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

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Date
2015-03-29
Authors
Davis, James M
Manley, Alison R
Goldberg, Simon B
Stankevitz, Kristin A
Smith, Stevens S
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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 article
Subject
Humans
Tobacco
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
Permalink
https://hdl.handle.net/10161/21399
Published Version (Please cite this version)
10.1186/s12906-015-0618-3
Publication 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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Scholars@Duke

Davis

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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