Mindfulness training for smokers via web-based video instruction with phone support: a prospective observational 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.
Type
Journal articleSubject
HumansTobacco
Tobacco Use Disorder
Carbon Monoxide
Meditation
Prospective Studies
Smoking
Smoking Cessation
Counseling
Telemedicine
Audiovisual Aids
Telephone
Internet
Adult
Middle Aged
Female
Male
Mindfulness
Smoking Prevention
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https://hdl.handle.net/10161/21399Published Version (Please cite this version)
10.1186/s12906-015-0618-3Publication Info
Davis, James M; Manley, Alison R; Goldberg, Simon B; Stankevitz, Kristin A; & Smith,
Stevens S (2015). Mindfulness training for smokers via web-based video instruction with phone support:
a prospective observational study. BMC complementary and alternative medicine, 15(1). pp. 95. 10.1186/s12906-015-0618-3. Retrieved from https://hdl.handle.net/10161/21399.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
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Show full item recordScholars@Duke
James Davis
Associate Professor of Medicine
Dr. James Davis is a practicing physician of Internal Medicine, and serves as the
Medical Director for Duke Center for Smoking Cessation, Director of the Duke Smoking
Cessation Program and Co-Director of the Duke-UNC Tobacco Treatment Specialist Credentialing
Program. His research focuses on development of new pharmaceutical treatments for
smoking cessation. He is principal investigator on several trials including a study
on “adaptive” smoking cessation and several trials

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