commenter activity across multiple regions. Among 29 analyzed comments, four themes emerged: emotional regulation and nervous system calming, perceived psychological safety, integration into daily coping routines, and therapeutic qualities of the audio environment; commenters frequently described relaxation, reassurance, and emotional support.

Abstract

Abstract Digital meditation applications are increasingly used to support stress management, emotional balance, and everyday coping among individuals seeking accessible mental health and wellness resources. At the same time, less is known about how people engage with and experience clinician-developed guided meditation content on large global wellness platforms outside of formal research settings. This multi-method study examined user engagement and user-reported experiences associated with a series of clinician-developed guided meditations delivered through a single clinician-developed Insight Timer account. Quantitative descriptive analyses were conducted using platform analytics, including total plays (N = 6,688 since February 2025), follower activity, and available geographic information for followers and commenters. In addition, 59 publicly available user comments were extracted; 29 comments met the inclusion criteria and were analyzed using reflexive thematic analysis. Descriptive findings indicated ongoing listener interaction through plays, follows, and written commentary, while available geographic information for followers and commenters indicated engagement across multiple regions. Qualitative analysis identified four primary themes in commenters’ descriptions of their experiences with the recordings: emotional regulation and nervous system calming, perceived psychological safety, integration into daily coping routines, and the therapeutic qualities of the audio environment. Listener comments frequently described feelings of relaxation, reassurance, and emotional support while engaging with the meditation content. Grounded in a health psychology framework, this study provides practice-informed observational evidence regarding how a self-selected subset of users described experiencing clinician-developed guided meditations in a real-world digital environment. These findings contribute to the growing literature on digital mental health by providing insight into how clinician-developed digital mindfulness resources are voluntarily integrated into everyday coping and wellness practices outside formal clinical settings. As digital mental health continues to evolve, understanding naturally occurring patterns of user engagement may help guide future observational and intervention-based research and support the development of accessible, evidence-informed digital resources that complement traditional models of behavioral health care.

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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