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

Davis, James M

Manley, Alison R

Goldberg, Simon B

Stankevitz, Kristin A

Smith, Stevens S

2020-09-01T13:48:15Z

2020-09-01T13:48:15Z

2015-03-29

2020-09-01T13:48:14Z

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.

10.1186/s12906-015-0618-3

1472-6882

1472-6882

https://hdl.handle.net/10161/21399

eng

Springer Science and Business Media LLC

BMC complementary and alternative medicine

10.1186/s12906-015-0618-3

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

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

Journal article

Davis, James M|0000-0002-7196-5649

95

1

School of Medicine

Duke Cancer Institute

Medicine, General Internal Medicine

Duke

Institutes and Centers

Medicine

Clinical Science Departments

Published

15